Mennonite Central Committee Family Planning Program--Bangladesh.
This, the 6th report of the Mennonite Central Committee's (MCC) Health and Family Planning Effort, records the ongoing experience of the Noakhali and Saidpur Programs, covering the past year beginning July 1, 1980. The MCC has an integrated development program in the town of Saidpur. An attempt is being made to provide employment opportunities, improve sanitation facilities, encourage vegetable gardening, and insure better health care and family planning services. These programs complement and support the MCC health and family planning program by providing jobs for very poor clients and resources to obtain a more nutritious diet and hygienic living environment. The MCC Health and Family Planning Project has 3 major components: service delivery; training of family welfare visitors (FWVs), and public education. MCC provides both family planning and maternal child health care services to the residents of Ward 4 at Poribar Kollan Kendre (PKK). MCH services were integrated into the PKK program in fiscal year (FY) 1981 in an attempt to meet more of the population's health needs. MCC with the government of Bangladesh jointly provided sterilization services to the people in the Saidpur community at the Model Clinic until September 1980. MCC withdrew from the partnership this past year as the government was able to take over all responsibilities. The clinic still offers services for PKK clients. PKK provides the main base for practical training in family planning/maternal child health (FP/MCH) motivation, fieldwork, and clinical procedures. The public education component includes family planning and communtiy health education and services the entire town of Saidpur. This year training and teaching were emphasized in all programs. Information is presented on the training of government personnel, contraceptive usage and continuation rates, and maternal child health service delivery. The MCC Noakhali Family Planning Project, a rural based preventive health project has the following as its objectives: to achieve a contraception acceptance rate of 33% and a 20% decrease in the prevalence of pregnancy; to promote appropriate public behavior in regard to maternal and child health, nutrition, sanitation, and hygiene; to maintain a cooperative relationship with the government and other voluntary agencies involved in health and family planning; to achieve a 33% decrease in the infant mortality rate; and to research the relative effectiveness of various approaches in realizing these objectives. To reach the objectives, there are 4 major program components--service delivery, public education, research, and training, and these are reviewed. The major program changes during the past year were in the areas of placing more emphasis on education and developing a sense of self reliance among the residents of Unions 6 and 7. To deliver family planning and maternal and child health services, an extensive field worker and clinic system has been developed. There are a total of 12 female and 12 male field workers. Family planning service delivery continues to be a major part of the project. Oral contraceptives, Emko foam and condoms are delivered to clients at home. Depo-Provera injections are provided at subcenters and mobile clinics. IUDs are inserted at subcenters. Referrals are made for sterilization.