Access to SRHR information and services
to young females of Dhaka slums: Reality
and perspective
SAFE Dissemination: Parallel session
ICVB conference room, icddr,b, Mohakhali, Dhaka
12 July 2012
Dr. Kazi Golam Rasul
Senior Director, Program Development
MARIE STOPES
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Background
Marie Stopes in SAFE
Objective of the session
Presentation of current practices on SRHR
information and services
Initiative to reduce SRH problems
Challenges
Discussion points for Action Plan
 Number
 Total
 The
of Slums in Dhaka City: 4,966
slum population in Dhaka: 3.4 million
density of slum population is 531,000 per sq
mile which is 200 times more than the population
density of Bangladesh
 Around
37% of the Dhaka residents are
currently slum-dwellers
 Slum population has inequitable access to
SRHR information & services
 Among them young females are more
vulnerable
 SAFE, a collaborative project, aims to contribute
promoting SRHR among the young females 1529 years of Dhaka slums
Marie Stopes in SAFE
 Number of sites: 3
 Number of slum areas: 18
 600 groups 200 in each site
YFU (10 -14) 48 groups 16 in each site
FU (15 – 29) 150 groups 50 in each site
FM (15 – 29) 252 groups 84 in each site
MM (18 – 35) 75 groups 25 in each site
MU (18 – 35) 75 groups 25 in each site
YFU: Young Female Unmarried, FU: Female Unmarried, FM: Female Married
MM: Male Married, MU: Male unmarried
Marie Stopes in SAFE..Contd.
 Approaches:
 Awareness creation
- Group formation
- Group education on SRHR
- Home visit for promoting SRHR information
and services
- Supporting other partners in organizing
campaign on VAW
Marie Stopes in SAFE..Contd.
 Service delivery
- MS clinics are in place to provide SRHR
services
- Refer clients in need for other services
- Refer clients of VAW to BLAST
Marie Stopes in SAFE..Contd.
Service delivery
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Family planning (cafeteria choice)
ANC, delivery and PNC
RTI/STI management
Menstrual regulation
General health
Immunization
Other services – EoC, Child Health, TB
(DOTS), Eye Care, Nutrition, VAW,
Supportive Pathology, VCT, Vaccination
Marie Stopes in SAFE..Contd.
Development of tools
- Group formation guideline
- Consent forms
- Clinical Protocol
- Referral Guideline
- Referral Card
- ID Card
Capacity building:
- Training of Trainers for Field Staff
- Service Providers Training on Gender,
VAW & Counseling
Explore the current practices of SRHR
information and services
Discuss challenges to provide low cost and
feasible means for accurate SRHR information
and services in slums
Develop an action plan to provide better SRHR
services in slums
Presentation of current practices of
SRHR information and services
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Almost 17% women aged between 15-19 yrs
28% of women not educated; around 6%
completed secondary level and above
Most women currently married (95%)
18% stated Dhaka as their birth place
29% women currently working
Most women are Muslim (98.7%)
* Weighted proportions from Baseline findings
Sexual health rights
13%
Menses before menarche
13%
Reproductive health rights
Adverse effect of teenage pregnancy
Emergency contraceptives
Sexually transmitted infections
Menstrualtion regulation
Danger period of pregnancy
SH Service delivery points
15%
44%
46%
46%
51%
73%
80%
1
3.4
1.3 1.1
2.3 1.5
45.1
31.5
12.7
Pill
Condom
Injectables
IUD
Implants
Female sterilization
Male sterilization
Safe period
Withdrawal
Sought help for the latest STI related problem
Received medical attendance during
postnatal care within 42 days of delivery
Received medical attendance during delivery
Experienced institutional delivery during birth
of the last child
Received medical attendance during
antenatal care
49.0%
12.9%
21.9%
29.8%
24.2%
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Building capacity of providers/ facilitators
 Conducting SRHR sessions with women &
men in collaboration with BLAST and Nari
Maitree (We can)
 Providing SRHR services at “One stop service”
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Challenge 1
 Increased availability of SRHR information at
slum set up
- By whom: Public sector: MOHFW, LGRD, Social Welfare
- Other: NGOs, Private Sectors (BGMEA), who else
- To whom : All (M&W),YP, Adolescent – rights
- Coordination & integration: When & where
- Cost and affordability
- Continuity
- Private sector involvement (CSR)
- Leadership
Challenge 2
 Increased access to SRHR services
- Information sharing – mapping, network, linkage
- Affordability – who affords whom
- Acceptability
- Friendly services
- Service providers attitude and commitment
- CSR
- Leadership
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Challenge 3
 Sustainable impact
- Definition
- Is it a priority
- Interests
- Practicality and reality
- Leadership
Discussion on challenge 1
Discussion on challenge 2
Discussion on challenge 3