"Experience and Lessons ofIntroducing Female Condoms in India      Global Female Condom Day         12th September 2012   ...
Some stories..                 To set the context..
Munni ….. Nepal se Pune Tak..                        16 Years she was … a blossoming                          mountain flo...
Champa…. Bengal ke us par se is par..                                  At 17, She was a new and                           ...
Sold by father to            Born in to the          oldest profession                                    earn bread… she ...
more stories to come   …..Arti, Binnu, Titli, Marie, Sarita, Zara, Kashmira, Ammu, Mitu,Roshni , Anju , Vasi, Punyya……. Co...
What made provision of Female Condom (FC) In        India…•Increased realization of „empoweringwomen to take control of th...
Vulnerability –“Main ( Condom) lagane ko boli toh woh (husband)   mujhe Jharoo se mara, bola Sali Nakhre karti hai”When I ...
National AIDS Control Organization (NACO)    introduced Female Condom as..• An empowerment tool for women• An additional, ...
Female Condom program Journey in India so far..                                         2011-12      Scale Up in 13 states...
Reaching out to –                                         •> 3LAKH FSWs                                         •Approx 30...
Capacity Building7000                          5886600050004000                                   33493000                ...
Behavior Change Communication (BCC) Strategy and Demand                     Generation      Advocacy workshops at       St...
Impact of                                                 Nov – Aug                              614906Swayam             ...
Social MarketingFocus is on demand generation and     acceptance of the product                    •Procures condoms from ...
M&E                                      Reporting flow at TI NGO          FSW 1        FSW 2      FSW 3                  ...
Key Learnings• Continued Interaction between user and service     “I cannot trust my  provider is critical for acceptance ...
Global Positioning of FC….Condoms in spotlight after 19 years of      FC are a cost-effective            neglect…..       ...
How we can built on the learning?•    Investing time and efforts on FSWs preparedness of FC•   Work on enhancing use among...
There are large arenas untouched by FC – which are  waiting for it with open hands and hope….Lets make FC reachable to the...
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FC Day2012

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Presentation made by Dr. Anasua on Global Female Condom day on 12th september, 2012 at HLFPPT Noida office

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FC Day2012

  1. 1. "Experience and Lessons ofIntroducing Female Condoms in India Global Female Condom Day 12th September 2012 Presented by HLFPPT Dr Anasua Bagchi Head - Technical Services Divn
  2. 2. Some stories.. To set the context..
  3. 3. Munni ….. Nepal se Pune Tak.. 16 Years she was … a blossoming mountain flower….. when she crossed the hills and valleys and reached border – searching for food. She lies in one of the 12 bedded roomin a Pune shack ……green printed curtainswaying between her and 11 other mountainflowers……. as 20-22men enters her inner most soul and body per day…… Munni finally has ensured food on her plate
  4. 4. Champa…. Bengal ke us par se is par.. At 17, She was a new and naïve bride….. she crossed rivers and meadows and border…. her dark eyes searching her love and future…..She stands in one of holding the chit of paper that the most pious her pati had given her toplaces on Earth…… meet…the temple premises She was all set to start her of KALIGHAT – little peaceful life…Kolkata wearing dark kajals in her dark eyes……. as 18-20 men buys her inner most beauty and body per day…… Champa finally has value for her love.
  5. 5. Sold by father to Born in to the oldest profession earn bread… she smiles with more stories to telll .. in earth, she enchanting fullness wants to be like Widow with her mother.. three daughters… Drug Madhu HIV Sumi, 28, yrs never says no addict positive 19 yrs to life and still While Her Seema, and still 18 yrs going smile clears Madhu, full of life Anchal, with life the truck 24 ysdrivers worries 40higways.., her Mariamma, Pinky, learnt to stand up one year old 30yrs 22 yrs again and againyearns for her Venda, Ann, 32 34 yrs Anna, when beaten up by milk in the years Police and rowdieslonely shack.. 28 yrs Rasi, 33 yrs Husband had … Have been Abandoned cut her bothhauled across by husband arms… he was Devdashi ..32 cities… still and angry!! She is prouddreans of her family…takes She still of her origin small hilly care of the embraces two and destiny.. village children and toddlers with life with stride the stumps
  6. 6. more stories to come …..Arti, Binnu, Titli, Marie, Sarita, Zara, Kashmira, Ammu, Mitu,Roshni , Anju , Vasi, Punyya……. Coming SOON…..
  7. 7. What made provision of Female Condom (FC) In India…•Increased realization of „empoweringwomen to take control of their lives’•Global research highlighting need forfemale controlled prevention methods
  8. 8. Vulnerability –“Main ( Condom) lagane ko boli toh woh (husband) mujhe Jharoo se mara, bola Sali Nakhre karti hai”When I ask him to use protection he beats me and abuse me saying no… Arti from Kolkata•Non-consensual sex•Fear of violence “ Ghar me chic-chic nahin•Economic dependence chahiye, is liye bina condom ke karte hain, malum hai wo kuta•Inability to negotiate condom use to kahin bhi jata hai” –•Restricted prevention options for women do not want any kind of ““humey kahan accha lagta hai jub ganda muh uneasiness at home, thus do it hamare samne ata hai”- we do not like when without condom, we know that someone drunk come to us”. – Laxmi from Tamil unworthy fellow goes to others- Nadu a respondent of FC study from “Hum Pet ke liye karte hain”- we do it for survival”- Orissa.. A Peer Educator from Bilaspur
  9. 9. National AIDS Control Organization (NACO) introduced Female Condom as..• An empowerment tool for women• An additional, alternate option to male condom• A Tool for protection and safety against STIs, HIV infection Address inconsistent Male Condon usage and Reinforce Risk perception with regular partner
  10. 10. Female Condom program Journey in India so far.. 2011-12 Scale Up in 13 states 2010-11 Scale Up phase II , 4 states- 2009-10 Impact Assessment Study -WB, MA, TN 2008-09 Scale Up Program in – WB, Maharashtra, AP & TN 2006-07 Pre Programming Assessment Study- WB, Ma, , AP & TN 2005-06 Operational Study in WB, Gujarat and MA2003-2004 Social Acceptability Study in AP, Kerala and MA HLFPPT had been an active advocate of Female Condom program in India from program initiation days ……..
  11. 11. Reaching out to – •> 3LAKH FSWs •Approx 300 TIs •13 States Program Strategies • Capacity Building • BCC & Demand Generation • Social Marketing • Monitoring & EvaluationWith training and Communication Material in 10 Languages
  12. 12. Capacity Building7000 5886600050004000 33493000 235720001000 295 Series1 0 No NGOs team PE Trained Counselors NGO staffs Trained trained FC SMP CB Fact Sheet – 2009 -12 Learning -The thrust of entire capacity building process need to be on increasing ownership of TI partners and stakeholders in sustaining- increased use of FC by target group
  13. 13. Behavior Change Communication (BCC) Strategy and Demand Generation Advocacy workshops at State/district/community level for creating • Peer Educators enabling environment • ORWs IPC with • Counselors -TI FSW • ANM/MO of TI clinic • Counselors- STI Clinic, ICTC Direct Communi • SWAYAM events cation • DIC meetings with • TI community events FSWs - • Branded Kiosk Mid- • Banners • Branded Boards for Media TIs & STI clinics
  14. 14. Impact of Nov – Aug 614906Swayam 98% ofPrimary sales programme SwayamJuly 2010 – Aug Achievement2011 in terms of primary 376500 Community events Sale . 292300 195730 176558 114250 73650 43850 46050 6000 7000 13000 5000 12000 189782 Impact of SWAYAM ON Learning Secondary Sales 163650 151862 154195 July 2010 –Aug 2011 125487 125957 Successful model for 96923 Demand Generation 84940 and Direct 62362 51832 44696 Communication 36786 35630 29462 IPC with > 85,000 FSWs 1280 Hot spots and Male inclusion events conducted in 8 states
  15. 15. Social MarketingFocus is on demand generation and acceptance of the product •Procures condoms from the NACO manufacturerStep 1 – Enhancing knowledge about FC among communities and TI •Procures condoms from NGOs SMO NACO @Re. 1.00/ pieceStep – 2 – Placing the product to the •Procures condoms from SMO target population. @ Rs. 2.00/ piece NGO/CBOStep – 3 - communication strategies to continue demand generation •Procures condoms from PE NGO/CBO @ Rs. 2.50/ piece No of Coverage of Off take of Female states FSWs Condom from SMO to NGOs ( 2009-12) •Procures condoms from PE @ 13 3, 25,44 Rs. 3.50/ piece Approx 4 FSW million
  16. 16. M&E Reporting flow at TI NGO FSW 1 FSW 2 FSW 3 • Peer Educator fill the form on weekly basis capturing • 1.- IPC : actual number of KPs reached Peer • 2. Female condom sales to Educator Form B each FSW Guidance by • Form B compiled on weekly ORW FE basis ORWs M&E/ Accountant TSU PO • Form- C - compilation of form - FC TEAM Form C B capturing the information on SACS Monthly basis by ORW TSG NACO • M & E officer share report of IPC and sales to SACS and PO Compilation TSU Monthly Basis Close Monitoring Program M&E, Mentorship , and monitoring, Technicprocess facilitation al by TSG guidance, support by NACO - •Integrated M&E (Simplified reporting system ) in CMIS •Regular feedback mechanism. •Systematic tracking of sales data from field.
  17. 17. Key Learnings• Continued Interaction between user and service “I cannot trust my provider is critical for acceptance partner, he may be – Interpersonal communication backed up with sleeping with other regular demonstration and counseling women also…..with Female Condom I can be• Communication strategy need to be tailor made rest assured about my as per the socio – demographic and Professional safety.”- profile of the women 25 yrs, FSW from Baluguda, Damanjodi• FC has established itself has a empowerment tool to women “I hear about so many new diseases and infections today and a poor women• FC is perceived as a tool for protection and like me who have limited maintenance of health to partners means of income and resources depend on• > 80% of users re purchase the product Female condom for my establishing the fact that FC demand has been protection. It empowers degenered me.” FSW, 40 yrs from Silchar
  18. 18. Global Positioning of FC….Condoms in spotlight after 19 years of FC are a cost-effective neglect….. and lifesaving tools, yet JuanNINETEEN years after female condoms they represent only 1% ofwere approved by the US FDA in all condoms distributed1993, they are not yet available as worldwidewidely as one would have wished. AuroraWhat could have delayed their optimal utilisation to meet the unmetprevention needs:- was it because female condoms were not rolled out under a robust enough and well-resourced comprehensive programme and strategy, Zawadi or Potential users didn’t prefer using them? Universal Access to Female Condoms (UAFC) -) Paper Sookjay Dolls Campaign
  19. 19. How we can built on the learning?• Investing time and efforts on FSWs preparedness of FC• Work on enhancing use among regular partners• Strong advocacy at all levels to develop conducive environment• Reinforce ownership among the NGOs/CBOs• Mainstream FC in existing health services (Counseling and testing centers /STIs clinics), Monitoring system, Training structure and IECs
  20. 20. There are large arenas untouched by FC – which are waiting for it with open hands and hope….Lets make FC reachable to them..

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