Situation Analysis: Government policy in Bangladesh does not recognize abortion; but there exits a policy on menstruation regulation (MR); which permits termination of unwanted pregnancy up to 10 weeks from the last menstrual period. The policy regarding MR is not very clear. Unskilled and untrained providers mostly conduct termination of pregnancy. Access to safe abortion services is very limited. Huge BCC gap exists, religious and socio-cultural opposition to abortion is very strong and procuring funds for promotion of safe abortion service is difficult. Internally MR facilities are not available at peripheral level. Service providers are not adequately trained and post abortion care facilities are insufficient. Unsafe abortion- female foeticide-gender discrimination may rise as a problem in Bangladesh in near future.

Problem Analysis:

• About 3.9 million pregnancies occur in Bangladesh annually out of which 1.3 million is unwanted. Due to this high-unwanted pregnancy rate 0.8 million women terminate their pregnancy either by MR or abortion. High rate unsafe abortion 
• Most abortions are done by the unskilled health professionals. At least 8,000 women die from complication of unsafe abortion. Bedsides this around 100,000 women suffers from long run morbidity from the complications of unsafe abortion. 
• Though from the Government side, there is no opposition to provide abortion through menstruation regulation (MR) program but there is some form of religious and socio-cultural opposition/barrier against it. 
• Some International Donor Agencies have some reservation to provide financial support for promotion of MR/Safe abortion services.
• In comparison to the need of the abortion/MR services there are wide gap in providing services, post abortion care and follow up care services with maintaining its quality aspects. 
• Some negative attitude of service providers in providing Abortion/ MR services. Goal Recognition of the universal right of women to choose and have safe abortion. Strategic Direction By advocating and creating awareness among the policy level and community level people for the universal abortion rights of women and ensuring access to safe abortion by providing MR services.

Objectives:

• To raise awareness of 60% target people of project areas, policy makers, politicians, religious leaders and National level high officials of Government and other Agencies about consequence of unsafe abortion on public health within the next five years. 
• To increase access to safe abortion for 80% of the beneficiaries of the program operation areas of FPA Bangladesh.

Activities: (Objective 1)

• Conduct base line survey on attitude of people on abortions 
• Intervention of awareness generation and mobilization program among the community on safe abortion issues through focus group discussion, courtyard discussion/meetings, film shows. 
• Advocacy seminar with government agencies, politicians, religious leaders, health professionals and media personnel to recognize , protect and fulfill these rights through advocacy meeting, seminars, symposiums, workshops, rallies and campaigns. 
• Organize national, International seminar/workshop to affect the rights of safe abortion. CEDOW ICPD 
• Develop appropriate and need based BCC and advocacy materials 
• A study on the impact of safe abortion on the morbidity of the house holds.

Activities (Objective 2)

• Mobilize human and financial resources to improve the quality of existing facilities for safe abortion pos abortion and follow up care. 
• Setting up of sensitive, non-judgmental, affordable and quality MR/post abortion services in all clinics of FPAB. 
• Interim and project end survey. 
• Provision of treatment of complications of septic abortion, post abortion contraceptive services; creation of functional referral mechanism and referral of high risk abortion and post abortion cases to higher centers.

Outcomes and Indicators: