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Commitment Maker Type

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Country/Organizatons

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 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 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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Pakistan - Policy & Political

DateJuly 11, 2017

2017 Update: Read the commitment here

2012: Pakistan commits to strengthening the National Task Force/National Population Commission on Population and Development to achieve policy consensus and program improvement for FP across provinces. The Task Force/Commission will also coordinate with the provinces to agree on specific service delivery targets that could be monitored periodically. Federal financing will be aligned with the achievement of these targets.

Post 18th Amendment provinces and Special Areas governments will develop health sector strategies for 2012-2020 containing interventions for promotion of FP, and will also regularly monitor the CPR. The National Population Policy 2010 will act as an umbrella as provinces develop their own population policies, prioritizing the centrality of population within their health and development plans.

In addition, cross party support for population issues will be ensured by the Parliamentary Group on Population and Development, to influence political party agendas before the next elections.

The MDG Parliamentary committee is currently ensuring accurate monitoring of MDG targets through independent data collected by Pakistan Bureau of Statistics.

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Pakistan - Objective

DateJuly 11, 2017

2017 Update: Read the commitment summary here

2012: Pakistan plans to achieve universal access to RH by 2020, and to raise CPR to 55% by 2020.

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Norway - Financial

DateJuly 11, 2017

2017 Update: To safeguard UNFPA’s global normative function and operations, Norway will increase its core contribution to UNFPA by 25 percent, up to 500 mill NOK (today approx. 60 million USD) per year. To expand access to quality reproductive commodities for women in the poorest countries, we will provide an additional 50 mill NOK (today approx. 19 mill USD) in direct support to UNFPA Supplies including the new bridging mechanism. Building on our “She Decides” pledge in February, we will in total support civil society organizations engaged in SRHR and safe abortion with approximately 409 mill NOK (today approx. 50 million USD) up to 2020. Young people are key to our common future. Together with UNFPA and other partners, Norway will take an international initiative to expand comprehensive sexuality education to protect the health and well-being of adolescents, and enable them to make good life choices. On top of our large investments in girls’ education and global health, we will increase our investments for SRHR by approximately 700 mill NOK (today approx. 85 million USD) in 2017-2020. Only this way can girls thrive, complete secondary school, get a job, and on equal terms become a full part of society.

2012: Norway commits to doubling its investment from US $25 million to US $50 million over eight years. 

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Nigeria - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment summary here

2014:Nigeria commits to train at least 3,700 community health workers (CHWs) to deliver the range of contraceptives, particularly long-acting and reversible methods (LARMs) and support task shifting so CHWs in rural areas can provide multiple methods.

Nigeria plans to focus on education, especially education of girls, and build on the impact of market interventions. The Nigerian Government will improve the supply of contraceptives in the country through stimulating the private sector; lowering the price of contraceptives through removal of import duties and other regulatory barriers; and strengthening the in-country logistics system that ensures commodity availability at the facility level. On the demand side, Nigeria will increase awareness and demand for family planning services.

Finally, Nigeria will use social marketing to mitigate socio-cultural barriers such as preference for large families, religious restrictions, and women's lack of decision-making power. 

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Nigeria - Financial

DateJuly 11, 2017

2017 Update: Read the commitment summary here

2014:Nigeria commits to provide an additional US $8.35 million annually (current US $3 million) over the next four years (2016) for the procurement of reproductive health commodities. This is an increase of $33.4 million over the next four years, or 300%.

Nigeria will work with the state and local governments to secure complementary budgets for family planning and reproductive health service delivery. Nigeria also plans to realize the health financing goals laid out under the National Strategic Health Development Plan, the institutionalization of the support for primary health services provided by the SURE Program, and meet or exceed the Abuja Declaration health financing commitments.

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