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Commitment Maker Type

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Country/Organizatons

Nepal - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2015: The government of Nepal pledges to broaden the range of modern contraceptives available and improve method mix at different levels of the health care system. Nepal commits to engage in a range of communications and media activities to raise awareness of family planning among populations with a high unmet need for modern contraception, focusing particularly on adolescents and young people. Nepal will expand service delivery points to increase access to quality family planning information and services and facilitate family planning by strengthening delivery networks. The government pledges to support mobilizing resources from other, non-health sectors. Nepal commits to strengthening the evidence base for effective program implementation through research and innovation.

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Nepal - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2015: The government of Nepal commits to raise and invest the financial resources required to meet its policy and programmatic commitments. In particular, it pledges to increase funding for family planning programs by at least 7 percent annually from 2015 to 2020 and engage with external development partners to raise additional resources. In addition, Nepal pledges to strengthen the enabling environment for family planning by engaging in advocacy to mobilize resources from non-health sectors.

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Nepal - Policy & Political

DateJuly 11, 2017

2017 Update: Read the commitment here

2015: Nepal pledges to reposition family planning to foster sustainable social and economic development and to execute the Costed Implementation Plan on FP (2015-2020) within the Nepal Health Sector Program III (2015-2020). Nepal commits to identify barriers to accessing family planning services faced by individuals and couples, including adolescents and youth, those living in rural areas, migrants and other vulnerable or marginalized groups. The government also pledges to formulate policies and strategies to address these barriers. Furthermore, Nepal commits to improving the regulatory framework to promote public-private partnerships.

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IRC - Program & Service Delivery

DateJuly 11, 2017

The International Rescue Committee commits to implementing programmes that enable women and girls to take control of their lives, from the earliest stages of humanitarian crisis through recovery. The IRC will employ strategies that build knowledge around reproductive options and service availability and increase access to high quality contraceptive services and decision-making power through creation of enabling environments that address cultural, social and economic barriers that prevent women and girls from making informed decisions about their fertility and reproductive health. From October 2015 to September of 2016, the IRC provided a total of 270,181 Couple Years of Protection (CYP) in 21 countries, with 82% contraception attributed to long-acting and permanent methods. The IRC commits to 25% increase on CYPs annually each year until 2020. The IRC will invest in strengthening local and national health systems to ensure sustainability of contraceptive services and provider skills. The IRC commits to increasing global, national, and local advocacy for better preparedness to respond to humanitarian emergencies with critical sexual and reproductive health services, including family planning. Finally, the IRC is also committed to elevating the profile of family planning within broader global sexual and reproductive health and rights policy frameworks and initiatives, such as the Sustainable Development Goals and the World Humanitarian Summit.

PATH - Program & Service Delivery

DateJuly 11, 2017

PATH seeks to improve the agency of women and girls to exercise their rights and make informed choices about their sexual and reproductive health. One way we further this goal is by developing, introducing, and scaling up high-quality, woman-centered, innovative contraceptive methods, especially in places with high unmet need.   

In support of FP2020, PATH commits to expand the contraceptive method mix in 8-12 countries by 2020. We will collaborate with country governments and implementing partners to accelerate introduction and scale-up of new contraceptives as part of a broad method mix; to strengthen health systems and improve contraceptive access and choice through a range of service delivery channels that are convenient for women and girls—including community-based distribution, private retail outlets, and self-initiated options; and to help build enabling environments and sustainable markets for family planning products.

PATH also commits to improve information-sharing, exchange of experience and lessons learned, and identification of best practices on contraceptive introduction and scale-up by 2020. Specifically, we will establish a dedicated global platform to convene partners with expertise and interest in country-level introduction and scale-up of new reproductive health technologies, and facilitate the documentation and dissemination of relevant data, resources, and learning.    

PATH’s commitment will focus on 8-12 FP2020 countries and involve collaboration with partners in those countries. This commitment will involve a dynamic list of countries over the three years; illustrative examples of countries, contingent on their interest and other factors, include Burkina Faso, Myanmar, Senegal, Uganda, and Zambia.

South Sudan - Policy & Political

DateJuly 11, 2017

The Government of South Sudan commits to remove institutional and social-cultural barriers to sexual and reproductive health for all, and sensitise its population to improve universal access to rights-based, comprehensive family planning services by 2020. In particular, the Government of South Sudan commits to the following: to improve availability and access to family planning information and services through provision of rights-based integrated sexual and reproductive health services; to increase modern contraceptive prevalence rate among married women from 5% (2016 FPET estimate) to 10% by 2020; and to reduce maternal mortality ration by 10% by 2020.

 

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Kenya - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Please see financial commitment update for program and service delivery commitments. 

2012: Kenya plans to scale up their voucher system, which provides reproductive services, including family planning, in five rural and urban districts in Kenya. The Kenyan Government has already established over 70 Youth Empowerment Centers. The target is to have one in each constituency to provide a one-stop-shop for youth friendly information, including family planning. Kenya will strengthen the collaborative approach, including the participation of public, private, and civil society organizations, at national and devolved governance levels in line with the new constitutional dispensation. Kenya also commits to review barriers to some contraceptive methods at community level health facilities, especially in remote locations, and to reform the Kenya Medical Supply Agency (KEMSA) to end stock outs and improve the supply chain for all medical commodities including family planning. Finally, Kenya has plans to restructure the National Council for Population and Development agency, and facilitate additional resources to re-launch the national family planning campaign.

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Kenya - Financial

DateJuly 11, 2017

2017 Update: The Government of Kenya commits to increase the portion of the national budget for family planning services, specifically through a budget line allocated to the family planning.  It is noted that contraceptives are not included in the National Health Insurance Fund (NHIF)-funded free maternity programme, for example. Inclusion of contraceptives in the existing health insurance schemes will increase access to FP for insured individuals, bolstering equitable access to Family Planning. The government will ensure post-partum family planning services are included as part of its Free Maternity Policy—Linda Mama programme—in which the Government invest 3 billion ksh annually to ensure mothers access free care at the point of delivery.

Kenya will broaden access and choice, especially in poorer regions such as Northern Kenya, by strengthening public and private health providers and through increasing the availability of long-acting and permanent methods of family planning. The Government will also scale up its efforts to equip health providers with skills on provision of long-acting methods with close partnership with private sector providers.

The Government reaffirms its commitment to expand access to youth-friendly services for adolescents and young people—specifically by improving existing service provision channels for accurate information and services on a wide range of contraceptive methods that respond to the diverse needs of adolescents. The government will ensure all pregnant adolescents, including the poor and hard-to reach, have access to skilled care during pregnancy, delivery and postpartum. The government will also enhance effective referrals to relevant services for pregnant adolescents.

Kenya will work with the national supply agency (Kenya Medical Supplies Agency) to ensure family commodities are costed before distribution to counties. The government commits to increase demand for and access to family planning among those counties in the northern arid lands (NAL) with the lowest mCPR and highest unmet need and to improve contraceptive commodity security. This will be done with support from partners and through the NHIF .

The expected results are:

  • National Costed Implementation Plan (CIP) revised by June 2017 and launched in July, followed by county-level dissemination by October 2017
  • 47 counties will have costed implementation plans by 2020 and include specific goals and strategies for adolescents
  • Domestic financing for family planning commodities maintained at $7 million for the next two years and then double it thereafter; this will be tracked annually
  • Family planning fully implemented under the NHIF Linda Mama programme by end of 2018.
  • All 47 counties have a FP budget line by 2020
  • Health facilities offering youth-friendly services increased from 10% to 30% by 2020 and 50% by 2025.

Proportion of women with an unmet need or discontinue methods declines by 10% in 10 lowest mCPR counties each year.

2012: The Kenyan national government budget for family planning has increased from US $6 million in 2011 to US $8 million for 2012-2013. Budget allocation for family planning commodities has grown from US $2.5 million for 2005-2006 to US $6.6 million in for 2012-2013. This leaves Kenya an estimated funding gap of 60%. Kenya will continue to work closely with development partners to secure increased financing for family planning commodities and services. (DFID has a new family planning program of £31 million, 2013-2017).

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Kenya - Policy & Political

DateJuly 11, 2017

2017 Update:  The government of Kenya commits to strengthening partnership with the private sector (including the for-profit sector) through a total market approach (TMA) to optimize the use FP funding, differentiating population segments according to ability to pay and which market players are best placed to effectively reach the different population groups with the most appropriate services and products. The Government wants to explore an all-sector strategy, using the total market approach that splits service delivery between the public and private sectors and a robust plan to improve market conditions and to support the implementation of the selected approaches. A Palladium-led, DFID-funded project Enabling Sustainable Health Equity for Family Planning (ESHE) carried out a diagnostic study of Kenya’s FP market and has recently concluded a study on Kenya’s FP supply chain. Willingness-to-pay studies, total market approach (TMA) cost-benefit analyses, and scenario planning are also being conducted by the end of 2017.  These studies will inform efforts to segment and improve efficiencies in FP service delivery.  Most critically, the analyses will provide evidence on what is needed to implement a Total Market Approach for FP in Kenya. 

The indicators will be:

  • Revised reproductive health policy to enable a TMA by 2018.
  • Increased market share of the commercial sector products because of TMA approach by 2020.

2012: Kenya's Constitution states that "every person has the right to the highest attainable standard of health, which includes the right to health care services, including RH care." Sessional Paper No. 3 of 2012 on Population Policy for National Development requires all political parties competing to form a government after a general election to formulate their programs consistent with Kenya Vision 2030. This means that for Kenya's long term socio-economic development path, including family planning has been ring-fenced against future changes in the political landscape. The Sessional Paper contains clearly spelt out strategies for family planning demand, creation, and service delivery including roles and responsibilities of the multi-sector stakeholders.

In addition, Kenya will work to implement the Reproductive Health Policy and the National Gender and Development Policy. The Kenyan Government currently provides free contraceptives to all registered private health facilities. The Health Sector Services Fund will enhance participation of local communities, including the private sector, in managing the funds and prioritizing their health needs including family planning.

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Kenya - Objective

DateJuly 11, 2017

2017 Update: 

  • Increased modern contraceptive prevalence rate (mCPR) from 61% to 66% by the year 2030
  • Increase CPR for any contraceptive method. among adolescent women (15-19 years) from 40% to 50% by 2020 and to 55% by 2025.
  • Reduce teenage pregnancy among adolescent women 15-19 years from 18% to 12% by 2020 and 10% by 2025.

2012: In the Sessional Paper No. 3 of 2012 on Population Policy for National Development, the Government of Kenya committed to the goal of providing equitable and affordable quality reproductive health including family planning services information and supplies to its segments of the population who need them.

The target is to increase contraceptive prevalence rate from 46 percent in 2009 to 56 percent in 2015 and 70 percent in 2030.

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