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Medical Protocol Guidelines/ For management of victims of Gender Based Violence (service manual)

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Medical Protocol Guidelines/ For management of victims of Gender Based Violence (service manual)

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This study is a follow up study of an earlier study conducted by the Policy
Project (Chao,2005) aimed to demonstrate the financial benefits and costs of family
planning programs in Egypt, and to help governments in their decision to allocate
their scarce resources to such programs.

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Female genital mutilation (FGM) is a practice that involves altering or injuring the female genitalia for non-medical reasons. It is internationally recognized as a human rights violation. Globally, it is estimated that 200 million girls and women alive today have undergone some form of FGM. If current trends continue, 15 million additional girls between ages 15 and 19 be subjected to it by 2030.

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Medical Protocol/ Guidelines for Management of Victims of Gender Based Violence (including sexual violence) 
Service Provider's Manual 

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The Egyptian government is currently partnering with the United Nations Population Fund Egypt Country Office in order to introduce effective interventions on the administrative aspect of healthcare in the areas that need it the most. As part of the ongoing efforts, this study was conducted to assess the robustness of both the monitoring and evaluation (M&E) of primary healthcare services, and the health information system (HIS) at the level of health districts of the public healthcare sector. It was conducted in Assiut and Sohag governorates, two of the governorates with poorest villages, and highest mortality rates and ratios. 

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The UNFPA Egypt country office, as part of its assistance to the Government of Egypt is supporting the project titled ‗Strengthening the Contraceptive Security System‘ within Ministry of Health-Family Planning & Population Sector. The project targets the various pillars of CS, from commitment and coordination to policies and service delivery. It aims also to build the national capacity both at the central and local levels on logistics functions, logistics data & product selection. The project budget is 4.9 million Egyptian Pounds. 

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The Basic Agreement concluded between the Government and the United Nations Development Programme on 19 January 1987(the “Basic Agreement”) mutatis mutandis applies to the activities and personnel of UNFPA in Egypt. This CPAP together with any work plan concluded hereunder, which shall form part of this CPAP and is incorporated herein by reference, constitutes the project document as referred to in the Basic Agreement. References in the Basic Agreement to “Executing Agency” shall be deemed to refer to “Implementing Partner” as such term is defined in the Financial Regulations of UNFPA and used in this CPAP and any work plans concluded hereunder

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EXECUTIVE SUMMARY
There is evidence that the MDGs will not be achieved unless there is universal access to quality reproductive health services especially FP. Each country should address the different challenges to FP programs especially those related to unmet needs, discontinuation, and method mix to support the MDGs related to reducing maternal morbidity and mortality. In Egypt, the contraceptive coverage rate had shown a decrease from 53.4% in 2007 to 45% in 2011. Additionally, the method mix had shown different profile in 2011 compared with that in 2007. According to MOHP/PS service statistics there was increase in FP clients by 39% in 2011 compared with 2007. 

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Introduction

Egypt current family planning program strategies depend on the voluntary FP method use that requires sustainable activities for demand creation for FP methods. The financial strategy of FP program relies on the public investment approach, as the GOE is the prime financier of FP methods and services. In almost of the countries that reached to plateau in FP method use, and aiming at sustainability and success of FP program, the most substantial interventions should be directed to respond to unmet needs for FP.  The introduction of IMPLANON in Egypt FP program was aiming at responding to women’s needs for safe and effective FP method with less side effects as well as fulfillment of social, cultural and financial acceptability.

 

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