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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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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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