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Commitment Maker Type

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Topic

Country/Organizatons

Togo - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2014:Togo commits to providing a grant for the purchase of contraceptive products (F 500,000, 000) and to seeking other mechanisms for financing family planning.

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Togo - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2014:The Government of Togo commits to increasing service coverage by taking into account private and associative structures offering family planning services, organizing family planning services for the benefit of isolated and marginalized groups, and improving the access of local populations to family planning methods through innovative strategies. It also commits to integrating adolescent-youth sexual and reproductive health services into the PMA (minimum package of services) of health structures and recruiting and training qualified personnel for offering quality services. The Government of Togo commits to strengthening data forecasting and management to optimize the supply chain and to promoting contraceptive product supply chain excellence.

Togo also pledges to evaluate community-based distribution of services, including injectables, by December 31, 2014, reinforce results-based mechanisms for coordination, monitoring, and evaluation, and strengthen communication around family planning, particularly for key target populations. The Government of Togo also pledges to promote family planning with advocacy tools (RAPID, religious RAPID) and to institutionalize the national campaign for family planning.

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Togo - Policy & Political

DateJuly 11, 2017

2017 Update: Read the commitment here

2014:Togo commits to disseminating the national plan for repositioning family planning by June 30, 2015. In particular, the Government of Togo pledges to develop and adopt the implementing texts of the reproductive health law by December 31, 2014 and to disseminate the reproductive health law and its implementing texts by June 30, 2015.

The government also commits to developing a contractual arrangement strategy with the private sector for offering family planning services, and to scaling up best practices in reproductive health/family planning.

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Togo - Objective

DateJuly 11, 2017

2017 Update: Read the commitment here

2014:The Government of Togo commits to repositioning family planning with the key objectives of improving the access of local populations to family planning methods, optimizing the supply chain, strengthening communication around family planning and developing strategies with the private sector for offering and improving access to family planning services.

The objective is to increase the CPR from 13.2 percent in 2010 to 24.3 percent in 2017. 

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Malawi - Program & Service Delivery

DateJuly 11, 2017

2017 Update: The Government of Malawi specifically commits to addressing rapid population growth, high fertility rates, and low uptake of LARCs by:

  • Scaling up delivery of integrated adolescent and YFHS in public, private health facilities from 33% to 70%, with adequate services for SRHR with emphasis to increased method mix to adolescents and young people including internally displaced persons during humanitarian crisis.
  • Ensuring focal points in emergency cluster/teams for improved coordination
  • Procuring and strategically pre-positioning RH kits through numbers utilised by the Women of child bearing age.
  • Generating in-country evidence on cause and effect of Depo-Provera for women living with HIV as this may affect future programming and fertility.
  • Design a task shifting service delivery model with all short acting methods (promoting method mix) to reach out to more young people.
  • Mobilize resources to support SRHR outreach services for hard to reach adolescents through advocacy.

Increase the percentage of accredited YFHS facilities that meet at least the 5 minimum standards from 37% to 60% by 2020.

2012: Malawi will develop a comprehensive sexual and reproductive health program for young people starting FY 2013-14. The Malawi government plans to increase coverage of services through the expansion of public/private partnerships, starting FY2013-14. They also plan to increase community participation in family planning services through initiatives like the Traditional Chiefs Committee and to strengthen forecasting and data management for effective supply chain operation.

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Malawi - Financial

DateJuly 11, 2017

2017 Update: To address the challenge of having limited resources for full implementation of the Malawi’s CIP, the government commits to:

  • Mobilise financial and technical resources to fully ensure that adolescents and young people have universal access to voluntary and informed contraception for all those sexually active who need it with demand satisfied (15-49 years) from 75% (MHDS, 2015), with focus on addressing the bottlenecks to contraceptive use among youth, and other underserved population sub-groups. This will be done through intensive; quality and balanced counselling by the trained Family planning health providers. This means the clients will be counselled according to target group.
  • Lobby with NSO for disaggregated FP/DHS data by age (10-14, 15-19, 20-24 years) to track adolescent FP and SRH indicators for 2020.
  • Continue to lobby for increased funding on FP budget and services guided by the CIP funding gap analysis.
  • Promote FP public-private partnerships

2012: Malawi will create a family planning budget line in the main drugs budget by 2013-2014. Malawi commits to demonstrating accountability in utilization of available resources, and to increase financial allocation for health systems supporting family planning.

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Malawi - Policy & Political

DateJuly 11, 2017

2017: Malawi commits to ensure universal access to, and coverage of, sexual reproductive health and rights information and services with specific focus to all adolescent and young people through promoting wider method mix choice and LARCS with the goal of “no parenthood before adulthood,” and in the spirit of the SGDs “leaving no-one behind.” Specifically, the Ministry of Health will:

  • Implement the newly constituted WHO guidelines on youth contraceptives and align national policies/guidelines to allow increased access to Family planning commodities by 2030.
  • Execute fully the YFHS strategy as a guiding document to ensure multi-sectoral participation and accountability of stakeholders for improved access to SRH including contraceptives amongst sexually active young people 10-24 years.

Malawi is further committed to reducing teenage age pregnancies by 5% per annum until 2030 in line with HSSP II set targets (2017 -2021). This will be done through ending child and early forced marriages and ensuring that girls complete their secondary education to safeguard young people in anticipating better youth participation necessary for harnessing the Demographic Dividend. To address the relatively high rate of child marriages and expectations of the first child is high, the Ministry of Health commits to:

  • To work closely with line Ministries – e.g. Gender, Youth, Education; MPs, religious leaders, civil society, private sector, and the media to reinforce implementation of the Marriage, Divorce and Family Relations Act and the value of the girl child, the importance of keeping girls in school through public dialogue with traditional leaders, parents and other stakeholders to address the root causes of child, early and forced marriage in the hopes of ENDING child and early forced marriages by 2030.

 

To address inadequate integration of information on FP modern methods in CSE and public media, the government commits to:

  • Integrate information on modern contraceptive in CSE and lobby for CSE in both public and private primary, secondary school and all tertiary institutions including knowledge and attitude improvements, use of mass media; social media to reach-out more young people in workplaces and communities.
  • Harmonize the in-and out of school CSE curricula for standardised implementation by all stakeholders and certainty of standardized messaging going out to youth in all sectors.

 

To support meaningful participation of young people in coordination and implementation of SRH/FP/YFHS, the government commits to:

  • Strengthen capacity of SRH leaders from youth clubs, and youth- led organisations to participate in planning implementation and coordination of YFHS services from 100 to 200 youth leaders.
  • Advocate with young people, guardians, teachers, and communities to develop positive attitude towards YFHS.

2012: Malawi will attempt to raise the legal age for marriage to 18 by 2014 and strengthen policy leadership by elevating the Reproductive Health Unit to a full Directorate. Malawi also committed to approving the National Population Policy by Dec. 31, 2012.

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EngenderHealth - Program & Service Delivery

DateJuly 11, 2017

2017 Update: EngenderHealth seeks to build upon its prior commitment with a renewed focus on service delivery, youth, policy and advocacy, training, and contraceptive security to empower women and girls as rights holders and to hold governments and providers accountable as duty bearers.

We commit to reaching 13 million women and girls with comprehensive, rights-based contraceptive counselling in 13 FP2020 countries over the next three years, and of those counselled, to reaching 11.7 million women and girls with contraceptive methods of their choice. We will undertake this work with a goal that by 2020 at least 15% of women and girls reached at EngenderHealth-supported sites will be under the age of 20.

We will work with governments to effect policy changes that increase access to a full range of contraceptive methods, especially for unmarried youth. We will collaborate with partners and health ministries to strengthen the availability, use, and reporting of quality performance monitoring data, with an emphasis on improving data disaggregated by age, sex, and marital status.

We will expand our training efforts by 25%, to train approximately 5,000 providers to deliver quality contraceptive services.  We will work to improve contraceptive security by reducing reported stock-outs. We will also work to strengthen the use of data for decision making to improve contraceptive security and to expand access to post-abortion contraception.

2012: By expanding access to, strengthening demand for, and improving the quality of family planning services, EngenderHealth seeks to broaden voluntary use of contraception and increase informed decision making about family planning.

EngenderHealth will, in partnership with donors, program approximately $40 million in Western and Central Africa by 2020 to expand women’s access to and use of family planning services. Program activities will focus on Burkina Faso, Cote d’Ivoire, Guinea, Mauritania, Niger, Togo, Niger, and Nigeria as well as the Democratic Republic of the Congo.

In order to assist governments and other implementing partners in fulfilling their FP2020 commitments, EngenderHealth pledges to develop and apply with partners a framework that will guide the provision of family planning services, ensuring that they respect, protect, and fulfill individuals’ human rights. This framework, and accompanying tools, are envisioned to play a practical and instrumental role in ensuring that all family planning services are grounded in human rights.

In the United States, EngenderHealth commits to reaching at least 500,000 U.S. women through a dynamic communications and advocacy campaign that will inspire action in support of women in developing countries who want, but do not have, access to contraception and safe childbirth.

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Pakistan - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment summary here

2012: Pakistan will engage with provinces to implement the Minister's directive to provide birth spacing services in health facilities at all levels. Contraceptive services will be included in the essential service package of two provinces in 2012, with the others following in 2013.

Pakistan commits to making FP a priority for over 100,000 LHWs, who cover 70% of rural areas. They will strengthen LHW quality of care by regularizing their employment status, providing training, and reinforcing referral links between LHWs, community midwives, and nearby facilities. Pakistan will strengthen supply chain management, training and communication campaigns. A modern state of the art storage tracking system at the Central Contraceptive Warehouse in Karachi has been installed.

Pakistan is working to scale up access through public-private partnerships and contracting-out mechanisms, and to scale up work with religious and community leaders and men to promote the benefits of birth spacing. There will also be efforts to increase the focus on men in communications messages, mobilization activities, and services (through the increased availability of vasectomy services and condom distribution).

The provinces are planning other initiatives, such as:

  • Strengthening procurement and logistic systems for timely, regular and uninterrupted availability of contraceptives at all public service delivery points;
  • Improving the technical and communication skills of service providers for better service quality; and
  • Placing greater emphasis on communication for generating more demand, raising awareness, and changing behavior.
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Pakistan - Financial

DateJuly 11, 2017

2017 Update: Read the commitment summary here

2012: Annual public spending for family planning services for 2011-2012 was US $151 million. Pakistan will increase this to $197.7 million in 2012-2013, with further increases annually to ensure universal access by 2020.

The private sector share is $40.8 million. Greenstar Social Marketing, Family Planning Association Pakistan, and Marie Stopes International provide the main share of private sector family planning services.

2011-2012 spending on family planning was $1.21 per capita (public sector share: $0.84; private sector share: $0.37). In 2012-2013, the public sector share will increase to $1.07 per capital (total: $1.55 per capita). The goal is to reach $2.50 per capita by 2020.

Contraceptive requirements for both Government and Greenstar social marketing are covered by USAID until 2014. Subsequently, the government will need to import approximately $13 million worth of contraceptives yearly. This number will increase to $35 million annually by 2020, as we reach CPR 55 percent. The 2013-2020 resource gap for contraceptive commodities is $186 million.

The provinces are currently developing medium term budgetary frameworks, aligned with health sector strategy, to ensure financing of programs including family planning. The next step is to have a specified line item for family planning in their health budgets. Provinces will raise additional resources to increase access to quality services by training staff in client centered services and ensuring the availability of contraceptive supplies.

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