Situation Analysis: Bangladesh family planning program has achieved remarkable success during last two decades in spite of its endemic poverty, high incidence of maternal and infant mortality and morbidity, low literacy and poor women empowerment. The country achieved a commendable progress in raising its contraceptive prevalence rate (CPR) but there is still high unmet need for reproductive health services at the remote and underserved areas. In spite of attaining satisfactory level of CPR, the TFR has remained almost static during last few years. Poor antenatal and postnatal care, very low rate of child delivery at institutional facilities, high prevalence of early age pregnancy, low status of women and incidences of gender-based violence are important challenges. The internal weaknesses of FPAB are less facilities for males in clinics, weak referral network, inadequate training for service providers and inadequate counselling on gender, nutrition and SRHR.

Problem Analysis: Inadequate access to SRH Services, Poor socio-economic conditions, Low per-capita income (US $ 386), low literacy (47.3%) and religious barrier, low rate of women employment (9.7%), high unmet need for family planning services (15%), inadequate access to Antenatal care (26%) and Postnatal care, High prevalence of early age pregnancy (34.7%), physical violation against women (47%) , lack of awareness and knowledge on legal rights of women, adolescent girls and women are victim of violence. Limited services and lack of quality outlets to reach the remote and underserved areas, the existing service centres are not well equipped, inadequate and irregular supply of logistics and high turnover of trained staff.

Goal: Increase access for poor marginalized and underserved people and exercise their rights to SRHR information and services.

Strategic Direction: FPAB will work to increase access to quality SRHR information and services by reducing social, cultural, religious and infrastructural barriers that impede access of men and women to essential services.

Objectives:

• To increase by 50% the existing coverage on SRHR information, education and services for all beneficiaries in the project areas. 
• To reduce the gender based socio - cultural barriers that prevent men and women from access to SRH services in 7 branches (same as HIV/AIDS).

Activities: (Objective 1)

• Conduct a gender sensitive/adolescent friendly baseline survey /operations research on factors influencing lack of access to SRH services. 
• Based on the findings of the survey providing SRH services and organise satellite clinics. 
• Organise group/community meeting, seminar and health education session on SRHR issues for gatekeepers in the project areas.
• Introduce counselling and services on SRHR issues, clinical contraception and nutrition.
• Strengthen quality integrated SRHR services along with MR/abortion, nutrition, safe motherhood, child health through static and satellite clinics for the underserved and marginalized groups.
• Use BCC materials for behavioural change in the health seeking behaviour of the communities being served by FPAB project areas.
• Establish functional linkage with GO and NGOs for SRH services, Clinical contraception, Emergency Obstetrics Care, nutrition rehabilitation.
• Document and use findings of operations research in order to being qualitative and quantitative improvements in SRHR.

Activities: (Objective 2)

• Redesign the women forum by involving men and women activists for sharing experience, ideas and resources by formation of a Technical cell composing organisational planning and Gender issues attaining gender equality and equity by setting short term goals.
• Women forum will advocate and hold dialogue with the policy makers to create environment on SRH Rights empowerment.
• Organize group meeting / seminar with husbands, gatekeepers and religious leaders on SRHR, early marriage, early pregnancy, divorce etc. to reduce violence against women.
• Establish networking with GO and NGOs.
• Observe national and international days/ events involving women to increase awareness and also to improve their moral courage.
• Organize rally involving community people to sensitise the consequences of gender-based violence.

Outcomes and Indicators: