Work package 3: Situational analysis

Overall objective

  • To provide crucial information on SRH services and on the needs and characteristics of our target populations to inform design of the interventions

Specific objectives

  • To build a detailed understanding of the current scope, quality, utilisation rate and cost of existing SRH services (for women in the general population and for FSW) offered by public sector facilities and other facilities in all study sites
  • To obtain information on the most urgent unmet SRH needs of women and assess the feasibility of introducing new interventions to improve these existing SRH services
  • To identify the geographical locations where sex work is negotiated or takes place, provide estimates of the numbers of FSW in these locations, and gather data on operational characteristics and SRH needs of female sex worker populations in the study sites
  • To oversee the planning, design and implementation of data collection activities for the situation analysis and mapping of SW populations in all study sites


This WP formed part of the formative stages of the project and aimed to provide crucial information needed for the design of the interventions. Activities here clustered into two segments, running concurrently. The first entailed a rapid situation analysis of SRH services currently offered at public sector facilities in each study site. This included examining the quality and coverage of these services, and assessing the nature and extent of existing community participation in SRH, and the most urgent unmet SRH needs of women in the general population. The situation analysis was context specific, using standardized tools adapted for each setting. A descriptive and analytic approach was used, drawing on quantitative and qualitative data from the following sources: country-level SRH reports; national guidelines on SRH; financial and HR reports of the health facilities at the study sites; inventories of SRH equipment, supplies and service statistics at selected facilities; structured interviews with providers; exit interviews with women accessing these services; and data on community-based SRH initiatives in the study sites, gathered through interviews with key community informants from catchment areas (e.g. NGO workers, church leaders, welfare organisations, community representatives, etc). Activities in segment one also assisted in building relationships and support with key stakeholders.
The second segment comprised more targeted gathering of formative information on FSW. Focus group discussions (FGD) were held with FSW in the study sites to establish what their key unmet SRH needs are and how they currently interacted with public health services. In addition, a detailed exploration of baseline costs was integrated in the situational analysis as part of the cost analysis of WP8, and a capacity building needs assessment as part of WP5.