Family Planning Association of Nepal

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Family Planning Association of Nepal

• Mary Anne Baysac, Shira Lipsky, Alice Rouse
  Marta Segu

http//internet.roadrunner.com/rotto/menu.html
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Project to Increase Contraceptive Use in
Dhangadhi and surrounding villages
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Overview

• Problem Statement Proposed Solution
• Agency Country Background
• Goals Objectives
• Sustainability
• Project Management Activities
• Monitoring Evaluation
• Budget

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Problem Statement Proposed Solution
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Problem Statement

• 4.000 women in Nepal die each year due to illegal
  abortions.
• Worldwide, the MMR due to unsafe abortions is 13
  but in Nepal this number raises to 50.
• The Dhangadhi area has a population of 300.000,
  with 50 of the population at reproductive age
  (15-45 yrs.).
• Currently, family planning services do not exist
  in the villages surrounding Dhangadhi.

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Proposed Solution

• To assist the Government of Nepal in extending
  the current family Planning infrastructure to the
  surrounding villages of Dhangadhi.
• To efficiently distribute and educate about
  contraceptives methods.
• To ultimately decrease unwanted pregnancies,
  which will reduce unsafe abortions and Nepals
  MMR.

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Agency Background

• The Family Planning Association of Nepal (FPAN)
  is the largest NGO in Nepal and the sole provider
  of a full range of reproductive health services
  as well as educational initiatives. FPAN
  contributes 25 - 30 per cent of national family
  planning program effort.

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Agency Background

• The government works closely with FPAN and
  supplies a large proportion of their
  contraceptives including Norplant and injectables.

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Mission Statement

• To promote the right of women and men to decide
  freely the number and spacing of their children
  and the right to the highest possible level of
  sexual and reproductive health.

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Country Background
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Country Background

• Political and Cultural Background
• Communications
• Sexual and Reproductive Health
• Dhangadhi Summary

http//www.nepalonline.net/hra/
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Main Goal

• Increase contraceptive use in Dhangadhi District
  of Nepal and surrounding villages
• Improve access to family planning services, in
  order to reduce unwanted pregnancies, which may
  lead to unsafe abortions.

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First Objective

• Reduce the abortion rate, from 50 to 25 over a
  five-year period.
• Provide contraceptives through intensive
  door-to-door delivery services to 90,000 men and
  women of reproductive age in the Dhangadhi
  District.

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Second Objective

• Increase the commitment and responsibility of the
  Nepali men for contraception use, an important
  element to decrease unwanted pregnancies.

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Third Objective

• Ensure sustainability of the project

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Sustainability

• Building a strong relationship with the Nepali
  Government

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Sustainability

• Supporting role based on the Facilitation Theory
  Modelof policy implementation

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Sustainability

• Decentralization of resources will empower
  Dhangadhi people with better access to family
  planning services.

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Project Management

• Project Directors (PD)
• Peace Corps Volunteer (PCV)
• Technical Coordinator (TC)
• Project Coordinator (PC)
• Supply Manager (SM)
• Health Post Supervisors (HPS)
• Family Planning Promoters (FPP)

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Activities Project Layout

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Activities Project Layout
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Activities Method Mix
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Activities

• Communication among
• Government,
• Dhangadhi Clinic,
• Health Post Supervisors,
• Family Planning Promoters, Villagers

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Monitoring

• The project will be monitored on an ongoing basis
  using a compilation of well studied monitoring
  tools. Several indicators from each tool will be
  used to monitor services on an informal basis
  during annual 2nd quarter visits to the Health
  Posts.

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Monitoring
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Monitoring
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Monitoring
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Evaluation

• The evaluation involves three tools
• The Project Coordinator, together with the Health
  Post Supervisor will conduct evaluations using
  rapid assessment techniques as well as ELCO data
  for generating biannual CPR statistics.
• Evaluations on the 3rd and 5th year will use
  interview methods to evaluate the accuracy of
  client contraceptive use and knowledge.
• The overall cost-effectiveness of the project.

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Evaluation
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Evaluation
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Evaluation
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Budget

• The projects budget outlines the proposed cost
  and specific allocation of funds for the project
  based on 1998/99 prices in Nepalese rupees and
  converted into US dollars.

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Budget
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Budget

• Grand Total for all five years Final Budget
  US 169,318
• Cost Effectiveness total budget/total
  population of Dhangadhi- District reached
  (90,000)
• US 169,318/90,000
• US 1.88 per person.

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Family Planning Association of Nepal
Mary Anne Baysac, Shira Lipsky, Alice Rouse
Marta Segu