Bangladesh 1993-1994 Demographic and Health ... - Measure DHS

All but a tiny fraction of family planning field workers provide contraceptive supplies andcounselling, while for seven out of ten women living in communities with family planning field workers, theworkers assist with satellite clinics and for eight out often, the workers accompany women to the clinics forservices. However, family planning field workers have a more limited role in providing health services; onlytwo-thirds of ever-married women live in communities in which family plarming field workers take childrento health clinics for immunization and only half live in places where field workers distibute vitamin Acapsules for children.Among women who live in communities with satellite clinics, most live within 1 mile of the clinic.Among women for whom a clinic is available, 79 percent live in communities with clinics that provide thepill, 59 percent have clinics that distribute condoms and only 35 percent live near clinics that insert 1UDs.Among ever-married women living in communities with health workers, almost all of the health workersprovide immunizations and about 90 percent provide health information and distribute vitamin A capsules.Although there are regional differences in the availability of health and family planning services, it appearsthat, overall, the population of Bangladesh is very well served.One of the major reasons for implementing the study on availability of services was to identify theproportion of couples who are covered by family planning field workers provided by government versus nongovernmentalorganizations (NGOs). Data in Table 10.4 indicate that govemment field workers predominate.Eighty-two percent of ever-married women in Bangladesh live in communities in which only a governmentfield worker operates, while 4 percent live in communities with only a NGO field worker and 14 percent livein communities with both government and NGO field workers. This means that 96 percent of women livein areas covered by government field workers, while 18 percent live in areas covered by NGO field workers.Differentials in this pattern by division are small; however, NGO field workers tend to be more prevalent inurban areas. Almost 60 percent of ever-married women in urban areas live in places covered by an NGO fieldworker and 68 percent in areas with govemment field workers.Table 10.4 Presence of government and non-governmental family planning field workersPercent distribution of ever-married women age 10-49 by presence of family planning field worker supported bygovernment, non-government organizations (NGO), both, or neither, according to division and urban-rural residence,Bangladesh 1993-94DivisionResidenceType offield worker Barisal Chinagong Dhaka Khulna Rajshahi Urban Rural TotalGoverrtment field worker only 78.7NGO field worker only 5.8Both government and NGO workers 12.9No field worker 2.584.1 81.5 87.0 77.0 40.6 86.9 81.65.5 3.4 4.1 2.1 32.1 0.2 3.910.4 15.1 8.9 20.9 27.3 12.7 14.30.0 0.0 0.0 0.0 0.0 0.2 0.2Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Number of women 606 2527 2963 1218 2326 1108 8532 9640132