Reproductive Health & Rights

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Reproductive Health & Rights | United Nations Population Fund | Bangladesh

Reproductive Health & Rights

While Bangladesh has made gains in providing support services in maternal, neonatal and children’s health (MNCH) and family planning (FP), there are considerable still gaps and unmet need.  An estimated 7,000 mothers die each year due to pregnancy-related causes as high maternal mortality and morbidity remain serious concerns in the country. 
 
Services such as family planning; skilled birth attendants at deliveries; antenatal, post-partum and emergency obstetric care are critical life-saving means of support that impact fertility, maternal mortality and morbidity.
 
UNFPA, Bangladesh is using a rights-based approach to addressing SRH in collaboration with the government and other UN organizations honoring the country’s commitment to the UN Secretary General’s Global Strategy for women’s and children’s health.  The GoB has focused on the following goals to be achieved by 2015:
 
   →  Doubling the percentage of skilled birth attendance, strengthening midwifery services through training and capacity building.
   →  Reducing the rate of adolescent pregnancies focusing specifically on adolescent reproductive health
   →  Halving the unmet need for family planning by revitalizing Bangladesh’s family planning program and increasing access to essential MNCH/FP services.
 
8CP Outputs:
1:Improved quality and accessibility of SRH information and services with special focus on FP and skilled care in selected districts, urban areas and refugee camps (supply side).
 
2:Improved knowledge, awareness, and attitudes among service providers and community members, including young people, on sexual and reproductive health and rights, and HIV in selected districts, urban areas and refugee camps (demand side).
Family Planning (FP) – Revitalization of National FP:
   •  Reducing unmet need, program dropouts in order to curb adolescent fertility rates
   •  Increasing post-partum FP services
   •  Ensure access to SRH services for married/unmarried adolescents
   •  Increase funding for national family planning programme
   •  Strengthen FP service delivery in hard-to-reach areas and urban slums
   •  Strengthen Health Sector service providers in quality assurance
   •  Create demand through advocacy and awareness-building
Maternal & Neonatal Health (MNH) – Skilled Care for Deliveries:
   •  Increasing access and availability of Skilled Birth Attendants (SBAs)
   •  Certification of Midwives through standardized accreditation procedures
   •  Creation positions for midwives within government health facilities
   •  Improve access and availability of 24/7 Emergency Obstetric & Neonatal Care (EmONC)
       ♦  Health workforce capacity development
       ♦  Midwifery education
       ♦  Deployment & retention
       ♦  Association
       ♦  Pre-service and in-service EmONC training
   •  Incorporation of training module for in-service and post-graduation training
   •  Quality Assurance though Standard Emergency Management Protocols
   •  Monitoring and supervision ensured in service delivery
   •  Demand creation though community mobilization, and media campaigns
MNH – Access to Special Women’s Health Services:
   •  Treatment and rehabilitation services for Obstetric Fistula (OF)
       ♦  Dedicated fistula operation team at all medical college hospitals
       ♦  Building a Centre of Excellence
       ♦  System strengthening for OF services by linking with NGOs
   •  Screening and treatment services for Cervical Cancer
       ♦  Population based screening, diagnostic and treatment facilities in Medical College Hospitals and selected district hospitals
       ♦  Screening services for Breast Cancer
MNH – Quality and Capacity within the Health Workforce:
   •  Pre-service and in-service training of care providers
   •  Module on fistula surgery & case management, cervical cancer screening & treatment in pre-service and post graduation training curricula
   •  Q&A standardized for screening and treatment
   •  Standard Operating Procedures (SOPs) and operational guidelines
   •  Comprehensive supervision & monitoring system
   •  Surveillance and information management by incidence and prevalence surveys
   •  National and local BCC campaign on Obstetric Fistula; Cervical & Breast Cancer
   •  Community mobilization through Fistula Advocates and Cancer Survivors

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