This project to increase access to comprehensive abortion care (CAC) in India was developed by the Consortium for Safe Abortions in India, which includes Action Research and Training for Health (ARTH); the Center for Enquiry into Health and Allied Themes (CEHAT); the Federation of Obstetric and Gynecological Societies of India (FOGSI); FPA India (Family Planning Association of India); the International Unit of Maternal Child Health, Uppsala University (IMCH-Uppsala University); Ipas; Population Council; and the Society of Midwives, India (SoMI).
The goal of the project was to increase access to legal, safe, and comprehensive abortion services, including postabortion family planning services, in the public health system with a focus on the rural poor. The Swedish International Development Cooperation Agency and the David and Lucile Packard Foundation co-funded the original three-year project, 2006-2008, which was extended for another year through December 2009 and now after a no cost extension through 2010.
FOGSI’s role in the project began in 27th July 2004 through the MTP Committee when Nozer Sheriar and Jaydeep Tank attended the concept meeting for the project held in New Delhi. Following this a concept note was developed and the Consortium for Safe Abortions in India was formed. It was decided that the consortium as a group would develop the proposal. This was followed by a Logical Framework analysis workshop spread over two days on the 26th to 28th of July 2005 which was attended by Jaydeep Tank. Further meetings were held in Sweden in Uppsala at the IMCH and the University, and in Stockholm at various locations like the Sida office, Karolinska institute, the Swedish Parliament, etc.
The proposal was finalized and submitted in 2005 and approval for the project came from Sida and the Packard Foundation in 2005 – 06.
This was followed by a work plan meeting held on 17th and 18th of April 2006 in New Delhi where work plans were evolved. Following this Scope of Work and budget rationalization was performed through a series of meetings and correspondence.
After an internal review where the proposal was sent to the FOGSI office and legal clearance from FOGSI’s side was obtained from Hariani and Co. FOGSI signed the agreement in 2007.
As was decided at the managing committee meeting in September 2007 a core committee for the project was formed which includes:
President FOGSI, Vice President in charge of MTP Committee FOGSI , Secretary General FOGSI, Deputy Secretary FOGSI, and Treasurer FOGSI and the Project Convenors Nozer Sheriar and Jaydeep Tank.
Given the nature of our organization FOGSI is involved in almost all the activities of the project.
A project management committee (PMC) of representatives from each Consortium-member organization was set up as the coordinating and decision-making body for the Consortium and was responsible for directing the project’s broad operations.
The overall goal of the four-year (January 2006 – December 2009 , $1.6 million project was to increase access to legal, safe, and comprehensive abortion services, including postabortion family planning services, in the public health system, focusing on the rural poor.
The objectives of the project were:
To develop and implement a district-level model for delivery of safe abortion services through the public health system, which includes increasing both the availability of and demand for services
To expand the provider base for providing manual vacuum aspiration (MVA) and medical abortion (MA)
To assist two state governments on systemic, resource, administrative, and legal issues to increase access to safe and legal abortion in the public and private sectors
To advocate with the national government and two state governments for changes to policies, laws, rules, regulations, and practices to increase access to safe abortion services in the public and private sectors
To achieve the above objectives, the project focused on four identified result areas:
The Consortium implemented project activities under Result Areas 1 through 3 in Rajasthan and Maharashtra, piloting district-level models in one district in each state – Aurangabad in Maharashtra, and Tonk in Rajasthan – and working to facilitate effective implementation of existing laws and policies. Result Area 4 had a national reach.
The project achieved several major accomplishments, including:
However, because of delays in winning approvals from the state governments of Rajasthan and in launching some activities, the Consortium has not completed two activities. The Packard Foundation has granted the Consortium a five-month no-cost extension period through May 2010 to complete these two activities as well as three others. The principal partners and the no-cost extension activities are: