Table 3

Action plan priorities and outputs/outcomes by union council

KPAction plan prioritiesOutput and outcomes
UC Chowki Mamrez1. Develop a referral system for SGBV survivors by mapping GBV services in the public and private sectors.Six referral partners were identified, including one NGO, Akhuwat, the Police and the Health and Population Department.
2. Sensitise male members of the community on STIs/HIV and address associated stigma.One session was conducted in the Youth Resource Centre on 10 September 2018, with 30 participants. Different groups were organised by gender. Peer groups then arranged meetings in their respective areas. The Rahnuma-FPAP clinic saw 17% more young clients for services.
3. Enhance EC and menstrual hygiene awareness among adolescents, women and girls.One session was conducted at Chowki Mamrez Girls High School on 24 September 2018, with 27 girl participants.
UC Nowshera Kalan1. Sensitise male members of the community on STIs/HIV and address associated stigma.One session was conducted on 26 August 2018, with 17 participants. Further, 10 religious and community leaders were sensitised.
2. Establish a ‘Blood Donors’ group.A blood donor club comprising 37 donors was established after testing the blood samples of 40 men in the UC. They had given their contact number and address to be shared with blood banks. In 2019–2020, the Blood Donor group donated blood to nine patients in critical condition after a major traffic accident when two buses collided near Nowshera Kalan UC.
3. Enhance EC and menstrual hygiene awareness among adolescents, women and girls.One session was conducted in the UC on 24 August 2018, where 23 girls/women participated. Four additional sessions were later conducted. In awareness sessions, 135 EC pills were distributed and EC supplies have been made available from the FPAP outlets and community outreach workers. One Peer Educator Group was formed with eight members to represent the district level.
4. Enhance free availability of condoms.Four distribution points for free condoms were initially identified, including two shopkeepers and two persons for their Hujra (part of the house for guests). Thereafter, three new outlets were established.
5. Strengthen transport availability for emergency obstetric and newborn care (EmONC).TBAs and lady health workers (LHWs) followed 24 pregnant women, providing home visits and other support. The Nowshera Department of Health provided transportation to pregnant women for EmONC services.
UC Pir Sabaq1. Sensitise male members of the community on STIs/HIV and address associated stigma.One session was conducted on 5 September 2018, with 23 participants.
2. Introduce birth planning to every pregnant woman.Two LHWs and two female community activists were engaged to assist pregnant women develop birth plans.
3. Enhance EC and menstrual hygiene awareness among adolescents, women and girls.One session was conducted at Pir Sabaq Girls High School on 20 September 2018 with 20 girls/women. Two more awareness sessions were conducted in 2019 where 36 girls and women participated.
PunjabAction plansOutputs and outcomes
UC Muradabad1. Develop a referral system for SGBV survivors by mapping GBV services in the public and private sectors.Three referral points for medical and social assistance were developed. Two sessions with 20 women and 18 men were conducted.
2. Sensitise married women of reproductive age on STIs/HIV.Two sessions per quarter were planned with 25 women.
3. Strengthen transport availability for EmONC.A contact list of 20 local transporters was finalised. The Rescue 1122 service office was mobilised to respond to SRH in emergencies; clean delivery kits were placed in ambulances.
4. Enhance EC and menstrual hygiene awareness among adolescents, women and girls.One awareness session was held with 25 women/girls. Forty hygiene kits and 75 safe delivery kits were distributed by December 2018.
UC Doaba1. Develop a referral system for SGBV survivors by mapping GBV services in the public and private sectors.Two technical support meetings were held with 14 women and 12 men. Referral mechanisms/points for medical and social assistance were developed, and contact numbers were made available. Fifteen blood donors were identified. Fifteen local transporters were also identified; the transporter group provided hospital transport to four women in labour during the heavy monsoon when no transport was available.
2. Sensitise male members of the community on STIs/HIV and address associated stigma.By the end of 2018, two awareness sessions on STIs/HIV were conducted with 40 men and youth.
3. Enhance EC and menstrual hygiene awareness among adolescents, women and girls.One awareness session was held with 25 women and girls. Forty hygiene kits and 60 safe delivery kits were distributed.
4. Strengthen transport availability for EmONC.A transporter group was created and transported four labouring women to the hospital during the monsoon.
SindhAction plansOutputs and outcomes
UC Tarai1. Sensitise married women of reproductive age on STIs/HIV.The RH working group met quarterly at the district level.
2. Enhance EC and menstrual hygiene awareness among adolescents, women and girls.Two ‘medical camps’ were organised on family planning and SRH where technical assistance and support for action plans were provided to communities.
3. Develop a referral mechanism for SGBV survivors.Referral system developed.
4. Strengthen transport availability for EmONC.Ambulance system developed for EmONC.
  • EC, emergency contraception; GBV, gender-based violence ; NGO, non-governmental organisation; Rahnuma-FPAP, Rahnuma-Family Planning Association of Pakistan; RH, reproductive health; SGBV, sexual and gender-based violence; SRH, sexual and reproductive health ; STIs, sexually transmitted infections ; TBA, traditional birth attendant; UC, union councils .