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Specific Outputs and Component Projects

	Output 1: Component project 1: Strengthening of reproductive health services Component Project 2: Strengthening emergency obstetric care Component Project 3: Behaviour change communication interventions
	Output 2: Component Project 4: Data collection and analysis of fertility and reproductive health and related survey
	Output 3: Component Project 5: Youth and adolescent reproductive health & HIV/AIDS
	Output 4: Component Project 6: Prevention of HIV/AIDS among vulnerable populations
	Output 5: Component Project 7: Comprehensive prevention of mother to child transmission of HIV (PMTCT)

Output 1: Improved access to reproductive and maternal health services, including birth spacing, pre- and post-natal care, delivery services and emergency obstetric care

This output is directly related to reducing maternal mortality. It will build on the gains made under the first programme, which carried out training, behaviour change communication interventions, and commodity provision in 138 townships. These interventions were designed to encourage and provide the means for birth spacing to promote the health of mothers and babies and to train health staff, especially midwives, to provide high-quality pre- and post-natal care and delivery services. The second programme will continue and strengthen these activities and will continue to supply reproductive health commodities and will promote reproductive health commodity security.

The programme will also reinforce the capacity of health-care professionals, especially their ability to carry out behaviour change communication interventions in order to build demand for birth attendance by skilled professionals. The programme will test the feasibility of using maternity waiting homes so that women can be near health facilities if complications arise during delivery.

An important addition to the new programme is the inclusion of activities designed for emergency obstetric care. A long-term undertaking, this endeavour has many aspects, including staffing, equipment, facilities, transportation, communication, financing and drug protocols. Maternal mortality cannot be reduced unless these issues are addressed, and UNFPA will work with other partners in a multi-pronged strategy to reduce the number of women who die from pregnancy- and childbirth-related causes.

Component project 1: Strengthening of reproductive health services

Developing the capacity of service providers in the public and private sectors as well as of NGOs
Providing reproductive health commodities and building capacity to better manage supplies
Innovative ways to support safe delivery practices for complications of delivery and to avoid delays in reaching health facilities

Component Project 2: Strengthening emergency obstetric care

Promoting access to emergency obstetric care

Component Project 3: Behaviour change communication interventions

Support for behaviour change communication interventions to encourage people to make healthier reproductive choices and to empower members of the community to take control of their own reproductive health by mobilizing trained Community Support Groups (CSGs).

Output 2: Improved availability of disaggregated data for reproductive health programming

This output will build upon surveys on fertility and reproductive health and on family and youth undertaken during the first programme by continuing them on a regular basis to ensure comparability of data. In the context of the new programme, there is a need to undertake a survey on the determinants of maternal mortality. Because of the need for reliable data to support programming activities, UNFPA will provide technical assistance for other statistical activities, as appropriate.

Component Project 4: Data collection and analysis of fertility and reproductive health and related surveys

Continuing related research/surveys undertaken during the first country programme to ensure comparability of data and also to link with reproductive health, HIV/AIDS and youth programmes to provide necessary information for progamme management
Provision of necessary supplies, training and equipment for data processing and tabulation
Dissemination of survey findings

Output 3: Increased access by young people to reproductive health and HIV-prevention information

This output will build on the success of the Youth Information Corners (YICs) located in rural health centres. The YICs make use of the services of youth volunteers who serve as peer educators. The corners meet the needs of in- and out-of-school rural youth by enabling them to access information and services. They are community-based, sustainable endeavours.

The UNFPA programme will expand the YICs beyond the 27 townships where they now operate and increase the number of rural health centres that sponsor such corners. Young people will be involved in programme design and implementation. The programme will also use the mass media and youth centres in urban areas, such as those supported by Marie Stopes International, to increase awareness and knowledge of reproductive health issues.

Component Project 5: Youth and adolescent reproductive health & HIV/AIDS

Improving adolescent reproductive health through various channels to reach both in and out-of-school youth to increase awareness and knowledge of reproductive health issues.

Output 4: Improved access by vulnerable populations to knowledge about and ways to prevent HIV

In collaboration with the National AIDS Programme (NAP), United Nations agencies and other groups, including national and international NGOs and community-based organizations, UNFPA will design innovative programmes to reach out to vulnerable population groups.

Component Project 6: Prevention of HIV/AIDS among vulnerable populations

Increased availability of information about and effective measures for HIV/AIDS prevention by groups with particular vulnerability and high-risk behaviors.

Output 5: Increased access to comprehensive services to prevent mother-to- child transmission of HIV/AIDS

UNFPA is one of the lead agencies carrying out prevention of mother-to-child transmission of HIV/AIDS. To date, it has worked in 60 townships, funded by UNFPA core fund and 3Diseases Fund (3D).

The Goal of the project is to prevent HIV infection among women of reproductive age and reduce HIV transmission from HIV positive women to their infants. The objectives are to increase access to and scale up counselling and testing services for pregnant women from targeted townships, to provide a comprehensive packages of care services supporting the reproductive health and social needs of HIV positive women, to reduce the percentage of HIV infected infants born to HIV-infected mothers, and to accelerate the scaling up of PMCTactivities to achieve UNGASS goal.

The strategy will include four elements: (a) primary preventing HIV infection among reproductive age group of women; (b) prevention of unwanted and unintended pregnancy among HIV- positive women; (c) prevention of HIV infection from HIV infected women to their babies; and (d) providing treatment, care and support for HIV-positive women, infants and their families.

Component Project 7: Comprehensive prevention of mother to child transmission of HIV (PMTCT)

Development of appropriate IEC materials and dissemination to health care workers and community
Promotion of better reproductive health among HIV-positive women
Provision of voluntary counseling and HIV testing and anti-retroviral drugs
Linkage with other care and support services