Association for Prevention of Septic Abortion, Bangladesh (BAPSA) is a Bangladeshi NGO established in 1982 by a group of reputed gynecologists and obstetricians headed by late Prof. Syeda Firoza Begum with an aim to improve the reproductive health care services to reduce maternal mortality and morbidity of under-served rural and urban population of the country.
BAPSA’s current major projects include “Urban Primary Health Care Services Delivery Project – UPHCSDP” with the government of Bangladesh funded by ADB & UNFPA; “Sexual and Reproductive Health and Rights Program focusing on safe MR and reduction of unsafe MR in Bangladesh” funded by Sida & CordAid; “Improving SRHR situation in selected urban and rural areas of Bangladesh” funded by Swedish Sexuality Education program (RFSU); “Saving Mothers from Unwanted Pregnancy and Unsafe Abortion” funded by the Embassy of the Kingdom of Netherlands (EKN); “Unite for Body Rights (UBR)” funded by EKN. These projects are being implemented through 19 reproductive health centers including 2 maternities equipped with modern OT capable to provide comprehensive reproductive health and efficient clinical services primarily targeting the slum dwellers, garment workers, low and lower-middle income groups and disadvantaged urban and rural population of its project areas in six districts of the country with an approximate target population of 1 million. Two other research projects also running named, “Study of the Incidence of Abortion and Menstrual Regulation in Bangladesh & Their Role in Maternal Mortality” funded by Guttmatcher Institute and “Research assignment for Base-line Data Collection” funded by IPAS Bangladesh in more than 100 health facilities (Both public & private) of the country.
The services are provided at an affordable cost with a provision of free service safety-net for the hard core poor segment of the target population. Under this provision at least 30% of the services are provided free of cost under safety-net to ensure that no one is deprived of services due to financial inability. A red card is issued to all the vulnerable families through a survey. All the family members holding this red card are provided all required services free of cost. Every year BAPSA updates this ultra-poor list and issue new red cards as applicable. At present 11,373 red cards have been issued by BAPSA. During the period 2014 – 2016 BAPSA has provided 524,248 services to the ultra-poor population through red card.
Services of BAPSA include ANC/PNC, Delivery (Both NVD & C/S), family planning, neonatal care, EPI, maternal & child nutrition, post abortion care, management and prevention/ control of RTI/STIs & HIV/ AIDS, treatment of gynecological problems, communicable disease control (TB, Leprosy), Limited curative care and essential diagnostic services. Youth Friendly Services center also been established to provide SRHR Counseling (including psychosocial counselling) and services for the adolescent and youth segment of the population. Identification of VAW victims and referral to one stop service center and legal service NGOs also provided.
Adequate BCC materials are produced and distributed for awareness development of the target population. Activities on advocacy on SRHR issues are also continuing for demand generation and policy influence.
BAPSA has built-up networking relationship with various national and international bodies and institutions including Directorate of Family Planning and Line-Director ESP-RH, Coordination Committee of MR Agencies in Bangladesh (CCMRA, B- comprising of five organizations- namely MFSTC, BWHC, MRTSP, Marie Stopes and BAPSA), Technical Committee of MR program in Bangladesh, Guttmacher institute - USA, ICCDDR,B, GYUNITY, Swedish Association for Sexuality Education (RFSU), Population Council, BRAC, FPAB and RHSTEP.
BAPSA is significant in the reproductive health sector of the country in the following ways: