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Highlight of activities under Population Sub Sector of HPNSDP

  • Continuing and strengthening domiciliary services
  • Strengthening IEC activities through multi-sectoral approach
  • Introducing new approach; providing targeted HR, logistics and other management support; and strengthening monitoring and supervision at low performing and hard to reach area
  • Ensuring commodity security and diversify local product
  • Continuing Commodity Supply chain
  • Ensuring community participation
  • Institutionalization of Local Level Planning
  • GO- NGO Collaboration and Public Private Partnership
  • Increasing male participation
  • Gender sensitization
  • Ensuring quality of services
  • Introducing new brand of contraceptives
  • ICT and web based communication and monitoring
  • Addressing infertility (3-5% of population.)
  • Ensuring Human resources forecasting, management and development
  • Introducing International Accounting Standard (IAS) from H.Q to field Offices / Ensuring Proper financial management from headquarter to field level
  • Expanding FP services at urban areas (slum centered)/ special interventions at urban areas


HPNSDP Priority Indicators with Benchmarks and Targets : 

Indicators Base line (with Year and Data source), 2007 Update 2013 TARGET 2016 On track?
Infant mortality rate (IMR), Per thousand life birth 52, BDHS-2007 43, BDHS-   2011 31 Likely
Under 5 mortality rate,  Per thousand life birth 65, BDHS-2007 53, BDHS-   2011 48 Yes
Neonatal mortality rate (NMR), Per thousand life birth 37, BDHS-2007 32 BDHS-   2011 21 Challenging
Maternal mortality rate (MMR),Per hundred thousand life birth 194
BMMS-2010
194 BMMS-2010 143 Yes
Trends in Maternal Health
a)ANC at least 4 visits
b) Delivery attended by a medical trained provider
c) PNC within 02 days of delivery
a) 22%
b)  21%
c) 20%
BDHS-2007
a) 25%
b) 34.4%
c) 27.6%
UESD-2013
50% in  all 3 indicators Challenging
Unmet Need for FP 17.6%,BDHS-2007 13.5%, BDHS-2011 9% Challenging
Contraceptive Drop- out rate 49%,2004 35.7% BDHS-   2011    
Contraceptive Prevalence Rate (CPR) 55.8%,BDHS-2007 62% UESD-2013 72% Likely
Use of Modern Contraceptive in low performing Area Syl:24.7%, Ctg:38.2%, BDHS-2007 Syl:39.4%, Ctg:43.9%, UESD-2013 Syl: & Ctg:
50%,
Yes
Children with Stunting (height for age/ <5) 43.0 percent
(BDHS 2007)
41.0 percent (BDHS 2011) 38% Yes
Children with Wasting (weight for height/ <5) 17.0 percent (BDHS 2007) 16.0 percent (BDHS 2011)   Yes
Children with Underweight (weight for age/ <5) 41.0 percent
(BDHS 2007)
36.0 percent (BDHS 2011) 38% Yes
Total fertility rate (TFR) 2.7,
BDHS-2007
2.3 
BDHS-2011
2.00 Likely
Exclusive Breast Feeding(Children under 6 month) 43%
BDHS-2007
64% 
BDHS-2011
50% Yes
Vitamin A supplementation (Children under 6-59 month) 88.3%, BDHS-2007 74.8%, UESD-2013 90%  



Implementation Strategy of Population and Family Planning
The HPNSDP identifies service delivery priority focuses on the extension of family planning services, increased usage of family planning before and after the first birth and the introduction, and the promotion and usage of Long Acting and Permanent Methods (LAPM) of contraception. Implementation of this strategic priority is under the responsibility of two OPs within the DGFP: i) Clinical Contraception Service Delivery (CCSD); and ii) Family Planning Field Service Delivery (FPFSD). The other OPs within the DGFP provide support to these services namely Planning, Monitoring and Evaluation, Management Information Systems, Information Education and Communication, Procurement, Storage and Supply Management and NIPORT OP-TRD. 


Population and Family Planning: lead OPs are CCSD and FPFSD with strong supportive functions in OPs PME-FP, MIS, IEC, PSSM-FP and NIPORT. 

Priority Interventions 

(a) Population (b) Family Planning Service
  •  Promoting delay in marriage and childbearing, use of post partum FP, post abortion FP and FP for appropriate segments of the population.
  •  Strengthening FP awareness building efforts through mass communication and IEC activities and considering local specificities.
  •  Using different service delivery approaches for different geographical regions and segments of the population.
  •  Maintaining focus on commodity security and ensuring uninterrupted availability of quality FP services closer to the people (at the CC level).
  •  Registering eligible couples with particular emphasis on urban areas to establish effective communication and counseling.
  •  Compensating for lost wages (reimbursement for opportunity costs) for long acting and permanent method contraceptive performance.
  • Strengthening FP services especially post partum and post abortion FP and demand generation through effective coordination of services with DGHS utilizing appropriate opportunities.


References:

  1. Population Control Programme in Bangladesh: Past, Present & Future, By IEM Unit, June 1985, Directorate of Population Control. 
  2. Bangladesh’s Population Problem and Programme Dynamics, By Mohammed A. Mabud, January, 1992.
  3. Program Implementation Plan, HNPSP, PIP, June, 2003
  4. Program Implementation Plan, HNPSDP, July, 2011