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Experiences sharing on: PART A: Post pilot MA PART B: RH referrals made by FCHVs

This report shares post-pilot experiences on reproductive health services in Jhapa district, including findings, referrals made by community health volunteers, and challenges encountered. It emphasizes community-based programs, technology, demand, and replicability while addressing the need to increase access, enhance health education, and streamline protocols for pregnancy tests.

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Experiences sharing on: PART A: Post pilot MA PART B: RH referrals made by FCHVs

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  1. Experiences sharing on: PART A: Post pilot MA PART B: RH referrals made by FCHVs Nawaraj Subba Senior Public Health Administrator District Public Health Office, Jhapa

  2. PART A: Findings on post pilot MA (June-December 2010)

  3. MA service sites in Jhapa • Mechi Zonal Hospital • Surunga PHC • Dhulabari PHC • Sanischare PHC • MSI Damak • MSI Birtamod • FPAN

  4. Number of MVA Vs MA(Pilot and Post Pilot period) Source: HMIS -11

  5. Follow Up(June-December,09) N=845 Source: HMIS -11

  6. Place of Misoprostol Administration(June-December,09) N=845 Source: HMIS -11

  7. Outcome(June-December,09) N=845 Source: HMIS -11

  8. Contraceptive accepted by MA clients(June-December,09) Source: HMIS -11 N=845

  9. MA clients distribution by age group(June-December,09) N=845 Source: HMIS -11

  10. MA clients distribution by Ethnicity(June-December,09) N=845 Source: HMIS -11

  11. PART B: RH referrals made by FCHVs in Jhapa district Month of Orientation: May-June 2009 Month of Review: December 2009

  12. Number of FCHVs participated in the review meeting

  13. Total Number of UPTs used by FCHVs Each FCHV had received 15 UPTs during the training (184x15= 2760).

  14. Number of UPTs used by FCHVs Total 162 (n=162/184) FCHVs used the UPTs during their service to the client

  15. Number of UPTs performed & result

  16. Number of cases referred/performed by FCHVs during their UPTs service

  17. Conclusion • Community based program (FCHV, Local HWs involved) • Community accepted (High demand) • Sound Technology • Successful and replicable pilot program

  18. Issues and Challenges • Access to be increased • Duplication with some INGOs program (MSI) • Medical personnel or retailers orientation and motivation needed • It is developing as a kind of FP method (repeated abortions) • Requires proper health education and information system from FM, FCHVs

  19. Recommendation • Increase access by expanding services through • Health Posts • SBAs • Proper protocol and guidelines for pregnancy tests (cost, availability) • Awareness about side effects

  20. Orientation

  21. Orientation

  22. Health Workers Training

  23. Health Workers Training

  24. FCHVs Training

  25. FCHVs Training

  26. Media

  27. Thank You

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