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Method Mix

Method Mix. CPR & TFR Comparison Chart. CPR (modern methods). TFR. Source: BDHS 1999-2000 & MIS Report. Method Mix Changes Over Time. Trends in Sterilization Performance 1975 to 1999. Bangladesh Demographic and Health Survey, 1999-2000.

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Method Mix

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  1. Method Mix

  2. CPR & TFR Comparison Chart CPR (modern methods) TFR Source: BDHS 1999-2000 & MIS Report

  3. Method Mix Changes Over Time

  4. Trends in Sterilization Performance1975 to 1999 Bangladesh Demographic and Health Survey, 1999-2000

  5. Key findings fromReview of Sterilization Services -2000 • There is significant unmet demand • Infrastructure is adequate • Low performance factors: • Lack of communication and information • Need for more trained personnel • Inadequate leadership and management • Poor quality of care

  6. Strengthening Long Term Clinical Family Planning Services in Bangladesh A Field Support Project implemented by EngenderHealth Providing Technical Assistance to the Government of Bangladesh and NGOs

  7. Key Project ActivitiesJune 2001 – September 2002 • District and sub-district workshops to provide information and plan for services Topics: • Contraceptive Update • Introduction of NSV techniques • Addressing misconceptions • BCC techniques • Organization and planning of sterilization services Example: August -- 3 Districts 52 workshops 3095 participants

  8. Key Project ActivitiesJune 2001 – September 2002 • Close collaboration with Government • Roving technical persons do training and provide services as needed Ex: August : 51 tubectomies and 32 NSVs performed as training, demonstration, or request for services • Expand private sector services • Research and BCC activities

  9. Results Change in Sterilization PerformanceJan to Sept 2001 Vs. Jan to Sept 2002 District 1 (Jhenaidah) District 2 (Nilpharmari)

  10. Performance Comparisons Control vs. Project: Performance July 2001 to June 2002 2 GOB Districts comparable in demographics Tubectomy-- 425 NSV-- 69 Total = 494 Project Districts 1 & 2 Tubectomy-- 3132 NSV-- 5033 Total = 8165 Total sterilization performance in all assisted Districts: Before and after/during project support October 2000 to Sept. 2001 October 2001 to Sept. 2002 = 5,209 14,181 =

  11. Challenges Ahead • Insuring informed choice and volunteerism • Broadening Scope • Quality of care • Replicating success for rapid expansion of impact

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