Join FP2020 by Making a Commitment

Together with Viacom International Media Networks (VIMN), the MTV Staying Alive Foundation (SAF) is a global expert in reaching young people and has over two decades of experience in HIV prevention and sexual health awareness and mass-media behavior change.

MTV Shuga is SAF’s most successful behavior change campaign and since the first season aired in 2009 in Kenya we produced 5 series, totalling more than 1000 hours of TV content airing on more than 170 broadcasters and reaching over 700 million people every campaign. With stories focusing on HIV, sexual and reproductive health and rights and family planning, MTV Shuga fuses core sexual health messaging including HIV prevention,contraception, unplanned pregnancy, gender based violence, transactional sex and first time sex, challenging misconceptions and inspiring young people aged 15 to 24, to talk openly and honestly about their sexual health. The format combines a TV drama series with radio, digital, print, social media and on-the-ground activities, with high-quality production;entertaining, youth-relevant storylines and characters; music and cultural references. Having the MTV brand, a global and highly-recognisable youth-brand synonymous with truthful,life-changing portrayals of young lives, makes it highly-popular among broadcasters and youth audiences. By combining entertainment with health messaging, MTV Shuga normalises safer and more positive attitudes, social norms and behaviour.

A further two campaigns of MTV Shuga will launch in Nigeria in 2018 which will mainly focus on family planning with the aim to drive demand for contraception among adolescents. We will reach at least 24 million young people in Nigeria through TV, radio, digital and on-the-ground activities.

SAF is also committed to implementing a campaign based onMTV Shuga in Egypt in 2018 which will focus on family planningissues, including demand for contraception, gender basedviolence, child marriage as well as female genital mutilation. Weestimate to reach at least 25 million young people in Egypt.

SAF will also implement a similar campaign focusing on family planning, child exploitation and HIV in India by 2020. We will reach at least 176 million young people in India through MTV’s(Viacom 18) reach alone.Viacom, Viacom 18 and SAF’s commitment also includes producing all the content rights-cleared and distributing it at no cost to any other broadcaster or organization globally, creating the potential to reach hundreds of millions of people.

Between 2017 and 2020, Médecins du Monde / Doctors of the World (MdM) will implement Sexual and Reproductive Health (SRH) activities in 13 countries out of the 69 focus countries of FP2020:

• in Africa: Burkina Faso, Central African Republic, Côte d’Ivoire, DR Congo, Madagascar, Nigeria, Niger, Somalia;
• in Asia: Nepal, Pakistan, Sri Lanka;
• in the Carribean: Haïti 
• in Middle East: Iraq.

Médecins du Monde’s programs will provide access to Family Planning to 1,000,000 people, including 150,000 young people (from 10 to 24 years old).

 In French-speaking countries in the Caribbean (Haiti) and in Africa (Burkina Faso, Côte d’Ivoire DR Congo, Madagascar, Niger), we will implement a program to:

• At the national level: improve the prevention and management of unwanted pregnancies following the principles of a human rights-based approach and with a specific focus on young people and youth. We will do so through:
• Strengthening health systems at the local and district levels
• Empowering rights holders
• Promoting healthy public policies adapted to the specific needs of youth

In the different intervention areas, we will develop approaches that contribute to make SRH services (e.g. health education, FP, PAC) available, accessible, affordable, and at a high level of quality, especially to young people and adolescents.

• At the regional and international levels: Advocacy towards regional and international platforms and intergovernmental institutions to keep SRHR at the top of the agenda and advance attention to the needs and rights of young people. This advocacy shall be rooted in sharing promising practices from our field evidence. At the regional level, we will mainly target the West African Health Organization in close collaboration with the Ouagadougou Partnership. We will connect the advocacy work done at international and regional level through increased support and involvement of national CSOs including youth movements. Through this approach we will also aim at strengthening the weight of pro-SRHR voices from francophone Africa.

 In addition to this program, Médecins du Monde will also be working in other countries supported by FP2020. For instance, access to family planning is a core component of the package of services we implement directly (in Nigeria and Iraq), through a local NGO we support (in Somalia) or through reinforcement of the public health system (Sri Lanka, Nepal).

In Nigeria and Iraq, we work in crisis settings where we implement the MISP. This is done through the provision of direct services in mobile health units.

In Sri Lanka and Nepal, we target specifically vulnerable population groups (remote areas and IDPs) to increase access to SRHR through community awareness, improvement of quality service provision and support to local CSOs advocating on SRHR.

In Somalia, we respond to primary healthcare of host population and refugees in Bossasso. The project is implemented through a local organization (ISDP) that aims at strengthening public health facilities and community awareness and mobilization. We have a strong focus on family planning and GBV management.

In Pakistan, we will contribute to the prevention of unwanted pregnancies by focusing on strengthening universal access and quality of family planning public health services through a five-year project in the Province of Punjab.

Médecins du Monde also produces shared resources, including our guidelines, training modules and research studies. For example, in 2015, we conducted a study in Burkina Faso, DRC, Palestine and Peru on the sociocultural and community determinants of unwanted pregnancies. These resources are available in English and French. Most of them are also available in Spanish.

As a humanitarian organization, the challenges we face in achieving our commitment include operational and security volatility in the field, as well as fundraising.

The government of Lao commits to scale up family planning services to health center and village levels to increase the access to reproductive health and information for adolescents, aiming to boost the number of women using family planning services. Key interventions planned include:

• Extending the training of existing community midwife students by a month to become proficient in family planning counselling and procedures (IUDs, implants, emergency contraceptive);
• Establishing separate private, family planning-friendly rooms in selected district hospitals;
• Increasing the coverage of family planning and maternal, neonatal, and child health services at the community level through the scaling up of existing, successful community-based interventions, such as the Community-Based Distribution Programme;
• Mapping and focusing on high-burden districts and villages, with total fertility rate greater than 3, unmet need greater than 15 percent or 20 percent, and CPR between 35 percent or 45 percent;
• Conduct formative research to inform the development and adaptation and field-testing of IEC materials in local ethnic languages; and
• Pilot youth-friendly service counselling rooms—separate from the maternal, neonatal, and child health unit—and in selected district hospitals.

In support of Family Planning 2020 and the Global Strategy on Women’s Children’s and Adolescents’ Health, PSI, through its global network of country programs, commits to reaching 10 million people under the age of 25 years old with modern contraceptive methods by December 2020.

PSI and its partners will test new and bold ways of collaborating with young people to reimagine and redefine the way sexual, reproductive health and rights (SRHR) programs are designed, delivered, measured, and evaluated. In doing so, PSI aims to improve its collection of age-disaggregated data and share lessons learned.

PSI will work toward ensuring all sexually active young people, regardless of marital status or parity, have access to the widest available range of contraceptive options, including long-acting reversible contraceptives, and that access to services is embraced and advocated for by young people, their health providers, their families, and their communities.

PSI’s philosophy is that life is lived holistically and that SRHR can only be effectively addressed in the context of a hopeful vision of a bright future. PSI is seeking innovative entry points for adolescent- and youth-focused SRHR programs, new ways of packaging and delivering high quality services to adolescents and youth, and new models of sustainability that harness market forces.

Management Sciences for Health (MSH) commits to improving the health systems that support and sustain family planning programs because the success of family planning and reproductive health integrated programming is only as strong as the health system that supports it. In addition, MSH pledges to support national, subnational and local leaders to advocate and plan for achieving FP2020 goals by working through MSH’s global, regional and country projects.

MSH pledges to strengthen supply chain systems for family planning commodities and help reduce stock outs by providing tools and technical assistance to ensure contraceptive security.

MSH also commits to using and building upon its performance management approaches and frameworks, such as the Leadership Development Program, to help decision makers use real-time data to implement, track and propel results of high-impact practices in family planning. In addition, MSH pledges to help build leadership skills at all levels of the health system, including governing bodies, service providers, and community health workers, to align support to FP2020 goals, including expanding MSH's YOUTHLEAD program to build the leadership skills of young family planning champions.

The government of Somalia commits to strengthening reproductive health commodity security by developing and implementing a strategy and action plan. In addition, Somalia pledges to establish a coordinated supply chain mechanism to ensure continuous availability of high-quality contraceptives and other essential reproductive and maternal health commodities. Furthermore, the government plans to increase institutional and workforce capacity in supply chain management and ensure the reproductive health supply chain is integrated with the emerging national health sector commodity supply chain.

The government also commits to expanding community-based family planning by strengthening linkages between health facilities and the community; integrating community reproductive health outreach interventions; improving the quality of services provided by community health workers; and strengthening referral systems. Madagascar also pledges to increase advocacy about family planning among communities, adolescents and young people, men and religious leaders and commits to strengthening coordination, commitment and collaboration between the public and private sector to improve reproductive health services, training, supplies, equipment and commodities.

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.

The Government of Cameroon commits to ensuring the mobilization of the budget line for the actual purchase of contraceptives, establishing a mechanism to subsidize family planning services for the most vulnerable users, notably adolescents and youth and women with disabilities, and strengthening the multisectoral commitment to family planning.

The government also commits to disseminating reproductive health and family planning framework documents available to the government and implementing the priority interventions chosen and to institutionalizing the use of certain methods utilized in community outreach, notably pill and injectable contraceptives.

The Government of Benin will increase collaboration with the private sector within the family planning framework and will leverage community networks to ensure the availability and accessibility of contraceptive products throughout the country. In addition, Benin commits to ensuring that reproductive health training is provided for adolescents and youth and that communication on family planning is strengthened, especially for women who have expressed an unmet need, adolescents, and youth.