Postpartum/Post-abortion Family Planning
Why postpartum family planning?
Postpartum family planning (PPFP) is a service delivery strategy that expands access to FP through integration with the existing continuum of maternal, newborn and child health services. Well-implemented national PPFP programs that deliver family planning services to postpartum women in the first two years after birth using these integrated channels are essential to allowing all women and girls to achieve their reproductive intentions.
Unmet need for family planning is extremely high among women in the postpartum period. More than 90% of postpartum women in developing countries desire to space or limit a subsequent pregnancy, yet 61% are not using a family planning method. This means that we’re not getting postpartum women the family planning options they want. Integrating family planning services into maternal health services is an effective strategy for taking advantage of women’s increased contacts with the health care system in the time period around childbirth. More importantly, increasing the uptake of PPFP has the potential to protect and empower women at a crucial time in their lives, establish healthy birth spacing practices, and reduce maternal and child morbidity and mortality.
Increasing PPFP uptake would also make a large contribution towards Family Planning 2020’s (FP2020) goals of increasing rights-based contraceptive access and use in its focus countries and ensuring universal access to sexual and reproductive health and rights by 2030, as laid out in Sustainable Development Goals 3 and 5.
What is the PPFP movement about?
The PPFP movement began in June 2015 in Chiang Mai, Thailand, where a global, action-oriented meeting, titled “Accelerating Access to Postpartum Family Planning in Sub-Saharan Africa and Asia” (the “PPFP Global Meeting”), was held with family planning, maternal, newborn and child health (MNCH) representatives from select countries and key international stakeholders to accelerate access to PPFP. The PPFP Global Meeting allowed countries to develop specific action plans and build consensus with local partners and policymakers towards their implementation.
Momentum in PPFP has continued thanks to several key factors, beginning with the June 2015 Global PPFP Meeting held in Chiang Mai, Thailand and Jhpiego’s subsequent stewardship of the movement; revisions to the WHO’s Medical Eligibility Criteria to allow for an expanded method mix for PP women; increased donor interest; and progress in country-level commitment and programming.
Meeting the frequently-overlooked needs and rights of postpartum women – and resolving the persistent inequities they face - remains the core of the PPFP movement. With renewed support from the Bill & Melinda Gates Foundation, the focus on country-level commitment and improved programming in PPFP has been sustained and amplified, including an added focus on post-abortion family planning (PAFP).
The PPFP/PAFP movement at FP2020
Since 2015, there have been several developments in the management of the PPFP collaboration as well as in the field that require a shift in the scope of the movement. As of March 2017, the PPFP/PAFP movement is now managed by the FP2020 Secretariat. This allows the integration of the PPFP work, as well as the inclusion of PAFP into the Secretariat’s work and especially within the FP2020 focal point structure – where each commitment-making country is represented by government, donor, and civil society partners - already in place. Using a rights-based framework, each FP2020 country focal point team develops a Country Action Plan that is aligned with a country’s Costed Implementation Plan (CIP), or other existing country strategies, policies, and 2017 FP2020 commitments, and lays out a shared working agenda for the focal points, Secretariat, and partners. Additionally, for countries with identified PPFP/PAFP priorities, these will be integrated into their FP2020 Country Action Plans.
- Track 20 Country Fact Sheets: Opportunities for Family Planning Programming in the Post-Partum Period
- Postpartum Family Planning Web Resource LaunchEnglish
- Postpartum Family Planning Global Movement Follow-Up Workshop ReportEnglish
- PPFP Programming Strategies English French
- Postpartum Fertility and Contraception: An Analysis of Findings from 17 Countries Medical Eligibility Criteria for Contraceptive Use, Fifth edition English French
- Postpartum Family Planning Toolkit on Knowledge4Health English
- HIP Brief: Postabortion Family Planning English French
- HIP Brief: Family Planning and Immunization Integration English French
- HIP Brief: Immediate Postpartum Family Planning English French
- Program Learning for PPIUCD Integration with Maternal Health Services English French
- Scaling Up Immediate Postpartum Family Planning Services in Rwanda English
- Cost Analysis for Scale-Up of Postpartum Family Planning in Rwanda English
2018 PPFP/PAFP Quarterly Webinar Series
- Feb. 27, 2018 – Priorities following the 2017 Anglophone Africa focal point workshop: Spotlight on Zambia slides only
- May 24, 2018 – Priorities following the 2018 Francophone countries focal point workshop: Spotlight on Guinea and Senegal slides | video
2018 Partner Collaborations
- May 18, 2018 – FP2020 & MCSP. Advancing the PPFP Agenda: Building Partnerships to Meet Rwanda’s FP2020 Commitments slides | video
Accelerating Access to Postpartum Family Planning Webinar Series
- Aug. 26, 2015 - Experiences from Kenya, Pakistan and Uganda slides only
- Sept. 16, 2015: Experiences from Afghanistan, Bangladesh and Zambia slides and recording
- Oct. 28, 2015: Experiences from the Democratic Republic of Congo and Madagascar slides and recording
- Dec. 8, 2015: Experiences from Nigeria and the Philippines slides | recording
March 12-15, 2018
November 9, 2017
Nusa Dua, Indonesia
Jan. 25, 2016
Chiang Mai, Thailand
June 8 - 11, 2015
Family Planning is Key to UN Sustainable Development Goals (Koki Agarwal, Katrin Decamp, and Anne Pfitzer, Georgetown Journal of International Affairs)
Blog: Spotlight on Madagascar: Growing the Postpartum Family Planning Movement (Anne Pfitzer, MCSP Family Planning Team Lead, JHPIEGO)
Blog: Five African states Help Women Prevent Pregnancy Right After Birth (Dr. Isaac Malonza, Jhpiego regional director for East and Northern Africa, and Lindsay Breithaupt, senior programme co-ordinator for Jhpiego’s technical leadership office of family planning and reproductive health)
Blog: Thinking Outside the “Family Planning Box” to Ensure No Missed Opportunities (Sadie Healy, MCSP Family Planning Senior Program Coordinator)
Blog: Global Commitments, Local Actions: Postpartum Family Planning Champions Deliver (Sruti Ramadugu, MCSP Communications Specialist)
Blog: Meeting the Sustainable Development Goals through Postpartum Family Planning (Angeline Mutunga, the East Africa Regional Program Advisor for Advance Family Planning, based at the Jhpiego Kenya Office, and Catherine Njeri Ndungu, Communications Specialist for Jhpiego in Kenya)