Surya Clinics: A Family Planning Centre- CSR Projects India
 
 
 
 
 
 
 
 

Last Updated:  16/10/2019

 

Project Pitch By: JANANI

 

Proposed Project Title


Surya Clinics: A Family Planning Centre

 

Thematic Area

Eradicating hunger, poverty and malnutrition, promoting health care, sanitation & safe drinking water

Sub Thematic Area

Hospital infrastructure, medical camps, surgeries, healthcare awareness & rehabilitation

Project Synopsis

Janani, an affiliate of DKT International, was stablished in 1995, with a prime objective of supplementing the efforts of the government. Janani has established a unique model that uses alternative channels of service delivery in low-resource settings in the field of family planning in Bihar, Jharkhand and Uttar Pradesh. Every year Janani provides services to over 50,000 women and men through its own 22 operational “Surya Clinics” where sterilization is completely free of cost. The population we serve are young couple, poor, less educated and people live in rural areas. With rich experience of 24 years Janani provided 654,000 sterilizations to women and men in need. As an impact Janani have generated 30 million Couple-Year-Protection which yielded into result as 8.6 million pregnancies averted, 4.1 million unsafe abortions averted and 14,154 maternal deaths averted. Moreover, contributed an estimated 25% of all contraceptive prevalence in Bihar.
 
 
 

Overview of the Proposed Project

Estimated Budget
INR 0.6 Cr - INR 1.0 Cr
Proposed Location
Bihar, Jharkhand, Uttar Pradesh

Key Project Partners
Government,NGOs

Project Status
Active
 

Facts

Beneficiary Type (Primary): Women
Beneficiary Type (Secondary): Women
Estimated No. of Beneficiaries: above 10000 Individuals
Status of Baseline Survey: Already Done
 
 
 

Proposed Project Description

Based on its substantial experience of providing Family Planning services to the under-served rural and semi-urban population through a network of Surya Clinics, Janani proposes to continue all 22 clinics in the districts listed below to provide family planning services to the population. The clinics will be run in the PPP mode in association with the Government of Bihar, Jharkhand and Uttar Pradesh and the District Health Societies. Demand generation activities including interpersonal communication, strategic behavior change communication and other below the line activities will be used to create awareness and increase footfalls at the clinic.


What does this project intend to do?

Why does it intend to do so? Justification 

Where – which geographical area will it cover? State, Districts, Number of Villages 

How – Key words indicating strategies/activities 

With whom? Who are the target beneficiaries? 

Increase the use of Family Planning methods in the project area 

These districts have a lower Contraceptive Prevalence Rate than the national average and a high unmet need for spacing and limiting

 

Helping people plan their families will help empower them for a better life.

Bihar: 13 districts

Jharkhand: 5 districts

UP: 4 districts 

 

Total 10,227 villages will be covered under the project area 

Inter Personal Communication /Strategic Behavior Change Communication /Below The Line activities 

 

Network of Surya Health Promoters (volunteers) at village level to drive footfalls 

Men and women of reproductive age group for permanent and reversible family planning methods 

 

Unmarried youth and adolescents for selected family planning interventions 


Project Proposal


a) Problem Statement

Three states where Janani works in India, are socioeconomically backward districts of Bihar, Jharkhand and Uttar Pradesh, referred to as the Empowered Action Group (EAG) states, lag behind in the demographic transition and have the highest infant mortality rates in the country. These, three states are with highest population and our clinical services are operational, Bihar is one of the states where fertility rate—average number of children born per woman—is higher at 3.4 children per woman than the national average of 2.2 but has been reducing gradually over time. Contrary to the trend in other states and the national average, the birth rate in Bihar (number of births per 1,000 people) rose marginally from 26.3 to 26.8 from 2015 to 2016, shows the Sample Registration System (SRS) survey commissioned by the Registrar General of India. Use of contraceptives in Bihar dropped 10 percentage points from 34.1 to 24.1 per cent between 2005-06 and 2015-16, according to National Family Health Survey data. The drop is steeper, and from a lower base, than the three percentage point drop nationwide, from 56.3 to 53.5. Female sterilisation reduced from 23.8 to 20.7 per cent in a decade to 2015-16. Usage of condoms reduced from two per cent to one per cent; nationwide, there was an increase, from 5.2 to 5.6 per cent.


The population Janani serves are young couple, poor, less educated, and who live in rural areas have more difficulty meeting their family planning needs. Our internal MIS data shows that 70% clients are from rural areas and about 85% of the beneficiaries age-group of 24-34 years. Spacing methods are most required when the age specific fertility rates are high which serves to keep the family size within desired limits; 20% users opted spacing methods. Ninety-five percent of the couples who accepted either family planning services or safe abortion service belongs to Hindu religion. A majority of beneficiaries from the community to whom we do serve are illiterate (30%). More than 60% of beneficiaries or their spouse are working as daily labourer in the unorganized sectors.


This indicates that couples who want to space / limit their families do not have access to contraception or are not using any contraceptive method. Family Planning is a best buy for development and this project aims to empower men and women to use a family planning method of their choice to achieve their desired family size.


b) Proposed Purpose and Strategy

The project aims to provide both temporary and permanent family planning services to men and women from underserved rural and semi-urban communities. This will be done by strengthening a clinic and providing permanent methods of family planning methods under the Government of India’s public private partnership accreditation program. The clinic will also provide reversible methods of family planning and Medical Termination of Pregnancy.


Linkages will be established with ASHA workers and other sources of healthcare and information at the village level, including retailers and Rural Medical Practitioners. This network, branded as Surya Health Promoters, will help generate demand for family planning and drive footfall to the clinic. These SHPs will help conduct community level and interpersonal meetings with potential users. A series of activities including market town events, street plays and audio visual campaign, village miking, SMS and WhatsApp campaigns will also be conducted.


Direct beneficiary groups

Projected number of beneficiaries

Indirect beneficiary groups

Projected number of indirect beneficiaries

Men and women of Reproductive age group

60,000/year

Families of the beneficiaries

5 million



d) Inclusiveness:

Under the PPP model, sterilization services provided by the clinic are free for all beneficiaries, irrespective of demographics or socio-economic status. As mandated by Government norms, all beneficiaries are reimbursed at fixed rates for the loss of wages for the day on which he/she attended the medical facility for undergoing sterilization. Reversible family planning services are paid services, but are priced substantially lower than comparable market prices. 


e) Sustainability and Exit Strategy:

The clinic can be sustainable once it reaches a critical break-even point where the operational costs of the clinic are covered by the reimbursements from the government for services provided. This project will help promote and establish the clinic, to ensure constant footfall even after the termination of the project. 


     

 

Why does it intend to do so? Justification

Where – which geographical area will it cover? State, Districts, Number of Villages

How – Key words indicating strategies/activities

With whom? Who are the target beneficiaries?

Increase the use of Family Planning methods in the project area

These districts have a lower Contraceptive Prevalence Rate than the national average and a high unmet need for spacing and limiting

 

Helping people plan their families will help empower them for a better life.

Bihar: 13 districts

Jharkhand: 5 districts

UP: 4 districts

 

Total 10,227 villages will be covered under the project area

Inter Personal Communication /Strategic Behavior Change Communication /Below The Line activities

 

Network of Surya Health Promoters (volunteers) at village level to drive footfalls

Men and women of reproductive age group for permanent and reversible family planning methods

 

Unmarried youth and adolescents for selected family planning interventions

 
 

Salient Features

  1. Increased ‘opportunity’ of women of reproductive age to use of contraceptives
  2. Increased ‘ability’ of women of reproductive age to use of contraceptives
  3. Increased ‘motivation’ of women of reproductive age to use of contraceptives
 

About JANANI

Janani, an affiliate of DKT International, was stablished in 1995, with a prime objective of supplementing the efforts of the government. Janani has established a unique model that uses alternative channels of service delivery in low-resource settings in the field of family planning in Bihar, Jharkhand and Uttar Pradesh. Every year Janani provides services to over 50,000 women and men through its own 22 operational “Surya Clinics” where sterilization is completely free of cost. The population we serve are young couple, poor, less educated and people live in rural areas. With rich experience of 24 years Janani provided 654,000 sterilizations to women and men in need. As an impact Janani have generated 30 million Couple-Year-Protection which yielded into result as 8.6 million pregnancies averted, 4.1 million unsafe abortions averted and 14,154 maternal deaths averted. Moreover, contributed an estimated 25% of all contraceptive prevalence in Bihar.

 
 

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