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Recommendations Connecting FP, MH and RH
RESEARCH Systematic analysis to build the case to remove the conceptual separation between FP, MH and RH by analysing the costs and policy risks and identifying pointers to go beyond them Analysis of incentivisation. How it affects health functionaries, including ASHAs. The hypothesis being that what is incentivised is what is done and also what is measured. Design systems, guidelines, put in place processes and protocols to be followed for quality of care. Study of how family planning program is being rolled out on the ground. Do coercions (both overt and covert) exist or are they exceptions to the rule?
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SPECIFIC ACTIONS We need to put the ‘S’ back into RH
Gender and comprehensive sexuality education for adolescents this is a base for the future integration of these issues Medical abortion should be part of the public health system. Pre-service, in-service training and follow up required for capacity building and competency. Ex. Ob/gyn’s are not trained to conduct vasectomies. A very basic integration would be to train them on NSV. Include other para-health care providers into the ambit - like the pharmicist. PP IUCD roll out - what are the guidelines, how is training being given? What is the monitoring? Where are we in relation to the global standards for PP IUCD. Integrate RTI/STI testing with ANC
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