Abstract
Background: Involvement of FCHVs (Female Community Health Volunteers) in Safe Abortion Services (SAS) provision is eminent. The review of trained FCHVs was conducted in order to explore use of UPT by FCHV in SAS provision.
Methods: Family Health Division (FHD) under MoHP and Ipas Nepal provided 2 days training to FCHVs on early identification of pregnancy using UPT and RH referral in Dhading district in 2009 and 2010. FCHV review meeting was conducted in VDC level. A semi-structured questionnaire was administered to each eligible FCHV.
Findings: Out of 443 FCHVs, 367 (83%) were found to be eligible. About 93% FCHVs performed urine test after SAS training, an average of 8 tests per FCHV. The average cost per client was about Rs. 50 (less than a dollar). Around 92% of the FCHVs sent their clients for further pregnancy tests after obtaining positive results (90%). Around 61% FCHVs sent at least one client (Maximum of 52) for safe abortion services. Around 90% of clients were sent for Family Planning services after negative result.
Conclusion: Use of UPT by FCHVs has helped women of hard to reach rural areas of Nepal creating early action. Continuation of UPT by FCHVs must be ensured. Introduction of similar strategy is needed for other remote districts as well.
Keywords: UPT, FCHV, Nepal, Safe Abortion
Methods: Family Health Division (FHD) under MoHP and Ipas Nepal provided 2 days training to FCHVs on early identification of pregnancy using UPT and RH referral in Dhading district in 2009 and 2010. FCHV review meeting was conducted in VDC level. A semi-structured questionnaire was administered to each eligible FCHV.
Findings: Out of 443 FCHVs, 367 (83%) were found to be eligible. About 93% FCHVs performed urine test after SAS training, an average of 8 tests per FCHV. The average cost per client was about Rs. 50 (less than a dollar). Around 92% of the FCHVs sent their clients for further pregnancy tests after obtaining positive results (90%). Around 61% FCHVs sent at least one client (Maximum of 52) for safe abortion services. Around 90% of clients were sent for Family Planning services after negative result.
Conclusion: Use of UPT by FCHVs has helped women of hard to reach rural areas of Nepal creating early action. Continuation of UPT by FCHVs must be ensured. Introduction of similar strategy is needed for other remote districts as well.
Keywords: UPT, FCHV, Nepal, Safe Abortion
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Event ID
17
Paper presenter
34 885
Type of Submissions
Regular session presentation, if not selected I agree to present my paper as a poster
Language of Presentation
English
Initial First Choice
Initial Second Choice
Weight in Programme
47
Status in Programme
1