ACHIEVING BREAKTHROUGHS THROUGH THE
CONVERGENCE MODEL & BEHAVIOUR CHANGE
COMMUNICATION
Alongside PFI’s policy advocacy at
the national level, we work with state
governments and through core grants
to civil society organisations in regions
that face challenges in achieving family
planning goals. The convergence model
of planning and allocating resources
for family planning (FP) through
District Working Groups (DWGs), being
implemented in 18 districts - six districts
in in Bihar and 12 in Uttar Pradesh as part
of the Advance Family Planning (AFP)
programme - have yielded many `wins’
over the last financial year.
Private health facilities have been roped
in to provide free FP counselling in
UP’s Sultanpur district. The uptake of
Intra-Uterine Contraceptive Devices
(IUCDs) by women has shot up in Bihar’s
Araria district as health facilities providing
family planning services on fixed days
has risen from 13 to 35. The Agra
district Information & Broadcasting
department has committed to putting out
FP messages in local television channels
and newspapers, at an estimated cost of
Rs. 600,000. In UP’s Mau district, family
planning supplies have been restored
and a system to monitor and ensure timely
replenishment has been put in place.
As part of the Advocacy, Communication
and Accountability project, a cadre
of community level family planning
champions were identified and trained
as `Advocates for Change’ (AFCs)
in Darbhanga and Nawada districts
of Bihar. These included frontline
workers such as ASHAs, Anganwadi
workers, and panchayat members who
have been mandated to inform and
motivate couples to adopt family planning
practices, and also ensure the availability
of services. After training, the AFCs have
reached out to nearly 10,000 households
in the 204 intervention villages with family
planning messages.
PFI has supported a population
stabilisation programme through a core
grant to the Save a Mother project in
Amethi district of Uttar Pradesh. The
programme has significantly improved
linkages with government facilities,
services and frontline health workers
through advocacy and trainings in order to
ensure that couples have access to family
planning services.
Industry participates in a progressive push for men’s participation in family planning
In the town of Firozabad in Uttar Pradesh, best known for its bangles and glassware, the Industrial Association employs
approximately 10,000 workers, 95 per cent of whom are men. Following advocacy by PFI, in November 2017 the Association
announced an unprecedented three days’ paid leave for employees who undergo non-scalpel vasectomy (NSV). In a state
where male sterilisation currently accounts for only 0.1 per cent of contraceptive options used, this is a remarkable initiative
that has enlisted the private sector in making progress on the district’s family planning objectives.
PFI successfully advocated with the Bihar Mahadalit Vikas Mission
(BMVM) to extend family planning services to nearly 4 million
marginalised households across 38 districts of Bihar through
10,000 Vikas Mitras (frontline workers)
Women opting for a spacing method of contraception increased by
about three times as compared to the previous year, following PFI’s
advocacy in selected facilities of the high fertility Araria district
(TFR 4.3) of Bihar.
PFI has used Social and Behaviour
Change Communication (SBCC) as a
powerful tool to address the social norms
that determine people’s decisions on
family planning. Our flagship transmedia
initiative Main Kuch Bhi Kar Sakti
Hoon (MKBKSH – I, A Woman, Can
Achieve Anything) continued to draw the
attention of SBCC experts, researchers
and the media in 2017 with its reach and
impact. The evaluation of two seasons
of MKBKSH showed an improvement in
the knowledge, perception and attitude
of viewers on the age at marriage, sex
selection, domestic violence and gender
equity. Most mportantly, it increased
the space for spousal communication
and enhanced women’s confidence to
negotiate contraception and discuss
family planning options. They highlighted
how entertainment-education can inspire
even the most vulnerable people to
challenge deep set social norms. Based
on five such inspiring stories of real life
champions, PFI produced a series of
short films entitled ‘Reel to Real’ and
released them through its social media
platforms in 2017. The men of Chhatarpur
in Madhya Pradesh, who were habitual
wife-beaters and held regressive beliefs
such as preference for sons, went in for
sterilisation even after one girl child. Rita
Devi, an ASHA worker living in a slum of
Patna, gained more knowledge about
family planning, contraceptives and
nutrition from Main Kuch Bhi Kar Sakti
Hoon. It helped her in her work as well
as gave her the confidence to talk to her
teenage daughter about menstruation,
safe sex, and family planning. Nirma
Devi from Gaya in Biharwas inspired
by MKBKSH to defy established social
norms and convince her husband to
adopt the use of condoms; and to go
a step further to spread the word on
contraception within her She was chosen
as one of BBC’s global 100 Women
initiative of 2017 for breaking the taboo
on contraception in India. The initiative
names 100 influential and inspirational
women around the world every year.
PFI Annual Report 2017-18
Family Planning | 7