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• This metric is also on track, with potential for MSI programmes to exceed MSI’s pledge.

• In 2014, MSI has been able to offer 915,000 women greater quality and choice in their choice of contraception than they had previously.

• MSI sustained the 10 million women using contraception, and reached in 2013 alone, an additional 934,000.

In July 2016, the Government of Nepal shared an update on progress in achieving its policy, financial and program and service delivery commitments to FP2020.

The government reports performing the following activities in support of its program and service delivery commitment:

• In an effort to implementing a monitoring system to strengthen quality of care, the government of Myanmar agreed to—during the discussion for nationwide Implant training—the Lead FP Working Committee agreed to use a post training assessment form and quality control checklist with technical support from JHPIEGO and PSI as part of monitoring effectiveness. An assessment study on implant removal will also be conducted by MOHS and JHPIEGO to highlight the quality of care in service provision.
• Myanmar is working continuously on strengthening its logistics management information system to ensure reproductive health commodity security. Since 2014, RH Commodity Logistic System was being implemented in 12 townships. In 2016, with technical support from JSI and financial support from UNFPA, 55 townships under Shan (South) and Mandalay regions are having the LMIS expanded. To cover all other State/ Region, The funding gap to cover all other states and regions still exists and is under the negotiation of the MOHS with 3MDG fund.
• Nationwide Implant Training will be provided to health care providers in public in 2016 through a public-private partnership approach. The Total Market Approach for FP is being conducted by PATH in collaboration with MOHS and UNFPA. Introduction of Sayana Press in Myanmar is still going on in collaboration with UNFPA and other private partners. UNFPA will be supplying 0.8 million doses of Sayana Press in 2016 and, with the MOH’s lead to get pre-registration waiver, Sayana Press initiation program begin in the second quarter of 2016. This will increase additional users of modern method of contraception.
• To improve the monitoring system of family planning, the capacity building of M&E officers was carried out with the support of the Track 20 team and Consensus Building Workshops were conducted since last year to get consensus among stakeholders and discuss data utilization, data monitoring, private sector involvement, and other monitoring issues.

• Aman Foundation, through the Sukh initiative is committed to share best practices and research to aid evidence based decision making. The intention is to share the best of time practices for family planning project scale ups and sustainability with potential users of the information. The Department of Community Health Sciences, Aga Khan University as a measurement partner for Sukh Initiative, is to provide an external and independent measurement of program impact through a cross sectional survey of a sample population within the 1 million intervention population in the form of a baseline and an endline. Program impact will be measured as per the objectives and program goals outlined and agreed upon in the Sukh program framework. The measurement partner will conduct a mid-term assessment of program progress towards identified goals and also an independent analysis of progress monitoring and PMIS data on an annual basis and participate in an annual review of program progress. A dedicated position of Manager Research and Metrics has been introduced to the Sukh initiative with sole responsibility of identifying and developing research questions and hypotheses and with program data to identify best practices and evidence based impact studies. The activity is to commence from 2015 when field level service data becomes available for a meaningful and effective sample study.   

• To increase the ambit of Sukh strategy and build on the success of different models implemented in the country, Sukh Initiative has evolved an exclusive technical body which is widely represented by the Sindh Government, development partners, technical experts both from public and private sector. This body aims to create synergy between different stakeholders including the government departments in Sindh. Sukh is also working at the community level through more than 200 community base organizations. To create an enabling environment for family planning services, Sukh is working in close collaboration with the provincial Departments of Health, Population Welfare, Education and Youth Affairs, to strengthen the existing systems in the intervention areas and play a leadership role in advocating for the sustainability of its objectives.

• [Aman Foundation's family planning] program will promote longer term, more effective contraceptive methods. Sukh through increasing MCPR will motivate new users to adopt family planning for the first time, and encourage users of traditional methods to switch to more reliable modern methods. The connection between increased MCPR and reduced maternal mortality rates is well established, as is its direct contribution to lowering the total fertility rate. To improve quality of services to increase access to family planning, Sukh strengthens the quality of services locally available and will develop capacity of maternity homes to offer quality post-partum and post abortion family planning services. Jhpiego as implementing partner will work with public sector facilities to improve access to FP services (by method) and with improved quality of service.

• One of the multiple service provision levers for the Sukh project is Family Life Education through Aahung, a local organization with previous experience in working with young girls and boys in communities on the sensitive issues related to maternal health, marriage rights and communication. Sukh will include door to door counselling and service delivery through Aman Community Health Program, to educate and inform the family planning clients on importance of family planning, choices available for family planning supplies, health hazards and other healthcare topics. In addition, Aman TeleHealth a 24-hour round the clock, 26-desks Health Helpline services over 3 shifts with medical advisors, counselors and doctors, will provide health advice and referral information over the phone. This will empower and encourage women and youth in particular, to avail the widely used mobile phone services to seek timely medical counseling that otherwise would not be accessible to them.

In August 2015, UNFPA shared an update on progress in achieving its commitments to FP2020.

In the case of UNFPA, tracking how much went specifically into family planning is not easy to do due to the cross-cutting nature of family planning programming vis-à-vis the other areas covered by UNFPA’s mandate. We estimate that the UNFPA expense on family planning was as follows:

• 2013: $310 million
• 2014: $334 million

Note: For additional information, please access UNFPA's Transparency Portal. 

IPPF shared the following update on progress in achieving its FP2020 commitments:

At global, regional and national levels, IPPF persuades governments and decision makers to promote sexual and reproductive health and rights, to change policy and to fund programs and service delivery. In 2014, IPPF made significant progress to improve an enabling environment towards strengthening the recognition of SRHR at the regional level:

• Working in partnership with the African Union (AU) on the Maputo Plan of Action. IPPF’s Liaison Office in the African Union headquarters in Addis Ababa plays a critical role in influencing policy processes at the African Union and the United Nations Economic Commission for Africa. The African Union has requested that the IPPF Africa Regional Office works with civil society organizations across Africa to conduct a review of the Maputo Plan of Action. The plan is Africa’s policy framework for universal access to comprehensive sexual and reproductive health services, including family planning. The review will assess progress and make recommendations for the next phase. IPPF convened the General Assembly of the African Parliamentary Forum on Population and Development in the Ivory Coast. The assembly produced a positive statement on Africa’s position on sexual and reproductive health and rights for the new Sustainable Development Goals. This was taken forward to the 6th International Parliamentarians’ Conference on the Implementation of the ICPD Programme of Action in Sweden where African parliamentarians reaffirmed their commitment to gender equality, women’s empowerment, elimination of violence against women, and universal access to sexual and reproductive health services.

Engaging BRICS: More than 42 per cent of the world’s population live in the five BRICS countries of Brazil, Russia, India, China and South Africa, which means that the policies and views of governments in these countries are critical for the health and well-being of billions of people. IPPF works in BRICS countries in partnership with civil society organizations, including Member Associations, to raise awareness among the leaders and policy makers of the importance of sexual and reproductive health and rights.

• In March 2014, South Africa hosted the BRICS Inaugural Seminar of Officials and Experts on Population Matters. IPPF’s Director-General and the Western Hemisphere Regional Director participated, alongside Member Associations and representatives from other civil society organizations mobilized by IPPF. A milestone agreement was reached with the BRICS countries adopting a framework for ongoing cooperation and learning on contraception, sexual and reproductive health and reproductive rights, gender equality and women’s rights.
• In February 2015, IPPF convened a civil society forum in Brasilia, ahead of the First BRICS Meeting of Ministers Responsible for Population Matters. IPPF worked with civil society organizations, including the Member Associations of China and India, to review the zero draft of the Agenda for BRICS Cooperation on Population Matters 2015–2020. Country official delegates were encouraged to support sexual and reproductive health and rights, and gender equality in negotiations on the content of the final document. Following this work, the agenda agreed by ministers at the First BRICS Meeting of Ministers Responsible for Population Matters reflects many of IPPF’s key concerns such as sexual and reproductive health rights, and empowerment of women and girls.

IPPF continues to advocate for affordable pricing for contraceptives and raise awareness and change the attitudes of community, political and public opinion leaders to support SRHR for all. We introduce new contraceptive methodologies to meet the needs of under-served communities and address the known barriers to voluntary family planning service uptake of vulnerable populations. In 2014, IPPF successfully called for the expansion of high-quality and affordable contraceptives through:

• Collaboration with the Reproductive Health Supplies Coalition (RHSC): IPPF continued to play an integral role in the membership-based RHSC. Through its role as co-chair of the RHSC Advocacy and Accountability working group, IPPF has mobilized global, regional and national civil society to call on governments for increased political and financial support to family planning and reproductive health supplies. IPPF contributed to the RHSC Take Stock initiative by pledging to develop and roll out a Federation wide RH Commodity Security Strategy to help IPPF identify potential stockouts and mitigate against them, by building capacity in supplies management and strengthening supply chains across the Federation.

• Partnership for price reductions: IPPF continues to work with other international partners to ensure that the price reductions for implants achieved through the minimum volume guarantees actually reach women needing these products. IPPF is also advocating for UNFPA to list products by formulation, rather than brand name—this is likely to increase take-up of more affordable generics and create a more sustainable market. Partnership with UNFPA to boost family planning services in 13 countries through ensuring affordable family planning supplies.

• IPPF participates in technical groups such as the High Impact Practices in Family Planning (HIPPs) Group and the UN Commission on Life-Saving Commodities, particularly the Implant Technical Reference Team.

• Piloting Sayana Press: Reproductive Health Uganda is working in partnership with PATH to pilot Sayana Press—a self-injection method—with clients receiving services at two urban family planning clinics in Gulu District, with a focus on provision to young people. The research will be instrumental in understanding the appeal of the concept of home and self-injection among younger women, and determine whether women can self-inject Sayana Press competently in an unsupervised setting.

• IPPF is also a member of the International Contraceptive Access (ICA) Foundation—a partnership that has enabled several Member Associations to obtain access to LNG-IUS (levonorgestrel releasing intrauterine system) a hormonal intra-uterine contraceptive device. In 2014, LNG-IUS were shipped to the following IPPF Member Associations: Curacao, Dominican Republic, Paraguay, Mongolia, St. Lucia and Sri Lanka.

• IPPF also actively participates in the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), and regularly attends HRP policy committee meetings.

IPPF is the global and regional convener and mobilizer of civil society organizations that advocate for public, political and financial commitments to voluntary family planning. Through our advocacy, we influence and support enabling environments to increase high quality, affordable sexual and reproductive health services and for governments to be accountable for the pledges that they made at the 2012 London Summit on Family Planning.  IPPF Member Associations regularly hold their governments to account by ensuring that citizens know their rights, by monitoring and tracking that people’s rights are being delivered, and by supporting constructive engagement among citizens, services and government officials to address barriers and challenges. In 2014:

• IPPF worked in partnership with Advance Family Planning to mobilize action at district, national and international levels with a focus on the implementation of commitments made by governments in 2012 at the London Summit on Family Planning. In 2014, IPPF’s Director-General spoke on a high-level panel about the importance of maintaining momentum on contraception and maternal and newborn health, alongside the United Kingdom’s International Development Secretary, Justine Greening, and Melinda Gates of the Bill & Melinda Gates Foundation. As a partner in the USAID-funded Evidence Project, IPPF began research into how social accountability mechanisms can increase access to contraceptive services.

• Through successful advocacy, the Family Planning Association of Nepal celebrated the first-ever Family Planning Day on 18 September 2014. Nepal’s Health and Population Secretary, the Minister of Health and Population, and the National Planning Commission inaugurated the Day which has helped put family planning back on the priority list.

• Association de Bien-Etre Familial–Naissances Désirables of the Democratic Republic of Congo collaborated with local networks to convince the government to allocate its first-ever funding for purchase of contraceptives in 2013. Previously, contraceptive procurement depended solely on donor support.

• Tonga Family Health Association delivered technical input to revise the national youth strategy. Through extensive advocacy, the Member Association secured a specific objective on sexual and reproductive health for young people.

In 2014, the government of Uganda launched its US$200 million official Family Planning Costed Implementation Plan, 2015–2020 (FP-CIP) to reduce unmet need for contraception from 40 to 10 per cent, and increase the modern contraceptive prevalence rate to 50 per cent by 2020. RHU convened and led a youth group and an expert group to provide feedback during the FP-CIP’s development process. Of the 18 countries preparing FP-CIPs, this is the only example of these plans being developed following this approach. RHU’s activities were instrumental in ensuring that young people’s needs and a rights-based approach to family planning programmes were included in the plan. The Association also worked with the government to ensure that the FP-CIP is fully costed, and to raise resources with bilateral donors to fund its various components.