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Ipas engages and works with LHWs to enhance their capacity to provide sexual reproductive health information, care, and support.

Women and their families need the knowledge, skills, and social support to make and act on safe reproductive health decisions. Ipas Pakistan employs a variety of strategies to build community awareness around a range of SRHR issues, including the risks of unsafe abortion, when fertility returns after an abortion, and where to access safe services. We build the capacity of Lady Health Workers (LHWs), Family Welfare Assistants (FWA) and male Social Mobilizers to provide correct and updated reproductive health information and to refer individuals to the trained providers. Ipas employed a user-centered design approach to develop innovative social behaviour change tools and messages to engage women and men and build their awareness and support of safe pathways to reproductive health care, including abortion and contraceptive care.

As a result of Ipas supported interventions; LHWs sensitized 90,123 women on safe pathways for abortion and contraceptive care. Over the past three years, these LHWs have referred 2,239 women seeking post abortion care at Ipas-intervention facilities. Before this intervention LHWs were using dilatation and curettage (D&C) and uterine evacuation (UE) interchangeably, which is an indication of strong prevalence of D&C in Pakistan.

According to the pre and post training assessments from June to December 2019 with a total of 405 LHWs, 97% compared to 28% benchmark and LHWs reported improved knowledge on safe technologies for abortion and postabortion care.