FPAN Kaski follows the managerial processes of the central FPAN office including planning, organizing, staffing, directing, coordinating, recording and reporting, budgeting, supervision and evaluation. Key aspects include an annual planning process with branch input and central approval, hierarchical management structure, participatory leadership style, vertical and horizontal coordination, clinical management information system for recording, and regular central supervision and evaluation. Logistics are primarily dependent on the central office with some local medicine and clinic funds.

1. Internship/Practicum Report
On
Family Planning Association of Nepal
Kaski Nepal
Submitted by:
Sirjana Tiwari
Masters in Public Health (Health Service Management)
Roll No: 17690006
Submitted to:
Master of Public Health Program
School of Health and Allied Sciences
Faculty of Health Sciences
Pokhara University
January, 2019

2. Practicum in health service management, field Internship Report ofFamily
Planning Association ofNepal (FPAN, Kaski)
Submitted to fulfill partial requirement of Master of Public Health
(Health Service Management) (HSM 621)
Submitted by:
Sirjana Tiwari
Roll No.: 17690006
Reg. No. 2011-1-37-0136
Email: sirjanatiwari0@gmail.com
Organization:
Family Planning Association of Nepal
Pokhara -12 ,Upakarmarga
Phone No: 061-520436
Contact:
Bikash Pokhrel
Branch Manager
Phone: 061-520436
Email: fpankaski@fpan.org.np
Faculty Advisor:
Nand Ram Gahatraj
Lecture
SHAS
Submitted To
Master of Public Health Program
School of Health and Allied Sciences
Faculty of Health Sciences
Pokhara University
January, 2019

3. i
APPROVAL LETTER
Mr/Ms Sirjana Tiwari has prepared the project proposal/report entitled “Practicum in
health service management at FPAN, kaski.” The project proposal/report has been
prepared and presented for the partial fulfillment of the requirement for the degree of
Master of Public Health (MPH) and forwarded for final evaluation.
_____________________
Mrs. Nand Ram Gahatraj
Date: 1/10/2019
Master of Public Health (MPH) Program,
School of Health and Allied Sciences,
Faculty of Health Sciences,
Pokhara University,
Pokhara Metropolitan-30, Kaski, Nepal.
This report/proposal has been reviewed and accepted
Accepted with condition
Not accepted
External Examiners
1. Name: _____________________ Signature: __________________ Date:
_________
2. Name: _____________________ Signature: __________________ Date:
__________
_______________________ ___________________ ___________
(Chirinjivi Adhikari) (Damaru Pd. Paneru) School Seal
Program Coordinator Director

4. ii
PREFACE
The main objective of the Internship Report is to fulfill the partial requirements for
course Practicum in Public Health/Health Health Service Management of the Master
in Public Health (MPH) Degree. It is the output of the three week internship in
pioneer NGO, Family Planning Association of Nepal.
After the completion of the internship program, I have gathered enough experience
about the working mechanism of the organization in the field Health Service
Management which I have shared in different chapters of the report. There are also
some observations from my point of view which I think would be considerable to the
authority for the betterment of FPAN, Kaski.

5. iii
ACKNOWLEDGMENT
First and foremost, I would like to take this as an opportunity to express my sincere
gratitude to Masters of Public Health Program, School of Health and Allied Sciences,
Pokhara University similarly my sincere thanks goes to Family Planning Association
of Nepal, Kaski, Branch for giving me the opportunity to intern in their organization
to manage Family Planning Services, Adolescents Sexual and Reproductive health
Services , Gynecological services etc. for a period of 21 days commencing from 17th
December 2018 to 7th January 2019.
I would like to extend profound gratitude to supervisor Mrs. Nand Ram Gahatraj for
his continuous inspiration, valuable guidance and suggestions. His regular and
extensive guidance and encouragement are main source of inspiration to accomplish
this practicum successfully.
I would like to thanks Dr. Damaru Prasad Paneru, Director School of Health and
Allied Sciences, Pokhara University for providing me an opportunity to carry out this
practicum. My vote of thanks goes to Dr.Dipendra kumar Yadav for monitoring my
task including all our classmates for helping me providing feedbacks and comments
throughout the practicum.
I would also like to take this opportunity to express my deepest gratitude and special
thanks to branch manager Mrs. Bikash Pokhrel and Lab Specialist Nabraj Tiwari of
FPAN, kaski who always support, guide and keep me on the correct. Similarly I am
also thankful to Senior Staff nurses Ms Gita Joshi, Ms Anjana Bhandari, Miss Asmita
Adhikari and Accountant and Store manager Mrs.Min Shrestha, Mrs.Hari Acharya of
FPAN for their continuous support throughout the period.
Last but not the least I would like to acknowledge all the well wisher for their direct
and indirect help during practicum.
Sirjana Tiwari
MPH Fourth Semester
January, 2019

6. iv
TABLE OF CONTENTS
APPROVAL LETTER.......................................................................................................i
PREFACE........................................................................................................................ii
ACKNOWLEDGMENT..................................................................................................iii
TABLE OF CONTENTS.................................................................................................iv
CHAPTER I - INTRODUCTION...................................................................................... 1
Objectives of internship/practicum................................................................................. 4
CHAPTER II- METHODOLOGY..................................................................................... 5
CHAPTER III- RESULTS AND DISCUSSION.................................................................6
Managerial Aspects of FPAN, KASKI ........................................................................... 6
Critical analysis on some major service components ..................................................... 16
Mini Action Project..................................................................................................... 19
CHAPTER IV- CONCLUSION AND RECOMMENDATION ......................................... 21
BIBLIOGRAPHY .......................................................................................................... 22
ANNEXURE................................................................................................................... 1

7. 1
CHAPTER I - INTRODUCTION
FPAN established in 1959, the Family Planning Association of Nepal (FPAN), a
member association of the International Planned Parenthood Federation (IPPF), a
major partner of the Government of Nepal’s national family planning program,
contributing larger number of all FP services in Nepal annually, is Nepal’s first
national sexual and reproductive health service delivery and advocacy organization.
FPAN works across 37 districts to provide critical health services to poor,
marginalized, socially excluded, and underserved (PMSEU) communities, including
sex workers, people living with HIV (PLHIV), LGBTI people, injecting drug users,
men who have sex with men, migrant workers, and survivors of gender-based
violence (GBV).
FPAN serves these populations through an extensive network of 2,750 service points,
comprising 127 static clinics, 116 mobile facilities, 184 associated clinics, 543 other
agencies, and over 2,000 community-based distributors/services (CBDs/CBSs).
Key areas of emphasis include adolescents' sexual and reproductive health, HIV and
AIDS prevention and treatment, safe abortion, advocacy for sexual and reproductive
health and rights (SRHR), the prevention of gender-based violence (GBV) and
support for its victims, and the promotion of access to sexual and reproductive health
(SRH) information and services to marginalized and under-served groups.
With the dedicated backing of 450 full-time professional staff, 1000 community
counselors, 4000 peer educators and 11,000 grassroots volunteers, FPAN has the
capacity to mobilize on a large scale, and with the support of over 20 governmental
departments, non-governmental organizations (NGOs) and foundations, it has a
secure funding base to maintain and expand its comprehensive programme of
activities.
Organizational structure of FPAN
FPAN has a two tiered Governance Structure comprising of the following bodies
which operate at the central and Branch level

8. 2
The Central Assembly (CA) shall be the supreme body of the Association and all
members of the CA shall be responsible individually as well as collectively for the
fulfillment of the objectives of the Association.
The Central Committee is responsible to ensure implementation of the policies and
programs approved by the Central Assembly for the progress, development and
fulfillment of the objectives of the Association.
Branch Assembly shall be the supreme governing body of a branch and would
oversee the working of the Branch in accordance with the directives of the Central
Committee
The Branch Committee is responsible for implementing the policies and programs
approved by Branch Assembly for the progress, development and fulfillment of the
objectives of the Association.
Management Structure
FPAN has a functional structure and has five key divisions that oversee various
functions of the Organization. A brief overview for each of these divisions includes:
Program Division: This oversees all key programs in the area of reproductive and
sexual health care services provided by the Organization. Each section within the
same is responsible for specific areas under HIV, Abortion, Access to sexual
awareness services, adolescent and youth programs
Advocacy, Resource Mobilization and Communication: This oversees the aspect
of liaison with local government and agencies, ensuring availability of resources at
the required locations and managing external communications of the organization
Central Assembly
Central Committee
Branch Assembly
Branch committee

9. 3
OD & HRD: This division oversees the overall Human Resources and Administration
section of the Organization including all aspects of employee lifecycle i.e recruitment,
training, appraisal etc. This also includes the Administration section
Organization Learning and Evaluation: This division ensures regular and
continuous tracking of progress on various programs being run by the Organization.
Finance Division: This includes the Finance and accounts division which oversees
cash, operating expenses and other payments for the firm.
FPAN Vision: All Nepalese people are free to make choices about their sexuality and
wellbeing without any discrimination.
Mission: champion a volunteer movement for increased provision of SRHR to all
especially to those most at risk, marginalized and under served.
Goal: ensure universal access to comprehensive sexual and reproductive health for all
Strategies
Outcome 1: Nepal government respect protects and fulfills sexual and reproductive
rights and gender equality.
Outcome 2: 5.8 million people to act freely on their sexual and reproductive health
and rights
Outcome 3: 17.2 million quality integrated sexual and reproductive health service
delivered
Outcome 4: FPAN is a high performing accountable and united association with its
37 branches and central office.
Safe abortion service is provided by family planning association of Nepal. It can be
conducted through registered health personnel through registered organization under
the informed consent of pregnant women.
Young sexual and reproductive health right
 The right to take decision by yourself
 The right to be involved
 The right to know
 The right to protect yourself and be protected
 The right to have health care

10. 4
Reproductive Health right for all
 Sexual and reproductive health right will be made national first priority
 Health service equity
 Reduce gender discrimination
 Approve sexual and reproductive health right as a human right
 Youth participation in national rules and regulation formulation
 Combined HIV aids service with reproductive health service
 Reduce unmet need of family planning
 Provide reproductive health education to all
 Reduce maternal mortality due to unsafe abortion by 75% from current level.
 Resource generation in Nepal government to facilitate all these sexual and
reproductive health rights.
Working district of FPAN
Baglung, Baitadi, Banke, Bara, Bardia, Bhaktapur, bhojpur, chitwan, dailekh, dang,
Dhankuta, Dhanusa, Doti, Ilam, Jhapa, Kailali, Kanchanpur, Kapilbasthu, Kaski,
Kathmandu, Kavre, Lalitpur, Mahotarri, Makawanpur, Morang, Nawalparasi, Palpa,
Pachthar, Rasuwa, Rupandehi, Saptari, Sarlahi, Sunsari, Surkhet, Tanahun.
Objectives of internship/practicum
General objectives: to earn practical knowledge about the systems, services and
managerial aspects of FPAN, Kaski through direct participation and/or observation in
the different sections of the organization as an intern.
Specific Objectives
 To present an overview of FPAN Kaski
 To analyze critically the managerial aspects of FPAN Kaski through
POSDCoRB (Planning, Organizing, Staffing, Directing, Coordinating,
Reporting and Budgeting) approach.
 To analyze different programs running under FPAN Kaski and perform trend
analysis
 To conduct a Mini-action Project on prioritized problem

11. 5
CHAPTER II- METHODOLOGY
Study Design: Cross-sectional descriptive
Study Area: FPAN, Kaski Branch, Upakar Marg, PNP-12.
Study Duration: Three weeks (17th December – 6th January, 2018).
Study Tools and Techniques
Tool Respondent Technique
Unstructured interview
guidelines
Branch Manager and staffs of
FPAN
Kaski Structural and semi
structural interview
Observation Checklist Store, waste management,
sanitation, building space,
infrastructure
Observation
Record review format Records and reports, Annual
report
Record review
Data collection
Data trend of various indicators obtained from - Past three years annual reports of
FPAN, Kaski and National Annual Report (FY 2070/71– FY 2072/73) Four years
AGM reports (2013 – 2016).
Data entry and analysis
Data entry and analysis were done via MS- Excel 2013 version. ◦ Data were analyzed
by preparing tables, charts and line graphs.
Ethical Consideration
Verbal informed consent were taken from FPAN before practicum has started
The official letter was submitted from the university to FPAN Kaski.
Assurance of the confidentiality on sensitive issues with FPAN was done.

12. 6
CHAPTER III- RESULTS AND DISCUSSION
Managerial Aspects of FPAN, KASKI
1. Planning
2. Organization and Staffing
Circulation of guideline by program division to all branches
Preparation of Annual plan by all FPAN branches
Submission of Annual Plan by all branches to program division
Completion of budgetary exercise by finance division
Submission of Annual plan to IPPF SARO for comments
Submission of Annual Plan by DG to CEC
Final approval of Annual plan by CEC
Community
Clinic
General Council
Branch Executive Committee
Senior Branch Manager
Sub-Committee, Youth
Committee
Account Officer- 1 Senior Medical Officer-1
Branch Clinic Delivery center
Staff Nurse- 2
Lab Technician-1
SANM/SAHW-2
Clinical Helper-1
Cleaner-1
Community
clinic Baglung
Staff Nurse/HA-2
CC-11
Peer Educator-1
Outreach Worker-1
Staff Nurse/HA-1
SAHW-1
Office Assistant-1
CC-2
Staff Nurse-2
Office Assistant-1
CC-2
Office Assistant-1
Watchman-1
Wa

13. 7
3. Directing
i. Leadership
Leadership style is participatory within branch level and autocratic by the
central level to branch level. Branch office follow the rules , regulation and
guideline provided from central office.
ii. Communication
Vertical: Central office- Branch office
Horizontal Communication: DPHO, Gos, NGOs, INGOs working related
to family planning
iii. Motivation
All motivational training, incentives and rewards and promotion were
provided from the central office.
iv. Deligation of Authority
Branch Manager deligates authority and responsibilities to the sub-
ordination in his absence at office.
v. Decision Making
Decision making system of FPAN is from head office to branches.
4. Co-ordination
Vertical Co-ordination: Head office to branch office
Horizontal coordination: DPHO, other NGOS working on HIV/Aids, safe
motherhood and family planning.
5. Recording and Reporting System
RHI-Register-Register
(Socio-demography of clients)
RH 2, 3
Contraceptives
RH 4
Abortion
RH
Counselling, service
CMIS- Clinical Management Information System
(Data Entry, Cabinet Management
DHIS- District Health information System
(Reporting)

14. 8
6. Budgeting
7. Supervision, Monitoring and Evaluation
 Supervision and monitoring is done by the representatives from central
office regularly at interval determined by the central office.
 Evaluation of the programs and projects are well discussed in the
Annual General Meeting.
 Statutory financial audit is conducted by an independent auditor
 Internal Audit is conducted by in-house internal audit section or
outsourced to external audit firms
 Program Audit is done as per the requirements of Donor agencies.
8. Logistic System
 FPAN, Kaski was primarily dependent on the central office for
necessary logistics and infrastructures like furniture, computer, etc.
 It has Medicine Running Fund for purchasing medicines which were
locally purchased and sold to consumers adding 5% to purchase cost.
 FPAN, Kaski also had Clinic Running Fund (CRF) which financially
supported logistics for Integrated SRH Service Delivery Project. The
fund is raised from the clinical services income.
Program Division
Branch Office
Program Division
Planning guideline is circulated to the branch offices.
Estimation per unit cost is done for all the planned
activities by branch office and incorporated in annual
budge, Feedback and comments are incorporated
Budget is reviewed and discussed at central office
Approval of
Director General
IPPF SARO
Central committee
and central
Assembly
After the DG approval, the budget draft is sent to IPPF
SARO for their comments and approval.
After IPPF SARO approval, annual budget is presented
by Director General to central committee and central
Assembly for approval.
The approved budget is circulated to the central office, Branch office and project
office for the implementation

15. 9
Total service sites of FPAN
Districts Coverage 37 Community health clinic 56
Total wards of municipalities 350 Birthing Center 5
Total Volunteers 10,000 YIC 88
Professional Staff 486 SIC 53
Community Workers 1,000 Youth MPRC 7
Trained AY PE 5,000 Affiliated CBO 178
Total service delivery point 1,232 Hotline SRH Family Planning 1
Family Health Clinic 22
Service provided through FPAN
1. Safe abortion service
2. Pregnancy test
3. Male vasectomy
4. IUCD, implant serve
5. Other family planning services
6. Treatment and cure of sexually transmitted disease
7. HIV aids testing service
8. Gynecology and other health service
9. Counseling to youth
10. Lab service
11. Immunization service
12. Threatened incomplete abortion
Major achievements and Outcomes of FPAN
• Legalization of safe abortion which contributed reduction in MMR
(415/100,000 in 2000 and 239 in 2016)
• Inclusion of comprehensive sexuality education in school curriculum

16. 10
• Endorsement of Domestic Violence Control Act which was endorsed by
parliament in 2009
• Increment in allocation of national budget in family planning (by 22% in
2074/75 )
• FPAN operates eight training centers (28% contribution)
• Provision of Medical Abortion Service in 25 community clinics.
• Contribute 15%-20% in national reproductive health programs
• Cervical cancer screening test by VIA method
• Roll out of DHIS2 in all service delivery points
• Starting Integrated Management Information System
Trends of service achievements in 2017
Services 2016 2017 Effect (
Increase/Decr
ease in
number)
Effect
(Increase/D
ecrease in
%)
SRH- contraceptive
services
12,58,100 13,04,681 46,581 3.7%
Safe abortion service 60,926 61,741 815 1.34%
Hiv/Aids services 3,15,941 293127 -22,814 -7.22%
STI/RTI services 3,87,115 451,515 64,400 16.64%
Gynecological Services 4,91,482 4,77,002 -14,480 -2.95%
Obstetric services 4,30,102 4,12,789 -17,313 -4.03%
Pediatric services 1,45,380 1,88,094 42,714 29.38%
Specialized SRH services 86,762 99,661 12,899 14.87%
Sub fertility services 17,087 28,963 11,876 69.50%
Urology service 70,609 83,902 13,293 18.83%
Others SRH services 6,990 134,156 127,166 1,819.26%

17. 11
Total SRH non
contraceptive Services
2012394 2230950 218556 10.86%
Total SRH Services 32,70,494 35,35,631 2,65,137 8.11%
Total sexual and Reproductive service trends in five year.
Contraceptives service five year trends
SRH Service Achievements by Branches from Jan- sept, 2018
321824
152966
145260
145038
136702
134974
130441
120520
118362
117792
101398
101006
98388
89278
87430
86434
74894
73412
69453
67704
65976
34222
31085
30782
29649
29024
27302
24220
7342
5275
5047
4043
3475
0
50000
100000
150000
200000
250000
300000
350000
Dhanusha
Sunsari
Dang
Rupandehi
Palpa
Sarlahi
Jhapa
Kanchanpur
Bardiya
Kailali
Valley
Nawalparasi
Mahottari
Kaski
Makawanpur
Banke
Saptari
Morang
Kavre
Surkhet
Chitwan
Baitadi
Dhankuta
Kapilbastu
Doti
Dailekh
Illam
HeadOffice
Bara
Pantchthar
Baglung
Bhojpur
Rasua
Branch Performance on SRH service

18. 12
Achievement of Total Couple Year of Protection and SRH Services by Branch
(Jan - Sept, 2018)
FPAN Sources of fund for 2018
Source of Income Amount (NPR)
Core Grant from IPPF 142,450,185
IPPF Restrict Projects
GCACI IV Phase 43,160,812
GGR Emergency Fund 29,557,846
Packard Project 5,649,398
Nepal Humanitarian (SPRINT-3) 3,246,550
Total- IPPF Restricted Income 81,614,606
Donors' Support 18,759,267
UNFPA- CSE 3,897,716
UNFPA-Capacity Building 14,861,551
Finland/Vaestoliitto Support -
0
50000
100000
150000
200000
250000
300000
350000 331401
157834
152817
151229
151020
147919
139881
132450
122328
122234
114693
105840
102595
93899
91815
89379
78418
76568
74442
71529
69361
35560
33426
32906
31968
30455
29165
27792
16587
8612
6428
5125
5108
CYP and SRH Services by Branch (2017)

19. 13
Internal Income 30,195,578
Overhead of 2018 6,137,507
Rental Income 706,530
Bank Interest 3,103,587
Internal (clinic running fund) 20,247,955
Commodity support 76,395,157
Commodity grant (UNFPA) 54,700,000
Commodity support (MoHP) 21,695,157
Total 349,414,792
Abortion service coverage of FPAN, Kaski (2017-18)
Description 2017 2018
MVA (CAC) 312 351
AB Induced Medical abortion 515 487
Incomplete Ab- Medical abortion 21 26
Post Abortion Care-follow-up 569 582
Total Contraceptive Services users/Client from Kaski Branch
Description 2015 2017 2018
Pills- initial consult 2413 626 519
Depo-Initial consult 1058 864 378
Implant initial consultation 465 392 113
M Condom- initial C 3409 261 154
IUCD insertion ( copper T 380-A) 186 132 159
EC 150 13 7
Total Hiv/Aids and STI Services from Kaski Branch

20. 14
Description 2017 2018
Hiv C-Care/support 87 13
STI Treatment 333 674
Gynecological Services
Description 2017 2018
Gyne Manual Pelvic Exam 1551 2275
Gyne Manual Breast Exam 8 152
Gyne Consultation 1656 2448
Gyne therapy for menstruation regulation 3 314
ANC check up 156 125
Infertility checkup 37 41
Lab Diagnosis
2015 2016 2017 2018
Pregnancy test 1333 1523 1728 1959
Hemoglobin 29 20 13
VDRL 32 22 19
Semen test 10 34 20
Urine R/E 71 81 92
Hemoglobin total count 4 2 5
Stool RE 200 11 3
Counseling and Health education
Description 2017 2018
FP counseling 1490 1970
Emergency contraceptives counseling 1181 1065

21. 15
HIV( VCT) counseling 94 136
STI Counseling-pre test 333 597
STI Counseling-follow up 297
STI Counseling-post test 333 596
ANC counseling 153 124
Infertility /Sub fertility counseling 37 51
GBV counseling 19 5
Counseling on legal and technical aspects
of abortion
856
Pre abortion counseling 841 848
MCH Health education and Nutrition 931

22. 16
Critical analysis on some major service components
Abortion service coverage of FPAN, Kaski (2017-18)
Trends of FP Service
21
312
515
569
26
351
487
582
Incomplete Ab-
Medical abortion
MVA (CAC) AB Induced
Medical abortion
Post Abortion
Care-follow-up
2017
2018
0
2000
4000
2015 2017 2018
M Condom- initial
C
0
1000
2000
3000
2015 2017 2018
Pills- initial consult
0
500
1000
1500
2015 2017 2018
Depo-Initial consult
0
500
2015 2017 2018
Implant initial
consultation
0
100
200
2015 2017 2018
IUCD insertion (
copper T 380-A)

23. 17
FP service user between FPAN, kaski (2073/74) and Nepal
FPAN-kaski Nepal
Abortion service coverage between FPAN, Kaski (2017-18)
Total Hiv/Aids and STI Services
Gynecological services
Condom
11%
Pills
28%
Depo
38%
Implan
t
17%
IUCD
6%
MVA
38%
MA
62%
Abortion in FPAN,kaski
MVA
38%
MA
62%
Abortion in FPAN,kaski
2017 2018
87 13
333
674
Hiv C-Care/support
STI Treatment
0
500
1000
1500
2000
2500
3000
2017
2018

24. 18
Lab diagnosis
0
500
1000
1500
2000
2500
2015 2016 2017 2018
Pregnancy test
0
50
100
150
200
250
2015
2016
2018

25. 19
Mini Action Project
MAP was conducted to assess the quality of care in FPAN kaski, to improve the
Family planning service. Quantitative questionnaire related to the satisfaction of
services were asked to the clients of FPAN, Kaski. The interview was about 10-15
min long. Informed consent was taken prior to interview.
Rationale
Good quality of care in family planning (FP) services help individuals and couples to
meet their reproductive health needs safely and effectively. Therefore, assessment and
improvement of the quality of family planning services could enhance family
planning services utilization.
Objectives
General Objectives
To assess quality family planning service to help individuals and couples to meet their
reproductive health need safely and effectively.
Specific objectives
 To assess the quality gap of family planning service
 To assess the satisfaction of client in Family Planning service of FPAN, Kaski.
Plan of Action
Activities Date
Prioritization of Problem 27th dec, 2018
Discussion with FPAN staffs 28th dec, 2018
Finalization the subject for MAP 28th dec, 2018
Planning of MAP, preparation of
questionnaire
29th dec, 2018
Implementation 30th dec, 2018
Evaluation 31st dec, 2018
Date, Venue and Time
Date: 30th December 2018

26. 20
Venue: FPAN Kaski, office
Time: 2-4 PM/ one week
Methodology
Method: Face to face interview
Material: pen, paper, laptop, photocopy.
Results
There was an availability of required medical equipment, trained staffs, and
information education and communication materials (IEC) as per client flows in
FPAN, Kaski. The mean waiting time at the service delivery points and consultation
duration were 10-15 minutes, respectively. The providers used at least one
information education and communication material in all of the consultation sessions.
Evaluation
There is active participation of clients during interview session. Positive feedback
from all the participants and health personnel were taken during Micro Action Project
Period. FPAN clients provide appropriate time for interview without any hesitation.
Quality of Service and Satisfaction of clients from family Planning association of
Nepal, Kaski branch was satisfactory during conduction of Mini Action Project.

27. 21
CHAPTER IV- CONCLUSION AND RECOMMENDATION
Conclusion
All staffs of FPAN, kaski branch were motivated and dedicated to their role and
responsibility. Reporting and recording system is good and they send monthly report
to the head office and DPHO kaski. There is appreciative coordination with FPAN
central office and DPHO kaski. .Good aspect of the FPAN Kaski was to extend the
outreach camps in remote parts for example there is well conduction of Family
planning clinics in remote area of Kaski, Tanahun and other nearer districts.
Supervision monitoring was found to be good. Monthly monitoring has been done
mainly at lekhnath, Baumara, Purkot FPAN offices .Different activities were
conducted in the district like training, workshop, orientation review meeting, public
awareness activities etc. Peer education from Peer educator, Sexual and reproductive
health education to the HIV and STI clients from FPAN offices etc. Furthermore,
FPAN is a organization which is functioned by charity fund and community program
were organized by volunteers. And another important things is it only take charges for
MA, MVA & for medicine by providing 30% discount in each item otherwise all
services from FPAN is free. However, there seems a lack of coordination among other
organizations working for family planning services.
Recommendations
 FPAN, Kaski needs dynamic leadership and efficient and tactful management.
 To reach towards its strategic mission and goals, FPAN, Kaski needs to make
its structure and programs more efficient, people-centred, dynamic and
trustworthy.
 It should be committed to organize capacity building programs for its
volunteers to enhance their skills and knowledge.
 FPAN, Kaski needs to give more focus on transparency, dynamism and
volunteerism.

28. 22
BIBLIOGRAPHY
FPAN/kaski annual general report report (2015)
FPAN/kaski annual general report report (2016)
FPAN/kaski annual general report report (2017)
FPAN/kaski annual general report report (2018)
FPAN (DG) AGM presentation Dec, 2018.
MOH/DOHS (2073/74) Annual report, Department of Health service.

29. ANNEXURE
Letter from FPAN, Kaski Branch
Interviewing/counseling with clients participating at AGM

30. Interview questionnaire