Join FP2020 by Making a Commitment

• The German government has increased its bilateral commitments for RMNCH. Disbursements will increase accordingly, but there is a time lag due the project cycle.

• Data is not yet available for 2013; the German government will be able to report on 2013 funding flows only when OECD DAC data is released in December 2014.

• The tables below show how Germany’s commitments and disbursements towards RMNCH have developed in 2011 and 2012:

Note: The funding that Germany committed at the London Family Planning Summit is not additional to funding committed as part of Germany’s Muskoka commitment. It is a specification of part of the Muskoka commitment by earmarking 25% for interventions targeting family planning.

G8 Muskoka- Initiative (disbursements), in Mio. €

G8 Muskoka- Initiative (commitments), in Mio. €

• No major changes in how the Government of Germany allocates resources to health/RMNCH are foreseen for the near future.

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

IPPF has committed to significantly increasing the number of family planning services—a trebling of services from 2012 to 2020. IPPF is on track to reach the FP2020 targets to enable 120 million more women and girls to use contraception by 2010. By 2020, IPPF will increase family planning services to save the lives of 54,000 women, averting 46.4 million unintended pregnancies and preventing unsafe abortion. Results from 2014 show significant progress towards achieving this ambitious target:

• Delivery of 60.2 million contraceptive services through 54,000 service delivery points. The number of contraceptive services provided in 2014 includes 8.9 million new users. Over 5.7 million contraceptive services were deliver to young people under 25 years of age.
• Averted 5.9 million unintended pregnancies and 677,000 unsafe abortions through a CYP of 14.6 million. The number of couple years of protection (CYP) provided in 2014 increased by 21 percent to 14.6 million, which averted an estimated 5.9 million unintended pregnancies and 677,000 unsafe abortions. In the Africa and Arab World regions, the percentage increases from 2013 were 83 and 37 percent, respectively. In Africa, the growth was predominantly due to injectables, intrauterine devices, and oral contraceptive pills. In the Arab World, it was due mainly to intrauterine devices and implants.
• Delivering an Integrated Package of Essential Services. IPPF remains committed to providing a range of contraceptive choices to service users. The services in the package are proven by WHO to deliver high impact in resource-poor settings and when combined these services have the ability to transform the lives of women, girls and other poor and vulnerable populations. Our Integrated Package of Essential Services requires IPPF Member Associations to provide short- and long-acting reversible methods, as well as emergency contraception. Within IPPF’s CYP for 2014 of 14.6 million, 44 percent was provided by short-acting methods; 42 percent by reversible long‑acting methods; 14 per cent by permanent methods.

By 2015, we expect to double the number of comprehensive and integrated SRH services annually by:

• Investing in countries with the greatest need. The majority of IPPF’s unrestricted investments are made in countries with the greatest need for SRH information, education and services. These countries, identified by the Human Development Index as having low or medium levels of human development, have disproportionately high levels of maternal and child mortality, unmet need for contraception, HIV prevalence, and early marriage and childbearing. In the 73 countries identified as having low or medium levels of human development3 and where there is an IPPF Member Association or collaborating partner, the total number of sexual and reproductive health services provided in 2014 reached 122.4 million, an increase of 13 per cent from 2013. The most common categories of services provided were contraception, maternal and child health, and HIV-related services;
• Reaching poor and vulnerable groups. In 2014, IPPF reached 52.6 million poor and vulnerable service users with sexual and reproductive health services, 3.7 million more than in 2013. The estimated proportion of all service users who are poor and vulnerable is 85 percent, the highest ever achieved by IPPF. These results illustrate IPPF’s commitment to serving those most in need of sexual and reproductive health services. IPPF has more than 54,000 service delivery points, and 59 per cent of them are located in peri-urban or rural areas. This enables Member Associations to provide information, education and services to people living in hard-to-reach areas where there are few, if any, other service providers. Member Associations provide services to under-served groups who are not reached by other public or private providers, due to a reluctance to work with such marginalized populations, the additional costs involved or an absence of the specialized skills needed. Such groups are often those with greatest need, and include young people, sex workers, men who have sex with men, people who inject drugs, sexually diverse populations and prisoners.
• Adolescents and young people. In 2014, IPPF provided 66.6 million sexual and reproductive health services to young people. This represents 45 percent of all services provided, and illustrates our commitment to the largest generation of young people ever. Over the last five years, IPPF has focused on the needs of young people, with the proportion of sexual and reproductive health services provided to youth rising from 35 per cent in 2010 to 45 per cent in 2014. The most common services accessed by young people in 2014 were contraception (37 percent), HIV-related services (22 percent) and gynecology (10 percent).

Throughout 2014, IPPF continued to invest in and strengthen organizational systems and business processes to support a strong culture of performance, effectiveness, learning and accountability. Being part of a large Federation means that many Member Associations have the opportunity to learn from and share their expertise with others. While IPPF Regional Offices provide technical support to Member Associations in their regions, there is a growing trend to promote capacity building directly between Associations. In addition, as experts in the field of implementing sexual and reproductive health and rights programmes, Member Associations are also asked by external private and public health organizations to share their knowledge and experience.

• Learning Centers in the Africa Region. The Africa Regional Office has supported nine Member Associations to become designated Learning Centers. These Centers offer training and other forms of technical assistance to organizations, both within and outside the Federation. Based at the Member Associations of Cameroon, Côte d’Ivoire, Ethiopia, Ghana, Kenya, Mozambique, Swaziland, Togo and Uganda, the Learning Centers promote peer-to-peer learning by transferring expertise in how to design innovative programmes. These Member Associations consistently demonstrate their capacity to provide quality SRH information and services, and have the expertise, skills and systems to provide technical support to other Member Associations. Each Centre reflects the acknowledged strengths of that particular Member Association.
• Engaging volunteers and staff. In 2014, volunteers and staff of the Member Associations with Learning Centers took part in refresher training in their core areas of expertise to strengthen their ability to provide support on topics in demand. These included family planning, with a focus on long-acting and permanent methods; public–private partnerships; and how to deliver integrated SRH including contraception. Member Associations were supported to convert areas within their facilities into meeting spaces, and to develop or adapt training modules based on national sexual and reproductive health policies and curricula. Exchange visits involving the Member Associations in Cameroon, Ghana and Uganda offered valuable opportunities to share experiences in the day-to-day management of running a Learning Centre.
• Member Association exchange. Reproductive Health Uganda (RHU) demonstrates one example of a Learning Centre building the capacity of multiple Member Associations across the region. RHU provided training to Member Associations from Ethiopia, Kenya, Malawi and Mozambique on how to design and manage surgical camps, as well as training for Member Associations in Ethiopia, Kenya, Malawi, Namibia, Swaziland and Tanzania on a parent-focused intervention exploring the sexual and reproductive health and rights of young people. In 2014, three Member Associations with Learning Centers were successful in generating income from training public or private health providers. The Family Guidance Association of Ethiopia trained 2,628 health professionals from public and private clinics, generating 16.7 million Birr (US$816,000); Family Health Options Kenya trained 300 service providers, generating 3 million Ksh (US$32,000); while Côte d’Ivoire’s Association Ivoirienne pour le Bien‑Être Familial trained nearly 200 service providers and generated 62.6 million FCFA (US$100,000).

IPPF is currently building on the work previously undertaken across the Federation to support client-centered, integrated, rights based quality family planning services within a comprehensive approach to SRH. IPPF is building a strong civil society response to strengthen national health systems. Member Associations are part of the grassroots movement in their respective countries. They play a critical role not only as service providers within the health system, but also as a significant contributor to strengthening the health system by disseminating new guidelines and technologies, building the capacity of other peers working within the health system, and advocating for supportive policies. Below are highlights from our work in 2014:

• IPPF is reinvigorating our International Medical Advisory Panel to respond with best practice and clinic based guidelines and to share our experience amongst communities of best practice, and provides timely guidance to IPPF on critical issues related to SRH and family planning. IPPF Medical Bulletins are produced to address gaps in bio-medical evidence or critical issues relating SRHR programming.

IPPF’s commitment to quality of care is demonstrated through our Quality Assurance Package which also guides Member Associations on establishing the Integrated Package of Essential Services (IPES). In 2014, quality of care was included as a key principle for Member Associations accreditation, underpinning our continual quest for quality. Evidence from our safe abortion and family planning programmes shows that satisfied clients are one of the top three sources of referral for new clients. IPPF’s Quality of Care Technical Working Group provides global technical leadership in quality of care, along with information and policy updates, sharing guidelines and best practice, training and resources.

IPPF remains committed to building the advocacy capacity of Member Associations in 40 countries to advance rights-based family planning, within a comprehensive approach to SRH. IPPF defines capacity building as development of IPPF’s core skills in order to enable the organization and individuals to address weaknesses, to bring about change and increase effectiveness. IPPF Regional Offices are the hub of capacity building activity in the Federation and provide technical assistance to Member Associations in every aspect of organizational life, depending on their needs–including advocacy capacity building.  Our Regional Offices provide on the spot assistance, regional training workshops, publishing toolkits and arranging south to south technical assistance. Specific examples in 2014 include:  

• IPPF worked to increase Member Association capacity to advocate on sexual rights—including access to contraception—through the Universal Periodic Review Mechanism. IPPF supported Member Associations to press their governments for change, including training for Member Associations from Austria, Albania, Bosnia-Herzegovina, Bulgaria, Estonia, Kazakhstan, Spain and Tajikistan to use the UPR process. Most recently, two Member Associations who participated in the workshop have submitted shadow reports that will be reviewed by the Human Rights Council over the next year. The Macedonian and Bulgarian Member Associations also attended the adoption of their respective country UPR reports in Geneva and made oral statements on the recommendations that were adopted or rejected.
• Advocacy with the UN. Every year, IPPF successfully advocates for progressive language to be included in UN documents, including the conclusions of the Commission on the Status of Women (CSW) and the outcome document for the Commission on Population and Development (CPD). IPPF supports Member Associations to participate in these UN processes, and hold their governments in capital to account on key issues related to SRH and rights-based family planning.
• Joining Voices. IPPF’s Joining Voices project plays an important role in supporting civil society advocacy on family planning to make sure commitments are delivered. As part of Joining Voices, Countdown 2015 Europe is a consortium of 15 leading European non-governmental organizations, of which over half are IPPF Member Associations, working to ensure funding for sexual and reproductive health and rights in developing countries. Coordinated by IPPF’s European Network and working with European Union institutions, Countdown 2015 Europe holds donors to account for their policy and funding commitments to achieve universal access to reproductive health and to address the unmet need for family planning.
• Tracking advocacy progress. In 2012, new questions on advocacy were included in the Global Indicators Survey to provide additional information on advocacy progress made by Member Associations. However, certain Member Associations suggested a new approach to gathering information on advocacy progress. Currently, we are providing support for Member Associations to assess their advocacy capacity better, through a tool based on a self-assessment checklist to identify strengths and areas that need improvement.

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

• The government of Uganda has undertaken the following to improve midwifery profession:
  • Skills training: In 2015, Uganda finalized the review of the midwifery curriculum to make it competency based. The curriculum emphasizes more practical time than theory and includes a module on family planning. 160 midwifery tutors and clinical Instructors were given skills in mentoring and coaching of students to improve the quality of training for midwives. The aim is to produce competent midwives to offer quality maternal and child health services including family planning. Four clinical instructors in charge of midwifery skills labs were trained on how to use the equipment that had been supplied by UNFPA. Forty newly recruited midwives have been oriented on maternal health and family planning services. Ninety midwives have been recruited to serve in the hard-to-reach areas.
  • Involvement in Policy Dialogue: More than 200 midwives met the First Lady of Uganda and discussed the challenges they face in delivering midwifery services. More advocacy meetings for improving the midwifery program to be spearheaded by the First Lady have been planned for 2016.Through national and regional symposia, midwives have been supported to establish a Midwives Association that will spearhead the policy dialogues. A constitution for the association is being drafted and will be disseminated to stakeholders in September 2016. Forty Young Midwives Leaders have been equipped with skills in leadership and advocacy for improved maternal health and family planning services. A scheme of services for midwives and nurses, and nursing and midwifery policy were developed and presented to the senior management of the Ministry of Health for approval.
  • Midwifery career promotion: Midwifery career promotions in secondary schools in four hard-to-reach districts were conducted. Midwifery career promotional materials have been developed to be used across the country.
• Uganda is implementing a self-injection pilot using Sayana Press in some communities with good result. Now with support from UNFPA, the government is scaling up the distribution of Sayana Press through community health workers in selected districts. Ninety midwives have been recruited to support the service delivery.
• UNFPA through the RMNCH Trust Fund has supported the government to renovate some health facilities and to purchase hospital equipment; the Association of Obstetricians and Gynecologists of Uganda (AOGU) is now helping to build capacity for use.
• With support from UNFPA, the Ministry of Health, through JHPIEGO, has helped build the capacity of 941 service providers in the provision of family planning, especially postpartum family planning and long acting reversible contraception. In addition, equipment (PPIUDs kits, Mama Natalie, and Mama U models) were given to 160 health facilities and 18 midwifery schools so that health workers have the required tools and skills for service provision and continuous practice following the training.
• Medical Eligibility Criteria Wheel: Trainer-of-trainers training was carried out with selected participants from districts, referral hospitals, and partners supporting family planning to input the development of a localized Medical Eligibility Criteria (MEC) wheel for Uganda, based on the 5th edition of World Health Organization MEC wheel. A final draft was developed and its undergoing validation from various stakeholders. A cascade training of the wheel has also been done in selected districts, and we hope to scale up the training to the rest of the country.
• Uganda has also embarked on improving the quality of services provided by community health workers (CHEWs) by developing a CHEW strategy to be able to increase family planning services at community level. The strategy has been endorsed by the top management of Ministry of Health and is now due for presentation to the cabinet.
• In 2015, UNFPA supported 7 (out of 112) core districts to provide youth-friendly (YFS) services according to national standards in 100 percent and 86 percent of the hospitals and Health Centre IVs, respectively. Furthermore, 15 health centres were supported to establish YFS in targeted districts through faith-based organizations. UNFPA supported the government of Uganda to increase YFS in humanitarian setting with 90 percent of the Health Centres in four refugee settlements by establishing 20 youth spaces reaching out to 59,100 young people with SRH information and services.
• The Ministry of Health, with support from UNFPA, conducted a national assessment on the knowledge, briefs, practices, needs of young people (10-24 years), and on access, appropriateness, and effectiveness of sexual and reproductive services.
• A scorecard has been developed to link results with resources at different levels of service delivery and aligned in the district league table. It is currently being piloted in some districts with capacity building of service providers. This will be disseminated and rolled out in 2016-2017.
• The Uganda RMNCAH assembly was held in December 2015 and stakeholders made commitments in various areas. Most importantly they committed to strengthen accountability and coordination for RMNCAH at the national, district, and community levels in order to streamline RMNCAH implementation. The government plans to hold annual RMNCAH assemblies.
• Uganda has conducted the Annual Household Panel Survey and has completed wave four (series 4) and now is in the process of data collection for wave 5. Through the Joint Assessment Framework (JAF)— a local DP platform—Uganda is able to track the annual CPR using information from panel survey and assess household behavior on family planning uptake.

RHU also helped achieve a task shifting policy that enables clinical staff to undertake sterilization (previously not allowed) and the establishment of the national Population Council, through the passing of the Population Council Bill in 2013 and its signing by the President in 2014.

• 959 prestataires formés en Technologie contraceptive  depuis 2015 jusqu’en juin 2016. La formation en TC est une  nouvelle approche basée sur les compétences pour dispenser toutes les méthodes contraceptives en générale et particulièrement la pratique humaniste de pose et de retrait de l’implant et DIU en utilisant les modèles anatomiques adaptés , la prévention des infections ,la gestion des effets secondaires et le counseling.
• Depuis 2015 Jusqu’en mai 2016, 49 003 DMPA ont été administrés au niveau communautaire par les Techniciens de promotion de la santé,
  • 487 646 personnes sensibilisées dont 207 646 femmes par les Agents de santé communautaires.
  • 6066 cycles de pilules et 137 739 préservatifs ont été distribués par les agents de santé communautaire en 2015.
  • 33 Postes secondaires ont été mis en place dans les zones inaccessibles géographiquement et à proximité des Centres de santé confessionnels   qui ne proposent pas de méthodes de contraception modernes pour  augmenter l’accès aux  services de planification familiale.
• Le gouvernement du Burundi s’est engagé à intégrer ces services à d’autres programmes, comme l’immunisation et le VIH :
  • Le renforcement des capacités des prestataires travaillant dans les services de maternité en technologie contraceptive.
  • 60% des femmes opérées des fistules obstétricales adoptent une méthode contraceptive avant la sortie du centre de traitement
• Le gouvernement du Burundi s’est engagé à augmenter les services communautaires en mobilisant la communauté et en fournissant des méthodes de planification familiale, y compris le transfert de tâches en formant des techniciens de promotion de la santé et des agents sanitaires de collectivité (ASC) pour proposer des injections :
  • 338 TPS ont été formé sur l’administration du  DMPA au niveau communautaire et 3940 Agents de santé communautaire ont été formés  sur la distribution à base communautaire des contraceptifs (Pilules et Condoms).
  • Depuis 2015 Jusqu’en mai 2016, 49 003 DMPA ont été administrés au niveau communautaire par les Techniciens de promotion de la santé,
  • 487 646 personnes sensibilisées dont 207 646 femmes par les Agents de santé communautaires.
  • 6066 cycles de pilules et 137 739 préservatifs ont été distribués par les agents de santé communautaire en 2015
• Des émissions radiophoniques sur la SR mettant un accent particulier sur la PF et la SSRAJ ont été récoltées au cours des réunions régionales de coordination, des campagnes sur la PF  et diffusées.
• Les campagnes de sensibilisation des leaders en planification familiale et l’introduction du DMPA dans la distribution à base communautaire des contraceptifs. Au total, plus 2750 leaders proches de la communauté ont été sensibilisés et vont disséminer les messages sur la PF jusqu'au niveau communautaire pour susciter l'adhésion et utilisation des services de PF. Selon les statistiques de service, le taux de prévalence contraceptive est passé de 34,3% en 2014 à 37,4% en 2015
• Elaboration de la stratégie Condom, campagnes zéro grossesse, intégration de la SSRAJ dans les curricula de l’école Fondamentale (8ème) 9ème pour 2015 et révision pour la 7ème en 2016.
• En collaboration avec les opérateurs des Téléphonies mobiles et avec l’appui des partenaires techniques et financiers ,le gouvernement a assuré l’information et la référence aux services de santé sexuelle et  reproductive en faveur des adolescents  et jeunes grâce aux nouvelles technologies de l’informations et de la communication .C’est notamment par l’envoi périodique des SMS média sur la santé .La promotion des groupes virtuels à travers les réseaux sociaux permettant à plus de  10000 Jeunes d’échanger et partager leurs idées et informations sur la  SSRAJ .Exemple : Adv4Youth sur facebook  et Watch up.
• Le Gouvernement vient d’initier, en 2016 et pour une période de 5 ans, un programme conjoint (regroupant 3 ministères clés : santé, éducation, jeunesse et mis en œuvre par 4 partenaires : UNFPA, CARE, CORDAID, RUTGERS en santé sexuelle et reproductive des adolescents et jeunes.
• Le MSPLS vient d’élaborer une stratégie nationale de financement de la santé et est entrain de cheminer vers la mise en place d’une couverture sanitaire universelle à l’horizon 2018, intégrant les différents mécanismes de financement de la santé dont le Financement basé sur la performance. Dans cette perspective, la mise en œuvre du FBP est en train d’être repensée pour s’orienter vers un FBP seconde génération centré sur le renforcement de la qualité des soins et la levée des principaux goulots d’étranglement du système de santé.

In August 2015, the Government of Mauritania shared an update on progress in achieving its financial and program and service delivery commitments to FP2020.

• The implementation of Mauritania’s national action plan for family planning is underway, in accordance with the country’s commitment. The government has started training contraceptive technology trainers and now has a pool of 16 providers of certified national trainers.
• The government has also engaged in mass awareness-raising activities on family planning with religious leaders, the young and civil society organizations.

In July 2016, the Government of Zimbabwe 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:

• The government of Zimbabwe has engaged in various efforts to promote the use of long-acting and reversible contraceptives (LARCs). These activities include training of health service providers to administer LARCs and awareness campaigns. Trainings have been conducted in implant insertion and removals and Implanon insertion for doctors, midwives, and registered general nurses from selected districts across the country. The uptake of these services has increased as shown by the preliminary results of the ZDHS 2015, which shows an increase in the use of implants from 2.7% in 2010 to 9.6% in 2015. The government also began the postpartum IUCD program. A training of trainers workshop was conducted for facilitators and the program is being piloted in one province. In addition, the government conducted an IUCD study to determine the reasons for low uptake of IUCD and the results will inform future activities.
• In an effort to revitalize and scale family planning services for adolescents, more service providers have been trained and provided resource materials on ARSH. The government has also conducted an evaluation of the Health Facility Approach and facilitated the development of the community level training package and its rolling out in Hurungwe District. Additionally the government of Zimbabwe also coordinated the review of ASRH interventions by the John Hopkins Bloomberg School of Public Health and rolled out the adolescent fertility study. Regional documentation exercises on ASRH best practices in Zimbabwe have begun.
• The Ministry of Health has also strengthened collaboration with the gender department in the Ministry of Women Affairs, Gender, and Community Development. The head of the RH program is a member of the Anti-Domestic Violence Council (ADVC). The ADVC is a statutory body established in terms of Section 16 of the Domestic Violence Act (Chapter 5:16). The overall function of the Council is to ensure effective implementation of the Domestic Violence Act. This is achieved through the establishment of partnerships coupled with the provision of all necessary support to various stakeholders to ensure comprehensive multi-sectoral response to domestic violence in Zimbabwe. The council successfully coordinated commemoration of the 16 days against gender based violence campaign.
• The government made efforts to ensure that male and female condoms are always available for free especially in public places. This was augmented by massive advocacy and campaigns for dual protection through the development of IEC material in the form of pamphlets, fliers, banners and T-shirts that were distributed during annual commemorations. All these activities contributed to a 15% increase in the uptake of male condoms and 19% for female condoms during the year.

• En 2015, la proportion d’établissements de santé qui offre le service de planification familiale était de 82% .
  • Au plan communautaire, 779 Agents de Santé Communautaire (ASC) ont été formés à l’offre de service PF dans la communauté. Cependant, l’activité de l’ASC reste limitée aux conseils et à la référence des clients vers les points fixes de prestations. Pour susciter l’engagement constructif des hommes (sexe masculin) à la promotion de l’utilisation des services de SRPF, 47 nouvelles Ecoles de Maris ont été installées.
  • En 2015, 256 localités ont bénéficié de séances de consultations foraines (stratégie mobile) en direction des populations les plus éloignées des établissements de soins. Ces séances ont permis de sensibiliser 90 249 personnes et de fournir la contraception moderne à 24 381 femmes.
• L’étude de 2015 a révélé que 92% des établissements qui offrent le service de PF, proposent trois méthodes et 68% proposent au moins cinq (5) méthodes modernes de contraception.
• A travers le Programme National de la Santé Scolaire et Universitaire, les produits contraceptifs sont gratuitement offerts aux élèves dans des points de prestation dédiés aux élèves ou en stratégie mobile. En milieu scolaire, le ministère de l’éducation nationale a mis en place un projet « zéro grossesse». Des cours de « compétence de vie » sont dispensés à partir de la classe de CE2. Des campagnes d’information à travers les pairs éducateurs et les clubs santé sont réalisées au sein des écoles. Les élèves désireux d’utiliser la contraception moderne (hormonal ou condom) sont orientés vers les points de prestations.
• Des campagnes de sensibilisation baptisées « jeunesse saine » sont menées par le Ministère de la Jeunesse à travers le pays. Des produits contraceptifs, surtout les condoms, sont distribués au cours de ces campagnes.
• Intégration PF et VIH : L’intégration de l’offre de service de PF et le VIH est effective. En effet, 75% des points de prestation de PF proposent également le dépistage VIH.

• Le Sénégal dispose désormais d’un plan de communication SR/PF et Survie de l’Enfant et son plan fait budgétisé mais l’accent sur la création de la demande. De même un plan de communication spécifiquement adressé aux jeunes est en cours d’élaboration. Les deux premiers seront validés au cours du mois d’aout 2016. Les religieux sont aussi parties prenantes du plan PF 2016 -2020. Présentement ils organisent des émissions à la radio pour soutenir le programme PF.
• L’IPM est généralisé dans le pays et les ruptures de stocks sont très rares et la durée est très réduite. Le Ministère à travers la PNA est entrain de s’en appropriée. Le passage du témoin entre le projet et la PNA débute cette année selon un scénario proposé par le Ministère
• La quantification des besoins se fait régulièrement au niveau national (2 fois par an). Avec l’appui des partenaires les régions seront formées sur le Reality Check afin de faire leur propre quantification.
• Dans le nouveau plan PF, les propositions faites multiplient le nombre de cliniques mobiles et les services franchisés. Ceci permet d’atteindre les populations les plus éloignées qui sont en général les plus vulnérables. Le programme cherche aussi à acquérir des kits d’insertions retraits pour les méthodes de longues durée afin d’éviter les prescription faites aux femmes.
• Le Sayana Press est offert sur l’ensemble du territoire national. Le programme insiste beaucoup sur les services de PF offerts aux jeunes notamment la communication sur les méthodes disponibles, la contraception d’urgence et surtout la nécessité de leur donner les connaissances nécessaires afin de les préparer à leur futur statut.
• L’offre de service à base communautaire est généralisée pour les pilules, les injectables en IM et en sous cutanée. L’intégration de la PF aux services de vaccination n’est pas encore généralisée mais est commune et est considérée comme une pratique prometteuse. Il est encore tôt d’évaluer son intégration avec le VIH.

In August 2015, the Bill & Melinda Gates Foundation shared an update on progress in achieving its commitments to FP2020.

• The foundation has been implementing an aggressive and progressive contraceptive research and development strategy since 2011. The portfolio of new product candidates includes diverse methods intended to address the significant barriers that many women experience in using existing family planning products, including access, cost and preferences around product performance and use. Since 2013, the foundation’s family planning team has dedicated 20% of the annual family planning budget to research and development of contraceptive technologies. New methods must be safe and effective for all populations of women; the foundation’s portfolio is geared toward improvements that will meet the needs of groups of women with the greatest need, including young women.  

By cultivating high-level political leadership around countries’ FP2020 commitments, the Gates Foundation and its grantees have been able to work with government to expand access to family planning in priority countries. For example:

• In Nigeria, the foundation is supporting the GONigeria to develop and implement the family planning costed implementation plan (National Family Planning Blueprint), and scaling up high-impact family planning approaches and supporting the development of supply chain solutions in Lagos and Kaduna states.
• In Pakistan, the foundation is supporting Pathfinder International to work with ministers in Sindh and Punjab provinces to develop provincial family planning costed implementation plans.
• In DRC, Gates Foundation grantee Advance Family Planning (AFP) worked with partners to garner high-level commitment among the DRC’s top leadership, resulting in unprecedented subsequent changes in the policy environment. In the two years since committing to FP2020 at the 2013 ICFP, the government has significantly improved access to family planning services and contraceptives through national policy and funding commitments. Most recently, the Prime Minister formalized the national CTMP (Comité Technique Multisectoriel Permanent), which includes active participation by the DRC government, including the National Program for Reproductive Health of the Ministry of Health and the Ministry of Gender and Family. Since the official launch earlier this year, the President of the CTMP notes that the group enjoys stronger convening power, including colleagues from the Ministries of Budget, Planning and Finance, who participated in an AFP SMART facilitation in August 2015.
• In Uganda, AFP is also working with partners to fulfill President Museveni’s ambitious pledge at the London Summit in 2012. Three years later, the President’s leadership and the collective efforts of government, implementing partners, civil society, and donors have carried forward those commitments into concrete, positive changes. In July 2014, the President opened the country’s first national family planning conference by favorably endorsing family planning as a key pillar to accelerating the social and economic transformation of Uganda. The Gates Foundation’s advocacy partners supported the participation of both high-level and district-level leaders and used the conference as a platform to mobilize them to renew their commitments to family planning and construct a road map to achieve them. The country’s costed implementation plan was launched four months later.

In September 2016, the Government of Tanzania 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:

• The government of Tanzania in collaboration with family planning partners continued to provide family planning services through outreach. Forty-four mobile outreach teams provided FP services in all regions across the country and 14 bajaj teams operated in peri urban areas. For the period of July 2015 to June 2016, the total number of clients served through outreach services were 357, 244.
• A total number of 4,539 young people accessed sexual and reproductive health services in 16 selected referral public facilities after being referred by youth peer educators in their communities.
• The number of facilities that are reporting on stock status increased from 4,654 in last year to 4,840 this year. Central and zonal quarterly RMNCH commodity security meetings continued to be conducted. A youth campaign focusing on adolescent girls was conducted to Accredited Drug Dispenser Outlet sellers to be able to provider family planning education and services to young girls. The campaign was conducted in four regions of Dar es Salaam, Mwanza, Mbeya, and Shinyanga.
• In June 2016, the Ministry of Health Community Development Gender Elderly and Children launched One Plan II and disseminated to 16 regional authorities.
• In strengthening the quality of community based family planning service provision, the government in collaboration with family planning partners developed a five-day Community Based Family Planning (CBFP) refresher training package that will be used to update existing community health workers (CHWs). Forty-six CHWs and 17 CHW supervisor were refreshed using the developed training package. The post-partum family planning and post abortion family planning training packages were also developed; they are now in the pre-testing stage.
• The regional relaunching of the Green Star Campaign was conducted in the Central Zone (Singida), Southern Highlands (Katavi), and Eastern Zone (Dar es Salaam) in September 2015. These campaigns were accompanied with TV and radio spots using national and local media to increase family planning awareness.
• The government committed to improving method mix through public-private partnerships. To this end, some family planning partners have partnered with private health insurance companies, and one of them—AAR Insurance—integrated family planning services in their health benefit package, over and above their outreach initiative (called AAR Wellness Services Program).
• In the 2015 to 2016 time period, the government procured Microval, male condoms, and Injectable Depo-provera. In supporting the government to improve Tanzania’s methods mix, other family planning partners, including USAID and UNFPA, supported public facilities in procuring other commodities like Microval, male condom, circle beads, microgynon, implants, Depo-provera, emergency contraceptive pills, female condoms, and Copper T 380A.
• In fostering partnership through social marketing, private FP partners improved methods mix through social marketed FP products, such as Dume Condoms and Flex P COC Pills (TMARC), Familia brand of products such as pills, injectables, and condoms by PSI, and Trust brand of FP methods by DKT.