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Describe trends in reproductive health and services in Russia Explain key approaches and interventions of the USAID-funded RH/MCH projects Present results in PP & PA FP Discuss lessons learned
Background:
The fertility rate in Russia is low (1.5) The majority of women would prefer to have fewer than 2 children.* Abortions decreased but half of all women have had at least one abortion.* The social and political acceptance of modern FP is uncertain among various groups FP is a vertical service, lacks the attention of other health providers, and access to the services is limited. *RLMS, 2010
RH/MCH JSI/IFH USAID-funded projects regions 2000-2012: population over 35 million more than 300 facilities involved
Our approach:
Client centered Evidence-based Integration Counseling skills Healthy lifestyle concept Health & human rights aspect
Key interventions:
Policy & advocacy Innovative training model Protocols and Guidelines Audit Regional level
Results:
Methods: facility-based survey conducted in 2004 and 2009 in 10 core regions with total 11,568 clients interviewed
MOH data to assess abortion trends in Russia and the project regions in 2003 and 2010
Results: Improvements in postpartum FP services in the project facilities, clients interviews, facility-based survey (%)
2004 .
(N 1967)
2009 .
(N 2109)
Counseled on FP
Decided on contraceptive method
31%
57%
66%*
75%*
* P < 0.01
Results: Improvements in post abortion FP services in the project facilities, abortion clients interviews, facility-based survey (%) 2004 . (N 1726) Counseled on post-abortion 74% 2009 . (N 1722) 96%*
contraception
Knew when fertility returns Had a previous abortion within 12 months
* P < 0.01
36% 29%
58%* 17%*
Results: Percentage decrease in abortions across Russia (green) and the US-assisted project regions (red) between 2003 and 2010
Thank you!