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Problem Analysis: Though Sri Lanka, compared to other countries in the region, possesses impressive socio-economic, health and demographic indicators, there exist substantial geographical disparities. A large number of isolated pockets still exit where the contraceptive prevalence rate is disproportionately low. Access to health and SRH care is generally poor in the under-served and marginalized areas where the public health system, which is the main (if not the only) source of health care, remains inadequate to meet the needs. The lack of access to health/SRH care is further exacerbated by high levels of gender inequalities, civil strife in some regions.

Strategic Direction: In order address this , FPASL will work to increase access to SRH services through partnerships with GO and NGO health care providers and involvement of grassroot volunteers and community leadership.

Goal: All people, particularly the poor, marginalised and underserved are able to exercise their rights, and have access to SRH information, sex education and high quality services including family planning. .

Objective 1: To reduce barriers and inequality to improve access to gender sensitive SRH services especially by people in under-served areas.

Activities Objective 1: To reduce barriers and inequality to improve access to gender sensitive SRH services especially by people in under-served areas

  • Undertake indicative, gender sensitive research using secondary and primary data on socio cultural barriers that curtail access to SRH services and map service delivery disparities existing in specific areas
  • Develop tools to undertake seminars/workshops /roundtable discussion involving health administrators /decision makers to sensitise them on disparities of service delivery calling redress disparities.
  • Utilize community based BCC approach to address the issues of socio cultural barriers and lack of male responsibility and commitment in SRH.
  • Develop tools, modalities, and systems to work in partnership with GO/NGO service delivery networks to improve access to SRH services.
  • Map out the SRH category and types of outreach services available, and advocate to strengthen them to meet the unmet needs of SRH information, education and services with special focus on underserved and marginalized communities.
  • Undertake or facilitate, training of service providers, grassroots volunteers in specific areas of SRH service delivery
  • Undertake quality audits/exit polls at regular intervals at SDPs to ascertain the quality of services and effect improvement as appropriate.
  • Document innovative approaches, success stories & lessons learnt and disseminate among partners.

Outcomes and Indicators:

Outcomes

Indicators

  • Enhanced awareness of communities to socio-cultural barriers for improved SRH and their involvement in activities to remove them
  • Improved level of male responsibility/commitment in SRH.
  • Results of the issue polls conducted at regular intervals.
  • Findings of periodical quality assessment
  • Results of client satisfaction survey conducted
  • Profile of clients (including age, sex, income and address) served by FPASL.



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