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JANANI : A CASE STUDYEXPANDING INTRAUTERINE DEVICEAND MEDICALABORTIONSERVICES

INTWOSTATESOF INDIANAMELY BIHARAND JHARKHAND

Presented By: Group 1

Aasim Riyaj Khan

Achint Kumar

Aditya Sood

Anita GuptaArun Singh Rana

Arun singh Jadaun

Ashu Singh

Bhushan Rao Patil

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INTRODUCTION

The states of Bihar and Jharkhand have some of the

lowest reproductive health rankings in the country.

689,000 abortions induced annually in Bihar and

Jharkhand, and estimated 517,000 are unsafe.

At 452 per 100,000 live births, Bihar also has one of the

highest maternal mortality rates in India.

8.9% of maternal deaths in the state are caused by

unsafe abortions.

Furthermore, the unmet need for contraception inJananis program area is 13.2%.

Half of these women have an unmet need for spacing

because they want to delay their next birth, the other

half because they want to stop childbearing.

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GoalCommunity

Awareness

Orientation

Capacity

Development

External

Support

Implementation

of Program

including Job

Responsibilities

Impact

Conflict

Beyond

The Clinic

Integration of

Informal

SectorThank

You

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GOAL

To double the IUD contraceptive prevalence rate in

Bihar and Jharkhand from 0.6% to 1.2%; to

perform 175,000 medical abortions by the end of

2013

To reduce unsafe abortions by at least 15% by the

beginning of 2013; and to improve post-abortion

care.

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COMMUNITY AWARENESS

Janani developed

Point-of-purchase materials such as stickers and

posters that inform consumers about medical

abortions at pharmacies.

Billboards announcing the availability of medical

abortion at its Surya Clinics and through its mobile

clinic.

Widely distributed its booklet about IUDs, medical

abortions, and other family planning.

Placed two Medical abortion drugs at rural

schemes under special displace schemeBack

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ORIENTATION

Janani give orientation to

1) Thousands of doctors,

2) Paramedics/Auxiliary nurse midwives,

3) Surya health promoters.4) Grass-root level health workers

5) Rural health practitioners

6) Government community health workers.

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RESULTS

INNINEYEARS

Janani has protected 10.2 million couples

averted 5.8 million unwanted pregnancies.

Expanding the number of its Surya Clinics from 18

to 40, which should boost IUD use and medicalabortions in years to come.

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CAPACITYDEVELOPMENT

Constantly focuses on upgrading the

1) Surgical skills of doctors

2) Non-clinical skills of the rural centers that serve asthe first contact point for counseling

3) Communication skills and Soft skills of the

Community Health Providers.

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PROJECT IMPLEMENTATION AND JOB

RESPONSIBILITIES

Combines classic social marketing with clinic based servicedelivery programme and franchise programme

JANANI TITLI CENTER

Janani titali center representative

Female worker who works with rural health practionerServes as the link between the clinics and rural community

Rural health practioner

Twenty Two thousand RHP are employed and trained to sellcondoms, OCPs,Over the counter pregnancy test Titali centers

Government Community Health workers.

SURYA CLINICS

Clients needing clinical services including abortions arecounseled and referred to surya clinic which pays a commissionto Titail center for the referral Next

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Surya health promoters

-Grass root level worker refer client to Janani clinic sell

condoms , ECP, OCPs-Brief clients about IUDs, Medical abortion and sterilization

Government community Health workers

Surya Clinics have the Diagnostic Facilities, adherence to

quality norms Infection Control

Waste management

Counseling

MOBILE MEDICAL CLINIC

Provides essential FP material and reproductive health

services Back

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EXTERNAL SUPPORT

Agragami India-Renowned resource center for

training programme in the field of RCH in Bihar.

Training carried out at seven zonal Surya clinics ,

two days training programme

Enhancing communication and soft skills

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INTEGRATIONOF INFORMAL SECTOR

Utilizing services of rural health practionars and

giving them a referral fee in return.

Thus its a Win-Win situation for both sides.

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IMPACT

Since 1996, Janani has provided family planning productsand services to over15 million couples to protectthemselves from unwanted pregnancies.

They have conducted over :270,000 Female Sterilizations12,000 Male Sterilizations250,000 Surgical Abortions

They have sold over :450 million Condoms70 million Oral Contraceptive Pills

150,000 Injectables150,000 Intra Uterine Devices250,000 Medical Abortion Pills600,000 Emergency Contraceptive Pills

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SUSTAINABILITYOFPROGRAMME

Products sold

Condoms , OCP, IUD, Contraceptive

Injections, ECP Medicinal abortion kits

They get products at subsidize cost fromgovernment under NRHM

Through the PPP, government accredits NGOs and

private sector health facilities and provide financial

support for health services, specially sterilization

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BEYOND THE CLINIC

Janani also provides training in FamilyPlanning and Comprehensive Abortion Care

at government approved training centre.

The on-the-job training program is offered to: Doctors and nursing personnel,

lab assistants,

OT assistants

Held at the state-of- the-art Surya Clinic and

Training Centre in Patna. Back

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CONFLICTS

Indias contraceptive pattern is characterized by the

predominance of sterilization

Limited use of male/couple-dependent methods,

substantial discontinuation,

the negligible use of contraceptives among married

and unmarried adolescents, and wide regional

variations.

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