தேட தட்டச்சு செய்யவும்

ஆழமான படிக்கும் நேரம்: 5 நிமிடங்கள்

குடும்பக் கட்டுப்பாடு சங்கம் நேபாளம் யாரையும் விட்டு வைக்கவில்லை

இல் உருவாக்கப்பட்டது 1959, குடும்பக் கட்டுப்பாடு சங்கம் நேபாளம் (FPAN) நாட்டின் முதல் தேசிய பாலியல் மற்றும் இனப்பெருக்க சுகாதார சேவை வழங்கல் மற்றும் வாதிடும் அமைப்பாகும். அறுபத்து மூன்று வருடங்கள் கழித்து, குடும்பக் கட்டுப்பாட்டை FPAN தொடர்ந்து உறுதி செய்கிறது (FP) information and services are available and accessible to families—no matter their identity, ability, location, பாலினம், or socioeconomic status.

During the 1950s and ‘60s, discussions of family planning and sexuality went against prevailing சமூக விதிமுறைகள்—so much so, that people used to actively avoid FPAN, even crossing the street to avoid walking past the office. People were embarrassed, and the norm was to encourage people to have many children. உண்மையாக, the Nepali saying, “May your children spread across the far-off hills,” would play on Radio Nepal across the country.

A lot has changed since then.

Map of NepalFPAN now works in 44 districts in Nepal, delivering sexual and reproductive health (SRH) services through 1,232 service delivery points, including fixed facilities, outreach, and mobile clinics. Nearly half of FPAN clients receive services through community-based distribution teams. Inclusivity is at the core of FPAN’s work, மேல் கொண்டு 88% of clients representing poor, marginalized, socially excluded, and underserved populations. கூடுதலாக, women make up more than 50% of FPAN board members; staff and the governance structure include youth representatives from all seven provinces.

Given this history of reaching and serving marginalized and under-represented populations, including people with disabilities, those in remote areas, people living with HIV (PLHIV), trafficked returnees, migrant workers, LGBTQI people, sex workers, மற்றும் பலர், we asked FPAN to outline its key components for equity and inclusion.

Key Practices to Strengthen Equity and Inclusion

Use Data and Evidence
Evidence-based planning and implementation are crucial for FPAN as it continues to expand its reach to address marginalized and vulnerable populations. Evidence is used to monitor reach, evaluate effectiveness, and plan new activities; எனவே, lessons learned are continuously incorporated. As part of its evidence-based, data-driven focus, FPAN has mapped out its catchment areas through household surveys, aided by community workers with extensive knowledge of their areas. Deprivation ranking is used to further understand the socioeconomic status of each catchment area to better reach underserved clients. FPAN captures its service statistics using its poor, marginalized, socially excluded, and underserved indicator, using the evidence to inform program implementation.

Engage Diverse Communities
FPAN supports marginalized communities in claiming their rights to SRH through educational programs tailored to meet their information and service needs. உதாரணத்திற்கு, FPAN has produced information, education, and communication (IEC) materials in braille, videos featuring sign language interpretation, மற்றும் விரிவான பாலியல் கல்வி (CSE) sessions targeting hard-to-reach populations. These CSE sessions are delivered in school as part of extracurricular activities, or outside the school setting by peer educators.

Väestöliitto
FPAN was the first in Nepal to respond to disabled clients’ SRH needs, via the Väestöliitto project in the Kathmandu Valley. திட்டம், funded by the Family Federation of Finland, focuses on changing community attitudes (through communication campaigns and engagement with activists and the media), வக்காலத்து, improving the quality of SRH services for people living with disabilities, and knowledge exchange among organizations serving people with disabilities, the Government of Nepal (GON), and other country teams. This video (in Nepali) presents how FPAN reaches people with disabilities through the Väestöliitto project, using sign language and voices from the Blue Diamond Society, which works for the LGBTQI community.

Engage Peer Educators to Mobilize Communities
FPAN actively informs communities about available services through Peer Educators recruited from diverse groups such as:

  • PLHIV.
  • குறைபாடுகள் உள்ளவர்கள்.
  • The LGBTQIA+ community.

Peer mobilization encourages people to inform their own communities about available services and helps build relationships between FPAN and different groups.

Provide Free Services to Those Who Need It
இருந்து 2004, FPAN has had a no-refusal services policy for poor, marginalized, and socially underserved populations.

Provide Sensitive and Stigma-Free Services
FPAN ensures that the SRH services provided through its fixed, outreach, and mobile clinics are inclusive and sensitive to the needs of diverse communities. உதாரணமாக, mobile camps and outreach clinics are conducted in remote areas, youth-friendly health services and counseling are provided at sites open on Saturdays, and its Youth Centers ensure that adolescent clients are welcomed and comfortable.

A woman purchases sanitary pads from a pharmacist as part of a music video on on sexuality, gender and discrimination by FPAN
A woman purchases sanitary pads from a pharmacist as part of a music video on on sexuality, gender and discrimination. கடன்: FPAN.

Advocate for Inclusive SRH Services
FPAN has a dedicated advocacy unit, established in 2004, that works for inclusive national SRH services. This includes services that are disability friendly and that meet the needs of people with diverse sexual orientation, gender identity and expression, and sex characteristics (SOGIESC), such as gender identity services and hormone therapy. FPAN’s advocacy efforts helped ensure that CSE was included in the national school curriculum and worked to change its introduction from seventh to fourth grade.

இல் 2014, FPAN’s advocacy efforts, along with those of other key partners, established September 18 as National Family Planning Day. செப்டம்பர் 18 is the date FPAN was formally established, and the GON’s recognition of this day reinforces family planning commitments and draws public attention and visibility to FP and SRH issues.

நேபாள அரசு, FPAN, and various implementing partners created a music video to bring awareness to SRH and diverse SOGIESC issues. The video is in Nepali and begins with a woman purchasing sanitary pads from a pharmacist, who wraps them in newspaper to make them less visible. A male bystander tells the pharmacist the pads should not be hidden, but openly displayed, because menstruation and SRH issues should be openly discussed and accepted. The couple then drives around town, singing and meeting people with diverse sexual orientations. The lyrics are about acceptance of diversity.

Mobilize Quickly During Emergencies
தி 2015 Nepal earthquake and other local disasters, இது போல Koshi river floods, highlighted the unique needs of marginalized and vulnerable groups during crises, as they are the most likely to struggle to access services. தி International Planned Parenthood Federation’s (IPPF) disaster response initiative, SPRINT, supported FPAN in disaster response preparations, working together within four days of the 2015 earthquake. Since the earthquake, FPAN has trained staff on the minimum initial service package (MISP) and set up supplies for quick response. These efforts helped FPAN quickly mobilize and respond to the COVID-19 pandemic, with services starting up within a month of lockdown measures implemented by the Government of Nepal. Throughout all response efforts, FPAN engages and consults extensively with vulnerable groups and their networks to prepare and provide services.

Collaborate Closely With the Government at All Levels
FPAN coordinates closely with the GON at all levels (federal, provincial, and municipal) and helps complement government services. Maintaining a cordial, collaborative, and supportive relationship with the government institutions provides advocacy opportunities to further the FPAN’s inclusive approach.

Ensure Community Ownership
FPAN is deeply embedded and engaged in the communities it serves: Service sites are established on land provided by the community. கூடுதலாக, FPAN has a large membership base with 11,000 volunteers, who monitor and regulate service sites as well as assist with seeking funding and support for the organization. As a locally established organization, community ownership has been vital in FPAN’s operations.

We hope these key practices to strengthen equity and inclusion are useful to other organizations and projects working to ensure no one is left behind in our global efforts to reach the FP2030 goals.

உயர்த்திய கைகள்
பிரணாப் ராஜ்பந்தாரி

நாட்டின் மேலாளர், திருப்புமுனை நடவடிக்கை நேபாளம், தகவல் தொடர்பு திட்டங்களுக்கான ஜான்ஸ் ஹாப்கின்ஸ் மையம்

பிரணாப் ராஜ்பந்தாரி நாட்டின் மேலாளர்/மூத்த சமூக நடத்தை மாற்றம் (எஸ்.பி.சி) CCP/ திருப்புமுனை நடவடிக்கை நேபாளத்திற்கான ஆலோசகர். 2018-2020 வரை எஸ்பிசி சிஸ்டம்ஸ் ஸ்ட்ரெங்தெனிங் திட்டத்திற்கான கட்சியின் தலைவராக இருந்தார்., கட்சியின் துணைத் தலைவர்/SBCC ஆலோசகர், சுகாதாரத் தொடர்புத் திறன் ஒத்துழைப்பு (HC3) நேபாள திட்டம் 2014-2017 வரை, மற்றும் 2012-2014 வரை சுவாஹாரா திட்டத்தில் CCP க்கான SBC குழுவை வழிநடத்தினார். 2003-2009 இலிருந்து, அவர் FHI 360ன் USAID-ன் நிதியுதவி பெற்ற ASHA மற்றும் IMPACT திட்டங்களில் தொடர்பு நிபுணராக பல்வேறு பாத்திரங்களில் இருந்தார்., நிரல் குழு தலைவர்/SBCC ஆலோசகர், மற்றும் திட்ட அலுவலர். அவர் USAID க்காக தேசிய மற்றும் சர்வதேச அளவில் சுயாதீனமாக ஆலோசனை நடத்தியுள்ளார், மற்றும், மற்றும் GIZ திட்டங்கள். மஹிடோல் பல்கலைக்கழகத்தில் பொது சுகாதாரத்தில் முதுகலைப் பட்டம் பெற்றவர், பாங்காக், மற்றும் மிச்சிகன் மாநில பல்கலைக்கழகத்தில் சமூகவியலில் முதுகலைப் பட்டம், மிச்சிகன்.

டாக்டர். நரேஷ் பிரதாப் கே.சி

Administrator, நேபாளத்தின் குடும்பக் கட்டுப்பாடு சங்கம் (FPAN)

டாக்டர். Naresh Pratap KC is the administrator of Family Planning Association of Nepal (FPAN). அவர் முடிந்துவிட்டது 32 years of extensive experience in government service in Nepal, leading large and complex programs through program planning, development implementation, மற்றும் மேலாண்மை. He led key national entities under the Ministry of Health and Population serving as a director for Family Health Division (FHD), Logistics Management Division (LMD), Management Division, and National Center for AIDS and STD Control (NCASC). He was the chief of country for the Expanded Program on Immunization (EPI) and helped launch the Measles Campaign 2005, one of the biggest public health events in Nepal. He provided significant leadership to set the foundation for and establish the country’s maternal health program, the best health program in Nepal. He has supported disease-specific policy formulation with strong technical collaboration between national NGOs and civil society organizations. He has consulted with WHO in Indonesia and Sudan; worked for Mjanyana Hospital, Eastern Cape, தென்னாப்பிரிக்கா; and as a TB Educator for Project HOPE, Uzbekistan. டாக்டர். Naresh has an MPH, எம்.டி, and Diploma in Tuberculosis and Epidemiology (DTCE).

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