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EFFECTIVE INVOLVEMENT OF COMMUNITY AND PUBLIC REPRESENTATIVES IN FAMILY PLANNING PROGRAM

EFFECTIVE INVOLVEMENT OF COMMUNITY AND PUBLIC REPRESENTATIVES IN FAMILY PLANNING PROGRAM. Md. Shamsul Alam Mian Alliance for Cooperation and Legal Aid Bangladesh (ACLAB). OBJECTIVES OF THE RESEARCH PROJECT.

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EFFECTIVE INVOLVEMENT OF COMMUNITY AND PUBLIC REPRESENTATIVES IN FAMILY PLANNING PROGRAM

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  1. EFFECTIVE INVOLVEMENT OF COMMUNITY AND PUBLIC REPRESENTATIVES IN FAMILY PLANNING PROGRAM Md. Shamsul Alam Mian Alliance for Cooperation and Legal Aid Bangladesh (ACLAB)

  2. OBJECTIVES OF THE RESEARCH PROJECT • General Objective: To identify the ways for effective involvement of community and public representatives in FP program; • Specific Objectives: • Assess the perception, attitude, roles and engagement of community towards family planning program in Bangladesh • Assess the family planning service gaps that are felt need by the community and public representatives • Identify the constrains/challenges of their involvement in FP program • Identify the reasons for not/less involvement of community and public representatives in FP program in Bangladesh • Investigate what should be done to increase their involvement in FP program • Identify potential areas and means of contribution of the community people and public representatives

  3. METHODOLOGY OF THE STUDY • Study design: • -Cross-sectional study. Both quantitative and qualitative • Document review • Questionnaire • Key Informant Interview (KII) • Study Sample and Respondents: • Geographical coverage: • Divisions (7) Districts (21), Upazilas (21) and Unions (56) • Sample size: 532

  4. FINDINGS OF THE STUDY • Perception • More than half of the respondents (60%) mentioned “food crisis” as impact of over population, “increase of crime, murder and robbery” was the response of 40% respondents. 40% respondent replied “People become unhappy” as impact of over population. • Majority (57%) of the respondents responded that Family planning program is required “for a planned family”, 51% responded as “for a small and happy family” and 35% as “prosperity of the family members” • The findings reveal that relationship of family planning with maternal and child health was not understood well by the respondents, which was only about 17%.

  5. FINDINGS OF THE STUDY (CONTD…..) • Service Gaps • Two-third respondents perceived family planning services are inadequate • FP service is poorly working in some rural areas where accessibility is poor • Family planning issue has not been given right importance (45%)

  6. FINDINGS OF THE STUDY (CONTD…..) • Constraints of Family Planning Program • “ignorance of the people” (64%) • “religious barriers” (53%), • “Male are not interested (36%) • “insufficient workers in the field” (34%) • “insufficient activities” (27%)

  7. How to overcome the constraints • Increase the number of field worker • Arrange training for the field workers • Ensure regular monitoring at the filed level • Ensure good governance and accountability of the family planning staff • Ensure adequate logistics at the field level • Involve local governments to ensure accountability of the FP staff to them

  8. FINDINGS OF THE STUDY (CONTD…..) • Involvement of Community Leaders and Public Representatives • Involvement of the community leaders with FP program- 59% • Community leaders not aware about the FP committees – 46% • Expressed interest to be involved – 85% • Talk about family planning program while they talk in public meeting - 53%

  9. Lessons • communities consider family planning activities as the responsibility of the government. • community leaders and public representatives are willing to contribute and to take responsibility for the interest of their own community • community leaders and public representatives are interested to engage themselves but need process of involvement • if the local elites and elected representatives came forward they can contribute to raise adequate funds for solving health and family planning problems

  10. RECOMMENDATIONS • Initiative should be taken to make both the Upazila and the Union level family planning committees functional. The roles and responsibilities of the different committees should be defined. • The family planning committee members should be oriented on effective organization and conduction of the committees, roles and responsibly of the committees. • The Union Parisads can be made the center of activities of maternal and child health and family planning. The elected representatives (Chairman and members) should be given specific responsibilities and they should be accountable for the enhancement of these activities in their respective localities.

  11. RECOMMENDATIONS(Contd..) • Family planning activities can be integrated with the Union Parishad activities • Elected representatives and community leaders can monitor and supervise the FP activities at the local level • Linkage among volunteers/workers, government officials, elected representatives, community leaders, and users of health and family planning services needs to be strengthened • Provision of rewarding/appreciation to the community leaders on the basis of their performance in achieving the targets for family planning

  12. Thanks For kind Attention

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