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Role of Marie Stopes Bangladesh in Social Dr. Reena Yasmin Development challenges and way forward Sr. Director Programmes
NO ONE SHO HOULD BE BE LE LEFT Marie Stopes was founded in 1988 as a not BE BEHIND for profit organization Affiliated with Marie Stopes International, London, UK Is one of the foremost SRH service delivery organization We are contributing towards two important Social Development Goals
Extensive Network of Clinics and Outreach Services
Our Spr Our Spread ead Network of Clinics: Marie Stopes Clinics : 41 Marie Stopes Referral Clinics : 60 Maternity Clinics (DFID) : 15 Extensive Network of Outreach: LAPM Roving Teams : 11 IUD Roving Service Providers : 28 MS Referral Clinic MS Clinic MS Maternity Clinics Strengthening GoB health facilities LAPM RT & IUD RSP for LAPM services : 25 Public Sector Support
Access: Multi Access: Multi Tier Ser Tier Service vice Deliv Deliver ery y Model Model Quality Assurance Collaboration FP GO Once per week Women-based community ANC/PNC; Safe Delivery Services including support group Breast-feeding • FP Male involvement ANC/PNC Unsafe abortion Participation of local Post Abortion Care CH formal/informal leaders Community Participation Post abortion FP STI/RTI Participation of GoB field VAW Post Abortion Care workers Nutrition Participation of local NGOs NGO Partnerships follow-up • Newly-wed counseling Limited GH Linking with UPPR Satellite Community participation BCC Peri-Urban Area Private sector involvement Satellite FP Service (Cafeteria approach) ANC/PNC Capacity Development RTI/STI Urban Area- Close to community Safe MR Service MCH Post Post Abortion Care Neonatal & Child Health Post Abortion contraception Limited General Health Safe Delivery services Management of minor OBG/GYN operations VSC Roving Team FP Service (Cafeteria approach) Maternal & Child ANC/PNC Health Referral M & E RTI/STI Safety Net for the Poor Centre Safe MR Service Post Abortion Care Neonatal & Child Health IUD Roving Team Post Abortion contraception Documentation Limited General Health Selective Male RH services (NSV) Primary management of Infertility & Urban Area - Referral linkage
Af Affor orda dabili bility: ty: Pr Pro-po poor T or Tar arge geting ting no one is denied services for want of money At least 40% of services to be ensued free of cost to the poor Opportunity Card Baseline Survey distribution based on Annual Review poverty (Based on SES) grading criteria
Ava vail ilabili bility ty of of Ser Service vice Pr Provide viders: s: Par ara-medicaliz medicalization tion Getting and retaining doctors in small towns and remote locations Or they do not want to work in slums Cost of Providers do have a significant impact on service costing Where ever possible task shifting//sharing Comparative outcome of MR services PROVIDER % of % of Quality Client Failed MR Score Satisfaction Incomplete Doctors 0.02 0.16 Both types 97% of clinics satisfied scored with the Paramedics 0.004 0.05 equally in service quality indicators
Decision Decision Making: MR Making: MR & P & Post ost MR FP MR FP more than 1.1 million unsafe MSB: Up to Quarter 3 (2017) abortions/MRs every year Total MR conducted 52,000 Post MR FP (%) 97% 48% of all pregnancies are unintended Short term FP acceptors 71% LARC acceptors 26% Permanent method 0% 384,000 Women suffered from Abortions complications in 2014 Only 14% of women can take decisions alone on their health issues
Male Involvement Collective initiative of men and women in awareness activities on family planning
TFR Stagnated: Low uptake of LAPM Jahanara, is Jah is 30 30, was as marrie ied at t 12 12 & had ad th the fir first of of se seven ch child ildren sh shortly aft fter “I say to my daughter, I was a child when I gave birth to a child; have only two kids. I do not want you to go through the same miserable life as mine.”
Low Up Lo w Uptak take of e of LAPM: LAPM: Colla Collabor boration tion A unique collaboration with DGFP Mostly in remote an and har ard to o reach loc locations, where there are – Lack of trained and skilled service providers Low performances Inadequate demand creation 17 Teams (each team consisting of 1 Doctor and 1 Field Worker): based regionally. Move to GoB health facilities to provide LAPM services
Adolescent SRHR A large cohort of adolescents (10 - 19 years) entering the RH life every year Adolescent Bir irth Rate is 113 per 1000 is teenage pregnancy is is th the number one causes of f mortality for gir irls aged 15 – 19 years TFD show in a school to prevent child marriage
Female Factory Workers 1 in 3 (36.84%) married Bangladeshi men reported About 48% of workers report physically and/or sexually current illness/symptoms abusing their wives in the past year
Annually around 1.8 million clients walk through Marie Stopes blue door
Thank You ISO Certified : 9001 - 2000
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