The document summarizes family planning activities in Bhojpur district, Nepal supported by USAID's Sustainable Networks project. It provides an overview of the district's population and family planning services coverage. It then details the project's strategy, key activities conducted, and progress to date. These include mobile outreach camps, health worker training, and coordination with local partners. Challenges faced and lessons learned are also summarized, along with planned activities for the upcoming quarters to continue strengthening family planning services in the district.

1. FAMILY PLANNING SERVICES
STRENGTHENING PROGRAM
Funded under USAID’s
Support for International Family Planning Organizations
(SIFPO)-2: Sustainable Networks
Bhojpur
FAMILY PLANNING ASSOCIATION OF NEPAL

2. OUTLINE
• District Overview
• FPSSP Project Overview
• Strategy and Key Activities of the Project
• Progress update
2

3. GLIMPSE OF DISTRICT’S SERVICES COVERAGE
3
Total Population 1,82,459
Total VDC/Muni. 54 VDC & 2
Municipality
Total Hospital,
PHCCs and HPs
1 Hospital,3 PHC & 63
Health Facility
Total FCHVs 567
Total M/DAG
areas
202 Ward of 63 VDC
Total RFHVs 0
Total Mothers
groups
committees
567
CBO/NGOs
working in FP
2
Family Health Clinic 0
Community clinic 0
Birthing Centers 24
Total no. HWs 169
Trained HWs in FP 14
Availability of FP
services
10
Commodity stock out
status
0
District CPR (26.66) 30.64
Unmet need for FP 34

4. 4

5. SN ACTIVITIES DESCRIPTION ACHIEVEMENT
Total FP services provided - 279 and Total CYP of all FP methods-
761.8
1 COFP Mobile outreach
service
- 6 COFP mobile Outreach services Provided (234 clients served)
2 LARC satellite
camps/Clinics
- 1 LARC mobile out reach Clinic conducted (45 clients served)
3 7 Community Clinics N/A
4 Services provided by FP
trained HWs
- Trained HWs provided services -102 clients
5 Services provided by HF
mentors/coaches
- Coach/Mentor to HWs of health facility about program /activities,
FP Compliance and interaction to mothers groups/FCHV which are
nearby to Bhojpur Municipality.
- Regular follow up to 6 Health Facility where HWs are trained in
Implant
6 No. of HWs provided
mentoring and coaching
by SIFPO2 staff
- 10 HWs were mentoring and coaching by SIFPO2 Staff.

6. SN ACTIVITIES DESCRIPTION ACHIEVEMENT
1 No. of clients referred by
RHFVs since joined in
SIFPO
- still not select of RHFV s in Bhojpur under SIFPO
No. of HWs trained on FP
under SIFPO
- 6 HWs are trained on Implant Under SIFPO
2 CoFP Counseling training - Still not provided by SIFPO in Bhojpur
3 Frequency of training
follow-up to HWs
- Monthly Training Follow up to HWs by HF Mentor and M&E officer
4 No. of complicated cases
reported after camp
- There is no any complication reported after Camp till now
5 Any programmatic and
financial compliance issues
recorded and reported
- No any programmatic and financial compliance issues recorded and
reported till now.

7. SN ACTIVITIES DESCRIPTION ACHIEVEMENT
Other
Trainings/orientation
- Inception Meeting with District level stake holders.
- Pre LARC Camp orientation to Manebhanjyang HF .
- FP Micro Planning HMISLMIS Training coordination with DHO
Bhojpur to all 64 HFs Incharges.
- Orientation Program with HWs and FCHVs of Taksar VDC.
Joint Monitoring and
Supervision visit
- Joint monitoring and supervision visit in Bastim HF,
Tiwaribhanjyang, Nepaledada, Chyangre with DHO and FP Focal
person
8 Partners coordination
meeting
- Partners Co ordination meeting with One Heart World-Wide and
SUAHARA-I (1 time)
9 Other meeting and
support to D(P)HOs
- Pre Camp coordination meeting with DHO
11 Other District level
activities such as
IEC/BCC and distribution
of Informed Choice
Posters
- Pamphlets print before COFP outreach service
- Radio broad casting for FP service available before COFP Outreach
service
- Local newspaper coverage (silichung weekly) about FP micro
planning /HMIS/LMIS Training.

8. COORDINATION AND COLLABORATION
Implementing partners
At district level: District Health Office(DHO)
Private sector: NGO/INGO –One Heart World Wide
-SUAAHARA
At Community level: Health facility/FCHV/Mother
groups/RHVs

9. CHALLENGES
• Hard to reach in some remote health facility to follow up training, coaching,
mentoring and client follow up.
• Camp operation cost is high due to remote area.
• Allocated budget should be revised for LARC and COFP Camp.
• Local vehicle is not available in some area so, bike should be available in district
for transportation.
• Need Training for Health Facility Mentor, BCC Officer and other district team for
capacity building.
• Turnover of trained HR, specially HWs from other district.
• Limited trained person in District. Only 14 person are trained about
IUCD/Implant .Only 4 HFs are able to provide all FP method except Minilap and
VSC.
• High unmet need population than national data.

10. LESSON LEARNED
• LARC/COFP outreach service: Pre-LARC Orientation programme
with HFs, FCHV, Mothers groups, Community club and other
community leader before each LARC outreach services.
• Training for HWs priority to local people of the district to reduce
staff turnover.
• Partnership with other NGO/INGO for better result.
• Resource management for FP In local level.

11. PLANNED ACTIVITIES FOR UPCOMING QUARTER
S.N Planned activities Unit Target
Time
Frame
2016
Remarks
July Aug Sep
1 RHCC Meeting With Stake holders Person 30
2
LARC Orientation to FCHVs/HWs and Mother Groups &Non
formal Leaders Event 8
3 Demand creation by BCC officer and HF Mentor Event 8
4 LARC out reach clinic Event 8
5 DPAC Meeting with District Stake Holders . person 20
6
Organize the follow up program with media person to
sensitize and update on FP program and its issues Person 20
7 Service provision coaching/Mentoring Visit By HF Mentor HF/Times 12
8
Orientation/interaction/FP Information Sessions with
M/DAG & Hard to reach Group By DPC/M &E /BCC/Mentor Event 4
9 Training Follow up(Implant/IUCD) by HF Mentor Regular Monthly
10 Use local FMs to air LARC out reach Clinic and achievement Episods As per need
11 Street Drama at M/DAG Population Event 4

12. Project Key Indicators
Contraceptive Prevalence Rate
Percent of unmet need for family planning
Number of Couple Years of Protection (CYP) delivered through USG assisted SDPs
Percent of SDPs providing FP counseling and/or services
Percent of SDP providing all 5 temporary methods
Percent of HFs providing comprehensive FP services including VSC year-round
Percent of clients who are continuing the use of voluntary LARC within 12 months of insertion
Percent of SDPs that experienced a stock out at any time during the defined reporting frequency
of any contraceptive method that the SDP is expected to provide
Number of staff trained on comprehensive FP counseling (COFP)
Percent of service providers received at least two on-site coaching and mentoring by certified FP
trainer within six months of training
12

13. Project Key Indicators……
Number of additional USG-assisted community health workers (CHWs) providing family planning
(FP) information and/or services during the year
Number of people trained in FP/RH with USG funds
Percent of audience who recall hearing or seeing a specific USG-supported FP/RH message
13

14. FP Methods
CoFP
Camp
LARC
Camp
Community
Clinic
Total
Conversion
rate
CYP
Calculation
methods
Implants 131 34 0 165 3.8 627 Multiply
IUD 6 1 0 7 4.6 32.2 Multiply
Male condom 9 3 0 12 120 0.1 Divide
Female
Comndom
0 0 0 0 120 0
Divide
Injectebles
(Depo)
2 2 0 4 4 1
Divide
Contraceptive
pills
7 1 0 8 15 0.5
Divide
NSV 4 0 0 4 13 52 Multiply
Minilap 3 0 0 3 13 49 Multiply
Total 162 41 0 203 293.3 761.8
14

15. INCEPTION MEETING WITH DISTRICT STAKEHOLDERS
04-Sep-15 15

16. 16
COFP Outreach Service at GHORETAR PHC

17. COFP Outreach service –Miking at Local Festival in Ghoretar
04-Sep-15 17

18. COFP Outreach service at MULPANI PHC
04-Sep-15 18

19. COFP Outreach Service at PYAULI PHC
04-Sep-15 19

20. COFP Outreach Service at BASTIM HF
04-Sep-15 20

21. Pre-LARC Orientation Programme at Manebhanjyang HF
04-Sep-15 21

22. FP MICROPLANNING AND HMIS/LMIS TRAINING at DHO Bhojpur
04-Sep-15 22

23. NEWSPAPER CUTTING of FP MICROPLANNING and HMIS/LMIS TRAINING
04-Sep-15 23

24. 04-Sep-15 24