Reproductive health component is composed of four outputs. These four outputs contribute to four UNDAF outcomes: (a) survival and development rights of vulnerable groups are ensured within an environmentally sustainable framework; (b) the most vulnerable groups have improved life conditions, skills, services and job opportunities; (c) human security is strengthened and vulnerability to social, economic and natural risks is reduced; and (d) increased ability of the country to understand and respond to the HIV epidemic. Strategies for achieving the outputs are explained below:

Output 1: Increased access to improved sexual and reproductive health information and services.

RH services are being strengthened in the existing MCWCs and selected UHC and Urban Clinics, and quality is being assured through continued support to improve capacity of service providers. RH services are being expanded through UHFWCs with provision of RC care and referral linkages. The union level SDPs/UHFWCs are also being strengthened to provide preventive and curative care. Training of SBAs is being expanded to all districts to provide care during delivery at home, and enhanced referral system. SBA training is also being institutionalised through Bangladesh Nursing Council (BNC) and with support from GOB/DGHS/DGFP. In addition, maternal morbidities like fistula and cervical cancer and breast cancer are being addressed. Special efforts are being undertaken in some pockets where concentration of poverty and destitution is heavy and focus is on two selected low-performing districts. Services in urban areas, especially for slum dwellers are being addressed through Urban Clinics (UC) operated by local government institutions and NGOs. The service providers in the selected SDPs are being trained on the provision of adolescent friendly services, RTI/STI case management, male services, and counselling and treatment of women affected by violence, trafficking etc. All relevant health institutions in the selected districts are being considered under capacity development initiatives. Necessary protocols and guidelines are being developed and the service centres are being linked with One-stop Crisis Centres and other legal institutions available in the pilot districts. Steps are being taken to strengthen procurement capacity of the GOB and contraceptive security is being maintained.

Output 2: Increased demand especially among poor and vulnerable for sexual and reproductive health services.

This output aims to enhance the RH/RR of women and adolescent girls by creating demand for appropriate information and services. Positive behavioural change and community mobilization are being fostered through Government, Private sector and Civil Society. Community based campaigns and advocacy are being strengthened and necessary BCC materials are being produced to support the community mobilisation. Advocacy activities remain as crosscutting issue and the focus is on SRH and Rights issues, adolescents' rights, HIV/AIDS and other RH issues and gender. This component will also focus on increasing male involvement in selected SDPs to increase men's responsibility for their own reproductive health as well as that of their partners. Special campaigns and advocacy on RH issues targeting poor are being organised in the two selected districts. The needs of the poor, particularly poor women, are given special attention through pilot programmes, e.g., voucher schemes. Evidence based advocacy for policy-makers, programme managers and other influentials which include religious leaders, parliamentarians, local level leaders, are being organised and materials and policy briefs are being prepared under population and development component.

Output 3: Sexual reproductive health needs and education of young people addressed.

This output is directed towards raising awareness and dissemination of RH information among adolescents and youth. Guidelines and protocols for youth friendly services developed during 6th CP are being utilised through SDPs both from Government and NGOs. Counselling for adolescents and youth is being introduced in the SDPs. Exclusive arrangement for girls are being ensured keeping in view the socio-cultural norms. The service providers are being adequately trained on guidelines and protocols. Life skills training and peer group approach are being introduced for the adolescents and youth for their personal development. Life skills are also being linked to livelihood activities of NGOs, Ministry of Youth through youth clubs and with other livelihood initiative through WFP, FAO etc. Community gatekeepers (parents, guardians, teachers, religious leaders etc.) are being involved in programmes to help support young people in making decisions about their RH. Boy scouts, girl guides, youth clubs are being involved in mobilizing the young people.

Output 4: Improved awareness and prevention about RTI/STI/HIV/AIDS among young people and high-risk groups.

HIV/AIDS prevention activities focusing young people are being implemented in two pilot districts and urban slums following the National Strategic Plan for HIV/AIDS. Mass campaign and advocacy are being organized to raise knowledge and awareness of young people on STI/HIV/AIDS. Awareness building among the youth is being ensured through edu-entertainment in youth clubs. Youth and other risk groups are bing given life skills education for responsible behaviour. (Through formal and non-formal education programmes SRH/HIV/AIDS issues among young people are also being addressed.) Government health institutions/SDPs and NGOs are being involved in the process of raising awareness as well as providing treatment for STIs among young people in a youth friendly and gender sensitive manner. Special emphasis is being given for addressing young girls as they are more vulnerable due to low socio-economic status, gender inequality and lack of negotiation skills. Dialogues and orientation meetings are being organized with media personnel, law enforcing agencies and other stakeholders for emphasizing on prevention of HIV/AIDS. Condom promotion is being given priority to prevent the spread of STI/HIV/AIDS among young people and high-risk groups and to prevent unwanted pregnancy.