Together for Health
JSI Research & Training Institute, Inc.
44 Farnsworth Street
Boston, MA 02210
Tel: (+1-617) 482-9485
Fax: (+1-617) 482-0617
JSI Research & Training Institute, Inc. successfully implemented the Together for Health for the U.S. Agency for International Development from 2005 to 2011. For further information on project activites, visit the TfH page on jsi.com.
The Together for Health (TfH) project continues to work toward its goal of reducing the number of abortions and unintended pregnancies and the incidence of sexually transmitted infections (STIs) by improved provision of and access to quality family planning/reproductive health (FP/RH) services through the public and private sectors. Highlights of progress, to date, toward the project's goal are as follows:
- Ministry of Health statistics (MOH) show a 22.5% drop in the abortion rate for Ukraine, from 19.5 per 1,000 women of reproductive age in 2005 to 15.1 in 2009. The abortion ratio also declined, from 586.7 abortions per 1,000 live births in 2005 to 357.0 in 2009—a 39% drop.
- MOH statistics indicate an increase of 8.4 percent in contraceptive use nationwide—as measured by the number of registered users of IUDs and hormonal methods per 1,000 WRA—from 289.5 in 2005 to 313.8 in 2009. This trend is confirmed by a 37.5% increase in total couple-years of protection (CYPs) from public and private-sectors nationwide, from 485,655 in 2005 to 667,557 in 2010.
- CYPs from condom distribution (pharmacy sales, government procurements, and USAID donations) are the project's measure of STI prevention. There was a 68.4% increase in CYPs from condoms nationwide, from 155,377 to 261,584 between 2005 and 2010.
For more project results, read Together for Health's Annual Reports.
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Key accomplishments from Year 5 of the project (October 2009 – September 2010) include:
- The number of new access points for FP/RH services in the project's partner regions increased eight-fold since the project's inception in 2005, reaching a total of 2,475 over the life of the project. This is in addition to improving services in health facilities where FP/RH was already being provided.
- The project trained a total of 3,840 people on FP/RH during the fiscal year 2010, including 73 trainers in Crimean peninsula, 2,697 doctors and midlevel health providers, 244 pharmacists, 89 BCC educators/leaders and 154 trainers (72 clinical trainers and 82 faculty members in postgraduate medical education institutions).
- The project endline survey (field work conducted at the end of 2009 in five most representative oblasts) shows significant improvements in health workers knowledge and attitudes, as well as in the quality of services provided (as reported by the women surveyed when leaving project-assisted facilities). The most noteworthy improvement was seen in contraceptive access by facility clients. The percentage of women who reported that they received either a contraceptive method or a prescription during their visit rose from 46.5% in 2007 to 68.3% in 2009.
- Behavior change communications (BCC) activities reached a total of almost 10 million people in 15 oblasts, most of them through mass media, but about 435,000 through large special events and interpersonal communication educational sessions, and over 600,000 through information, education and communication (IEC) materials.
- Under the State Program "RH of the Nation" up to 2015 (SPRHN), the central Government reported spending about $105,400 for FP for contraceptive procurement, and TfH partner regions reported expenditures of almost $198,500 (including about $147,900 for contraceptive procurements).
- The project leveraged counterpart contributions amounting to an estimated $802,700 from partners—over $641,000 from the public sector and about $161,700 from the private sector.
Read the Together for Health Annual Report for 2009-10 (Year 5) English | Ukrainian.
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