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Possible programmatic solutions include: rapid expansion in training of FWVs in provision of quality MR services; scaling up the provision of MRM services and expanding the range of facilities permitted to offer MRM; ensuring that accurate counseling regarding the use of MRM is provided at facilities; and ensuring that instructions on medication drug packages are accurate and understandable.
Recent positive developments regarding recruitment and training of FWVs are encouraging.
However, only about two-thirds of UH&FWCs--small public clinics staffed by FWVs, who are envisioned as the backbone of the MR program--provided MRs.
(34) FWVs' encouraging women who have already had an MR to talk about their experience with others is another potentially effective strategy.
Indeed, the finding that one-third of rural-based UH&FWCs were not even providing the service in 2010 is potentially troubling, given the program's emphasis on their staff (FWVs) as essential MR providers.
For most UH&FWCs, one family welfare visitor was interviewed and asked to estimate the number of MR procedures performed by all FWVs and paramedics working at that facility, as well as the number that these personnel performed outside the facility (typically at their home or clients' homes).
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