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Testing a Strategy to Increase IUCD Use in Nepal: ADRA/Nepal Operations Research Proposal Community-based Family Plannin

Testing a Strategy to Increase IUCD Use in Nepal: ADRA/Nepal Operations Research Proposal Community-based Family Planning Day May 16, 2006. Introduction – Overview of Project. Eastern Region Family Planning Expansion Project (Nepal) Implemented in 6 districts of eastern development region

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Testing a Strategy to Increase IUCD Use in Nepal: ADRA/Nepal Operations Research Proposal Community-based Family Plannin

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  1. Testing a Strategy to Increase IUCD Use in Nepal: ADRA/Nepal Operations Research Proposal Community-based Family Planning Day May 16, 2006

  2. Introduction – Overview of Project • Eastern Region Family Planning Expansion Project (Nepal) • Implemented in 6 districts of eastern development region • Strategic Objective: • To improve maternal and child health by reducing mistimed, unwanted, and high-risk pregnancies

  3. Program Problem Intra Uterine Contraceptive Device (IUCD) is under utilized in comparison with other methods due to: • Inadequate knowledge • Socio-cultural barriers – myths • Limited availability of services

  4. Objective of the Study To determine whether increasing access to IUCD by training service providers in insertion, removal and counseling and promoting knowledge and addressing socio-cultural myths through community mobilization, increases new acceptors of IUCD.

  5. Methodology – Study Design Time series 01 012 X 013 024 12m* 12 m * Intervention start time may vary by site, though each site will be assessed 12 months pre and 12 months post. Data for months 1-12 will be collected retrospectively; for months 13-24, prospectively.

  6. Independent Variable • Training for providers on IUCD insertion, removal and counseling • Community mobilisation* to promote knowledge and address socio-cultural myths about IUCD * Includes training, education, and incorporation into workplans/activities of various community-based groups (HFMC, DHDC, FCHV, DRHCC, mothers groups, special day celebrations, peer educators, MAP groups, health teachers, JRCC)

  7. Dependent Variable Dependent Variable • Number of new IUCD acceptors in 5 District Hospitals • Proportion of new FP acceptors choosing IUCD

  8. Benefits of OR to ADRA and other NGOs • Understand and apply process for designing and implementing an OR study • Advocate for scaling up of successful results of interventions • Answer important questions within ongoing programs • Apply lessons learned from OR to other projects • Learning what makes a solid OR proposal (critiquing) • Capacity strengthening of implementing and backstopping staff

  9. Thank You

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