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Bangladesh - Program & Service Delivery

DateJuly 11, 2017

2017 Update: 

  • Bangladesh will increase its commitment for postpartum family planning by fully implementing its National Postpartum Family Planning Action Plan by training doctors, midwives, nurses and, in part by placing Family Welfare Visitors in each of the 64 district hospitals.
  • Bangladesh will introduce a regional service package on family planning in Chittagong, Sylhet and Barisal divisions for hard to reach populations.
  • Bangladesh commits to deploy at least two qualified diploma midwives in each of the Upazila Health Complexes to provide midwife-led continuum of quality reproductive health care by 2021. Midwives will be trained to provide widest range of family planning methods included in their agreed scope of practice in country. Midwives will be trained to provide greater attention to first time young mothers.
  • Bangladesh will scale up quality improvement measures in family planning programs by establishing Family Planning Clinical Supervision Teams (FPCST) in each of the 64 districts.
  • Bangladesh commits to providing free and adequate contraceptives to NGOs, private clinics and hospitals and garment factory clinics with trained FP personnel.
  • Bangladesh will use technology and programme delivery innovations in family planning
    • In capacity development by providing tablets to field workers including an e-Toolkit and develop eLearning courses and empower them with ICT knowledge and skills
    • In programme delivery by working with marriage registrars to reach newlywed couples with family planning messages and organizing family planning client fairs in hard-to-reach areas.
    • Family planning messages, counselling and advice will also be provided through the national 24/7 call center of the Director General of Health Services.
  • Bangladesh will include a service provider with reproductive health skills within its rapid response teams and mainstream the minimum initial service package (MISP) for reproductive health in crisis into its emergency response.

2012: The Government of Bangladesh commits to increasing adolescent-friendly sexual and reproductive health and family planning services, providing adolescent sexual and reproductive health services at one-third of maternal newborn and child health centers. Bangladesh will monitor to ensure quality of care is strengthened, including informed consent and choice and to support women to continue use of family planning methods. The government will work with the private sector and non-governmental organizations (NGOs) to: address the needs of young people, especially young couples; reduce regional disparities, working with leaders and communities to delay early marriage and child birth; and increase male involvement. It will also increase training and workforce development. Bangladesh commits to adopting innovative service delivery approaches, like behavior change and information and communications technology. The government also commits to improving choice and availability of Long Acting and Permanent Methods (LaPMs), including for men, and post-partum and post-abortion services.

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Bangladesh - Financial

DateJuly 11, 2017

2017 Update: 

  • Bangladesh commits to mobilize at least USD 615 million from its development budget for the family planning program implemented by the Directorate General of Family Planning as part of its 4th Health, Population and Nutrition Sector Programme (2017-2021). This is a 67% increase from the allocation in the 3rd Health, Population and Nutrition Sector Programme (2012-2016).

2012: The Government of Bangladesh commits US $400 million to cover 39.4 million eligible couples by 2021. In an effort to minimize the resource gap for family planning services by 50% from the current level by 2021, the government pledges US $40 million per year or $380 million total by 2021.

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Bangladesh - Policy & Political

DateJuly 11, 2017

2017 Update: 

  • Bangladesh will fully operationalize its new National Adolescent Health Strategy with special focus of addressing the family planning needs and promoting rights of all adolescents.  Adolescents in Bangladesh will have access to widest range of family planning methods possible and special efforts will be made to track adolescent health data. Bangladesh reiterates its commitment to end child marriage. 

2012: Bangladesh aims to adopt the policy of provision of clinical contraceptive methods by trained/skilled nurses, midwives, and paramedics by 2016. The government has also pledged to promote policies to eliminate geographical disparity, inequity between urban and rural, and rich and poor, ensuring rights and addressing the high rate of adolescent pregnancies.

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Bangladesh - Objective

DateAugust 11, 2015

Updated September 2015:

In 2012 at the London Summit on Family Planning, Bangladesh made commitments to achieve targets on five key family planning indicators by 2020 based on the Bangladesh Demographic and Health Surveys (BDHS) 2011 data. As per the results of the BDHS 2014 data, the Bangladesh Country Engagement Working Group (BCEWG) met on 10 May 2015 at DGFP and formed a subcommittee to revise the FP2020 targets. The sub-committee members critically analyzed the recent BDHS and Multiple Indicator Cluster Survey (MICS) surveys; MIS service data from the MOHFW, future projections, and developed revised targets grounded in stronger data. It is noteworthy that the TFR and CPR are also aligned with next 7th Five Year Plan and Sector Wide Program 2017-2021. Revised objectives (Sep. 2015):

  • Reduce Total Fertility Rate (TFR) from 2.3 to 2.0  
  • Increase Contraceptive Prevalence Rate (CPR) from 62% to 75%  
  • Increase share of LAPM from 8.1% to 20%  
  • Reduce unmet need from 12% to 10%  
  • Reduce discontinuation rate of FP method from 30% to 20%  

Original July 2012:

  1. Reduce TFR to 2.0 by 2016 and 1.7 by 2021
  2. Increase CPR to 80% by 2021 (currently 61%)
  3. Increase CPR to 60% in two low-performing geographical areas and urban slums by 2021
  4. Reduce unmet need to 7% by 2021 (currently 12%)
  5. Reduce the discontinuation rate to 20% by 2021 (currently 36%)
  6. Increase use of LAPMs to 30% by 2021 (currently 12%)
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