On Day 6, we also went to
the Family Planning Association (FPA) which was invariably referred to as "Fulfilling People’s Aspirations" as well. We learned from the president that
they have 42 centers in the 17 states of India! They started in 1952 and have
since been an advocacy and access family planning shop to assist women and
young girls get necessary sexual and reproductive health care. They use a “five
A” framework-Access, Adolescents, Abortion, (HIV)/AIDS, and Advocacy-to
make sure that they reach their organizational objectives. They even have a clinic
on wheels service that they use to educate and give away medical technologies
for hard to reach women that can't come to their clinic.
The president said that the Indian Constitution provides
a lot of things that support the equity of women but it doesn’t translate well in reality
as a lot of men AND women perpetuate archaic gender bias. I loved that this
organization prioritizes and incorporates gender equity as their guiding tool. It
shows how their mission is interwoven and is beyond lip service. He said even
in their hiring process, they dismantle the notion of hierarchies by asking at
the end of each day “what is one thing that happened well today and what could
I have done differently.” This simple question is brilliant because it
immediately shifts away from the blaming game among staff relations and everyone is on the same level of accountability. I don’t know
how far this carries but in terms of establishing an equal culture, I say they
are on to something!
I asked quite candidly how this organization is
sustainable given the conservative Indian politics of sexuality and taboos on
abortion. The president said plainly that their mission is to serve
women in need of their healthcare and not to talk to the media or incite
controversy. He said that protecting and respecting women is something that everyone can appreciate given India's value on motherhood/family. He said, “we don’t support abortion, we promote SAFE abortion!” I think
that this was a lesson that really resonated with me and will be something that I really
need to hone in on when thinking about my approach and advocacy strategies for
my “controversial” business plan. Their approach is obviously working well
because they have a myriad of stakeholders ranging from the government to sex
workers and religious leaders! He said through donations, the organization is
able to thrive and meet the needs of women at a meager administration fee of just 10
rupees (pennies in the U.S.) and that NO ONE gets turned away from their clinic because of pay requirements. Also, we learned that FPA goes into the community
to ask folks how much money they would pay for a particular service and what is reasonable subsidized pricing. Again, another brilliant
scheme to not only set prices according to the fluctuating economic climate but to also
connect and learn what their constituents need/want!
A really interesting
fact about this NGO is that their first meeting was in 1952 and that the brains
behind FPA was closely associated with Margaret Sanger (the founder of Planned
Parenthood Federation of America). As
you can imagine, their funding stream is just as complicated as in the U.S. as there
are restrictions and spending caps when it comes to abortion. Due to the FPA’s overlap with the International
Planned Parenthood (as well as the Helms Amendment I would imagine), their foreign
assistance aid is minimal. However, most of their money and direct fundraising tactics
are targeted at the average woman who doesn’t make a lot of money. Through small
donations, more than 60% of their funds come from this target population which in
my mind is quite empowering and affords FPA a lot of autonomy and
an ability to be transparent.
We were encouraged
and charged by the very prolific and dedicated president with these words:
“As long as you
are firm in your belief, as long as you are doing your best for women then no
one, no country can deny you. You will win your case. Just keep smiling and
keep going. He also said, “You may be single, but you can also be an army. You all
are armies!”
To prevent
maternal deaths; increase access to safe abortion, birth spacing, and
contraceptives; to make women utilize and reap the benefits of breastfeeding;
and to make gender equity a reality in India....what a SOLID investment in society. I believe FPA is an ambitious NGO
with measurable objectives, best practice approaches (peer leaders, street
theater in communities, government support, broad allies), and leadership
integrity.
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