International Development Grant

Strengthening SRHR and GVB Prevention in Host Communities of Cox's Bazar

Project Number: CA-3-P006359001

Status: Terminating

Country/Region:

Bangladesh 100.00%

Maximum Contribution: $11,000,000.00

Start Date: December 17, 2018

End Date: September 30, 2022

Duration: 3.8 years

Project Description

The project aims to provide equitable sexual and reproductive health care and respond to gender-based violence (GBV) for people living in local communities of Cox’s Bazar impacted by the influx of over 740 000 Rohingya refugees since August 2017. Cox’s Bazar is one of Bangladesh’s poorest and most vulnerable districts with poverty well above the country’s national average. The influx of Rohingya has increased economic tensions and competition for scarce resources including jobs and income among the Rohingya and the existing Bangleshi communities where the refugees are camped as well as having a serious impact on local infrastructure and services. This situation is particularly difficult for women and children who are the most vulnerable. The project works to improve the accessibility to GBV and psychosocial services in public health facilities and women-friendly spaces for survivors of GBV. Project activities include: (1) increasing awareness and use of services by survivors through outreach activities; (2) building the self-reliance skills of 4 000 women with information on their sexual and reproductive health and rights (SRHR) functional numeracy and literacy skills nutrition and core life skills; (3) engaging 30 000 community members through implementing for the first time in Bangladesh the SASA! (Start Awareness Support Action) community mobilization strategy for raising awareness and preventing GBV; and (4) developing a community-based GBV response and prevention program including engagement with men and boys for their role in protecting families and communities from GBV. Benefiting over 500 000 women and girls the project supports the Bangladeshi Ministry of Health and Family Welfare in: (1) strengthening public health facilities to provide high-quality midwifery and emergency obstetric care; (2) increasing the availability of sexual and reproductive health and rights (SRHR) services including family planning contraception and treatment of STIs a

Expected Results

The expected outcomes for this project include: (1) enhanced provision of equitable and high quality SRHR services to women and adolescent girls in host communities of Cox’s Bazar; and (2) improved prevention of and response to gender-based violence in Cox’s Bazar.

Progress & Results Achieved

Results achieved as of September 30 2022 include: (1) ensured availability of 24/7 basic emergency obstetric and newborn care services by deploying 25 diploma level midwives at 19 union level health facilities. This is done by enabling Union Health and Family Welfare Centres to prioritize the provision of quality and safe emergency obstetric and neonatal care services. This includes referral and education on COVID-19 prevention for the stigmatized and geographically marginalized population groups in Cox’s Bazar district; (2) provided SRHR information and services to 375 845 women of reproductive age; (3) conducted 53 030 deliveries by skilled health care providers; (4) enabled 31 369 pregnant women to have at least 4 antenatal visits each and provided emergency obstetric care to 25 511 pregnant women with complications. Also provided postnatal care to 13 180 women and confirmed 344 fistula who underwent surgery ( 227 underwent successful repair surgeries); (4) trained 1 509 participants in courses related to family planning (FP); (5) reached 254 434 women on FP. 244 406 (96%) aged 15-49 reported having heard about FP before 8 528 (3.35%) received postpartum FP services and 1 500 (0.58%) received postpartum intrauterine devices; (6) enabled 18 653 women to access family planning services. This includes 4 421 (24%) who received postpartum FP and 14 232 (76%) who received general contraceptive services and methods; (7) provided through project’s strategic partnership with line ministries of the Government of Bangladesh (GoB) training in FP and technical assistance to GoB health institutions capacity development to 108 service providers. This includes doctors midwives nurses family welfare visitors and assistants; (8) provided 1 217 intra uterine devices 2 722 implants 108 no-scalpel vasectomy and 144 tubal ligation services; and (9) screened 1 342 pregnant women for sexually transmitted infections (STIs) and syphilis during their antenatal visits. Also pro

Key Information

Executing Agency:
UNFPA - United Nations Population Fund

Reporting Organization:
Global Affairs Canada

Program:
OGM Indo-Pacific

Last Modified:
September 19, 2025

Development Classifications

DAC Sector:

Basic health care 7%
Basic nutrition 3%
Health personnel development 10%
Population policy and administrative management 10%
Reproductive health care 10%
Family planning 10%
Ending violence against women and girls 50%

Aid Type: Contributions to specific-purpose programmes and funds managed by implementing partners

Collaboration: Bilateral

Finance Type: Aid grant excluding debt reorganisation

Selection Mechanism:
Department-Initiated

Policy Markers
Level 2 Gender equality
Level 1 Participatory development and good governance
Level 1 Children's issues
Level 1 Youth Issues
Level 1 Nutrition
Major Funding (>$1M)
Budget Breakdown
2018-04-01 to 2019-03-31 $11,000,000 CAD
Geographic Information
000
Project Number: CA-3-P006359001