Mumkin project is funded by the European Commission designed to contribute towards reducing poverty in the framework of sustainable development by addressing the MDGs, particularly MDG 5 ‘Improving Maternal Health’. In alignment with the guidelines the proposal focuses on Sexual and Reproductive Health (SRH) The project aims at focusing on meeting the needs of the poor and marginalized segments particularly women and youth, by improving their awareness and access to quality SRH services. It will attempt to advance the role of women and increase their perspective in delivery and monitoring of SRH services. By promoting SRH rights and improving governance and accountability in the SRH sector, it will optimize

Community involvement and ownership thus, making the SRH service delivery compatible to the local needs and sensitivities. Similarly, the project will strengthen community capacities to actively engage in health system management and demand quality SRH services. Community awareness/sensitization will be a major part of this project, to enhance public understanding of SRH and to increase demand and use of SRH services. Special attention will be paid to improving women and youth’s access to SRH information and services.

Takhleeq Foundation, and HANDS will be Implementing the project for Care International Pakistan in building the capacities of public and traditional health workers to effectively address SRH issues and improve utilization SRH facilities and services in Kambar, Shahdadkot, Sindh.

Human Rights Approach - The project follows a rights-based approach by viewing project target groups as the owners of rights and the directors of development. The project recognizes the inequities faced by the poorest and marginalized segments of the community, especially women in accessing health services. It not only aims at improving their access to these services but rather empower them to effectively demand these services.

Community participation – The project recognizes community participation as a prerequisite to achieve the objectives of the proposed action. The project aims to reinforce the local structures established through the devolution process, by reactivating them, building their capacities and empowering them to realize their roles and responsibilities and take charge of the development process in their communities.

Public-private partnerships – The project will forge partnerships with the relevant government stakeholders to implement key aspects of the proposed action such as involvement and capacity building of the HMCs, training of medical staff, teachers and government officials. The project staff will maintain regular coordination with key government line departments for project endorsement and support. The rapport built through the project will help in synchronizing efforts and engaging in effective partnerships in the future.

General Objective: To improve Sexual and Reproductive Health (SRH) in Shahdadkot district, Sindh, Pakistan

Specific Objective: To improve SRH access and safe practice among 50,460 women, youth and men in five union councils of Shahdadkot district

• Care International In Pakistan (CIP)
• Takhleeq Foundation (TF)
• Health and Nutrition Development Society (HANDS)

The total direct beneficiaries of the project are estimated to be around 50,000 people, including women, adolescent girls and boys, men, public health service providers, local and district government representatives, traditional health workers and school teachers. Special attention will be paid to meeting SRH needs of women and youth.

CARE and its partners will work in 50 villages within five union councils (UC 3 Kamber, UC Bohar, UC Ber Sharif, UC Gabidero, and UC Jean Abro) of Kambar tehsil, district Shahdadkot.This, Sindh. The total population of projected area of Kamber tehsil is said to be around 80,000 people

• Establish Health committees at District and Union Council level; Train Health Committees in management of health facilities and services at district and local level
• Develop Health Improvement plans for health committees
• Provide Infrastructural support in the local health facilities
• Train medical staff in essential SRH rights and services at the targeted health facilities
• Provide mobile SRH services at the village level
• Train Tradition Birth Attendants (TBAs) in essential SRH services
• Provide local dispensaries and Tehsil Headquarter Hospital (THQ) with relevant telecommunication equipment
• Establish transport linkages between the dispensaries and the THQ
• Hold quarterly coordination meetings between the health committees at the district level
• Hold sensitization trainings for local and district government representatives in SRH issues

• Train Community Change Agents in interactive communication skills to raise awareness on SRH issues
• Train school teachers to discuss SRH issues in schools
• Develop Behavior Change Communication (BCC) materials and disseminate in target areas
• Sensitize women, youth and parents towards SRH
• Establish SRH Helpline at the THQ
• Train counselors to provide support