expanding access to family planning products and services...
TRANSCRIPT
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Expanding Access to Family Planning Products and Services: the use of a second tier franchised network in Myanmar
Dr. May Sandi Htin Aung Senior Franchising Officer, PSI/Myanmar
17th November 2009
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page 2Women of Myanmar
Basic facts about MyanmarPopulation - 56 millions WRAG - 12.5%One of the Least developed countries by UN
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- MMR - 316 per 100,000 live births-CPR for modern methods for married women - 32.8% and
contraceptive unmet need – 19.1%- FP programmme in Public sector covers 122/325 townships- Majority of women buy contraceptives of doubtful quality from private retail outlets.
Reproductive Health overview
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- Provide family planning, TB, STI, malaria dx and tx, diarrhea ds and pneumonia treatment for children under 5 years old
- Located in urban and peri urban areas.- More than 1,000 SQH clinics in 160 townships
Typical Sun Quality Health clinic- Fractional franchise established in 2001.
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OK PillsLaunched on 14 Sep 2001
OK 3 InjectionLaunched on 14 Sep 2001
OK 1 InjectionLaunched on 3 Dec 2001
OK Emergency contraceptiveLaunched on 15 March 2002
OK CondomsLaunched inJuly 2003 OK Female condom
Launched in June ,2006
OK IUD Launched in August 2003
RH Products and Services available at SQHC
Currently 927 RH providers127 trained in IUD.
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page 6Sun Primary Health Network
Sun Primary Health franchise network- Launched in June, 2008- Community based health workers and linked to SQHC network.- Trained for priority diseases in rural areas
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Sun Primary Health Coverage
A total of 788 SPH workers operating in 31 townships.
Estimated population coverage - 1% of the total population.
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Health Education Activity by Sun Primary Health Worker
Health Education Session on Family Planning to women- Basic knowledge about RH- Knowledge about contraceptives
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SPH workers are non salaried.Performance based incentives only.Indicators for incentives:
- no. of HE sessions held- no. of referrals to SQHC
Monitored monthly by PSI/M staff
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Achievements
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page 11Findings and Lessons Learnt
Strength of SPH network- Linkage to existing Sun Quality Health- Expand women’s method of choice for family planningLesson learned- Women still securing products from retail outlets
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page 12Challenges of Sun Primary Health Network
-To sustain trained health workers in the network- Transportation problems - Perception of BHS staff towards SPH
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page 13Thank you for your kind attention
Potentials for success- Quality products and services which are- Accessible and affordable by- The target groups