4025.0: Tuesday, October 23, 2001 - Board 2

Abstract #22383

Rural Volunteers for Family Planning: the Experience of Rural Service Delivery Partnership Depot-holders

Rukhsana Gazi1, Cristobal Tunon, Shamsuddin Alamgir, and Mahammad Alauddin4. (1) Operations Research Project, ICDDR, B: Centre for Health and Population Research, Dhaka, Bangladesh, Operations Research Project, ICDDR, B: Centre for Health and Population Research, Dhaka, Bangladesh, GPO Box 128, Dhaka 1000, Bangladesh, 88-02-9882253, rukhsana@icddrb.org, (2) Rural Service Delivery Partnership (RSDP)

Abstract

Objective: Explore the current functioning of the depot-holders in their localities, Also explore the community’s perception and expectations from the depot-holders Methodology: The study employed a rapid appraisal technique that included free-listing, ranking, social mapping, and daily time use. Data were collected during June - July 1999 in five different districts, through 40 in-depth interviews with depot-holders and through 10 group discussions with local women including users and non-users of contraceptives. The depot-holders were observed at their work, and group discussions with the supervisors of the depot-holders were conducted. Results: The depot-holders covered 100- 500 households. Most users reported that the depot-holders were their sources of contraceptive commodities preferred the depot-holders as a source of family planning supplies due to easy accessibility, privacy, credit options, provision of advice, caring attitude, and friendly behaviour. However, poor women preferred to collect the family planning commodities from the government health staff, because these were free of charge. In most places working areas of depot-holders were not clearly defined. The women stated that it would be helpful if the depot-holders could also stock drugs for common aliments. Conclusion: Depot holders are a good complement to the existing government services. The catchment areas of the depot-holders need to be standarized according to the guidelines for a more appropriate distribution of workloads. Relevant training and pilot testing would be necessary, if additional services and responsibilities are assigned to the depot-holders.

Learning Objectives: Develop a selective visitation strategy for the community volunteers (Depot Holders) that would effectively expand their current responsibilities as service promoters.

Keywords: Community Health Promoters,

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Operations Research Project, ICDDR, B: Centre for Health and Population Research, Dhaka, Bangladesh
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA