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This report contains descriptions of 13 family planning (FP) projects recently implemented in Bangladesh. The results in terms of the contraceptive prevalence rate (CPR) are analyzed to investigate the degree to which improved FP service delivery in Bangladesh can increase contraceptive use in the present status of demand, investigate the programmatic factors most associated with increased prevalence, and make these projects more widely known. Criteria for inclusion included coverage of a geographic area where household distribution of contraceptive supplies was available, and where at least one measurement of CPR has been made through credible survey efforts since July 1988. The projects varied in design, intensity, programmatic focus, geographic area, implementing agency, and evaluating agency. All were rural or largely so. Primary conclusions are that improvements in the national program can be expected to lead to substantial increases in contraceptive prevalence; increased visitation rates, and greater efforts in basic training, density of fieldworkers, and use of NGO fieldworkers may be particularly effective in meeting unmet demand; although direct provision of services by NGOs seems most associated with high performance, the implication of this for the national program requires careful analysis.






Asia & Near East Operations Research and Technical Assistance Project