Youth involvement in Improving access to Birth spacing opportunities and services in Rural Remote Communities of Sindh Pakistan:

Objectives are to create enabling environment for promotion of birth spacing and to improve access and provide selected contraceptives. The data generated through routine monitoring is used to study the immediate effect and progress of the intervention. MIS was designed to record whole process diligently. The baseline and evaluation were conducted through randomized sampling based on whole districts. An innovative approach was introduced through CBVs in non-LHW areas. The mobilization was linked with services, referral to public or private sector facilities, and additionally CBVs were supplied Condoms and pills to provide to the clients as a replenish dose. Total 304 CBVs (160 male & 144 females) from 9 union councils of 03 districts selected. They reached 97% of the target families and deliver messages and information. The intervention was continued in 5 UCs through 78 female CBVs. In 3 months follow up, 2503 clients referred for FP services and 2344 new clients have adopted one of the birth spacing service. Hence 21% eligible women have adopted FP method within 6 months through MSU (1769 clients) and through private LHV(575). 1060 Condoms and pills were provided to clients as a follow up. Where there is no LHW or any other health facility, CBVs model may be one of the effective approach to reach under privileged communities