Contraceptive Security

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Commitments, Progress & Transparency

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Madagascar - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2015:The government of Madagascar commits to strengthen community mobilization and distribution of contraception by prioritizing the needs of women and girls located in difficult-to-reach areas. Madagascar also pledges to ensure contraceptive security, including products for emergency contraception, to beneficiaries and institutionalize the annual national campaign for family planning. In addition, the government also commits to strengthening technical platforms for health training in family planning, particularly for long-acting and permanent methods and post-abortion/post-partum family planning.

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Madagascar - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2015:The government of Madagascar commits to increasing the state budget devoted to family planning, including contraceptive purchasing and delivery, by at least 5 percent annually.

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Ethiopia - Program & Service Delivery

DateJuly 11, 2017

2017 Update: The Government of Ethiopia will improve the health status of Ethiopian adolescents and youth by increasing mCPR among those aged 15 to 24 years, and reducing unmet need for modern contraception. GoE will coordinate efforts over the next 3 years to strengthen AYF clinic services and referral linkages to improve AY access to contraceptives.

It will improve the distribution of FP commodities and consumables from the central level to service delivery points by increasing the capacity of healthcare workers to manage the logistics system and coordinate with the Pharmaceuticals Fund and Supply Agency (PFSA).

2012: Contraceptive use has doubled in Ethiopia since 2005. The government will further increase its funding to uphold the rights of all people to access and choose voluntary family planning through the strong network of primary health care providers.  Ethiopia commits to ensuring commodities security, increasing uptake of long-acting reversible methods (LARMs), expanding youth friendly services with a focus on adolescent girls, scaling up delivery of services for the hardest to reach groups, and to monitoring availability of contraceptives. 

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Liberia - Policy & Political

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Liberia commits to keeping all family planning services free of charge to improve access. Family Planning is currently included in various health documents:

  • Road Map for Accelerating the Reduction of Maternal and Newborn Morbidity and Mortality in Liberia,
  • National Reproductive Health Commodity Security Strategy and Operational Plan, which identifies critical needs and specifies the interventions required to ensure continuous availability of contraceptives and vital RH medicines at all health services delivery and commodity distribution points. UNFPA and USAID are the principal partners in addressing the supply chain issues related to family plannin commodities in Liberia,
  • 10 year National Health Plan, and
  • Essential Package of Health Services, which emphasizes the uptake of family planning services through innovative strategies and by training general community health workers to conduct counseling, distribution of family planning commodities and appropriate administration of contraceptive methods.

The MOHSW will continue to advance key support systems for family planning and devise policies as needed. For example, the revised Health Information System (HIS) now integrates family planning and family planning commodities into monitoring and HIS tools at each level of the health system.

DateJuly 11, 2017

The Chaudhary Foundation commits to help the Government of Nepal to strengthen family planning uptake in Nepal through generating demand for services through support to the use of mass communication tools, building on the work of Government of Nepal/USAID’s HC3 programme. The Chaudhary Foundation commits to support the Government of Nepal and work with health sector development partners to strengthen supply chain management of FP and other health commodities, with a focus on the sub national level. Areas of engagement are yet determined but will focus on the Foundation’s comparative advantage and where gaps lie.  Initial focus will be on one province. The Chaudhary Foundation commits to supporting approaches to expand the use of an adolescent sexual and reproductive health mobile phone app (Khulduli), in particular among youth and in remote areas, developed by the Government of Nepal in collaboration with development partners.

DateJuly 11, 2017

Shanghai Dahua is honored to join the global family planning community in support of the FP2020 goals of reaching 120 million more women and enabling their access to family planning methods by 2020. An old Chinese proverb proclaims that “women raise half the sky!” Thus, Shanghai Dahua has always been and continues to be fully committed to expanding access of high quality, effective and affordable contraceptives that meet the needs of women, including in hard-to-reach and vulnerable populations. Shanghai Dahua is proud to announce that its implant product, Levoplant, received World Health Organization (WHO) prequalification on June 20, 2017. We stand by our commitments to FP2020 countries:

  1. We will offer our WHO prequalified implant product, Levoplant , at lower prices of US$7.50 per unit for any orders of above 300,000 units and US$8.00 per unit for orders below 300,000 units;
  2. We will make WHO prequalified Levoplant widely available, by registering it in as many countries as possible;
  3. We will consider reducing Levoplant’s price even further, if significant volumes of Levoplant are procured (beyond 2M units per year).

We are grateful to the global family planning community for putting its trust in Shanghai Dahua.

Pfizer - Financial

DateMay 11, 2017

May 11, 2017 Update: Pfizer Inc. and a consortium of donors—including the Bill & Melinda Gates Foundation, the Children’s
Investment Fund Foundation, the UK Department for International Development (DFID), the United States Agency for International Development (USAID), and UNFPA—are launching a public-private collaboration to broaden access to Sayana Press, Pfizer’s innovative injectable contraceptive.

Sayana Press is a three-month contraceptive in the all-in-one, single-use Uniject™ injection system developed by PATH and manufactured by Becton, Dickinson & Company. Sayana Press contains a reformulation of depo medroxyprogesterone acetate that allows it to be administered subcutaneously (subQ). The product’s design means that community health workers, pharmacists, and even women themselves can be trained to administer it (where approved by national health authorities). Sayana Press is
available to qualified purchasers at a guaranteed price of US $0.85 per dose, a reduction from the previous price of US $1.00 per dose.

Sayana Press is currently being introduced, scaled-up, or piloted in more than 15 FP2020 countries, with Pfizer continuing to support additional country registrations. The donor consortium is supporting the collaboration with over US $270 million in investments between now and 2022

Sept. 16, 2015--Pfizer commits to selling Sayana® Press for US$1/dose to qualified purchasers for two years. Sayana® Press combines Depo-Provera with Uniject™, a completely self-contained one-dose injection system that eliminates the need for health workers to store medicines and syringes or measure out doses. The price agreement allows Sayana® Press to be offered to women in FP2020 countries at reduced or zero cost. Financial support is provided by the Bill & Melinda Gates Foundation (BMGF) and Children’s Investment Fund Foundation (CIFF), while in-country distribution is made possible by PATH, DFID, UNFPA, and USAID. 

Pfizer is responsible for quality manufacturing of Sayana® Press, as well as obtaining registrations in key markets. Sayana® Press has been registered or has registration pending in over 10 of the 69 priority family planning markets. In addition, stakeholders have sought waivers to make Sayana® Press available in markets where there is no registration.

The consortium of public and private sector donors and aid organizations supporting this collaboration will assist with procurement and support country introductions and the delivery of Sayana® Press to health facilities. At the country level, the organizations will also work with local governments to help ensure injectable contraceptive methods are included in reproductive health plans and budgets, coordinate health worker trainings, and raise awareness about the availability of Sayana® Press.

Afghanistan - Program & Service Delivery

DateJuly 11, 2016

The government of Afghanistan commits to developing a family planning national costed implementation plan (2017-2020); strengthening community-level family planning services through the training of community health workers; and providing sufficient stock of contraceptives. Afghanistan also pledges to expand access to long-acting and reversible methods as well as training at least one male and one female health worker in each health facility in conducting family planning counseling and the appropriate administration of contraceptive methods. In addition, the government will strengthen community mobilization and increase advocacy about family planning among religious and community leaders, civil society, and youth as well as develop information, education, and communication and behavior change communication campaigns to address barriers to accessing family planning and reproductive health services. Afghanistan will also strengthen coordination, commitment, and collaboration between the public and private sector to improve reproductive health and family planning services, training, supplies, equipment, and commodities. In addition, the government will roll out a youth health line to five major cities to provide counseling and information to youth on reproductive health and family planning. The government will also include implants on the Ministry of Public Health’s essential medicines.

Merck - Financial

DateNovember 12, 2015

Merck, known as MSD outside the United States and Canada, commits to extending access pricing for IMPLANON® and IMPLANON NXT®—its single-rod, long-acting, reversible contraceptive implants—in FP2020 focus countries for an additional five years through 2023.

This builds on Merck’s original announcement in May 2013 to reduce the cost of its implants by approximately 50 percent for six years, through 2018. 

Since May 2013, the number of IMPLANON® and IMPLANON NXT® implants provided in targeted countries has doubled, bringing greater choice to millions of women in some of the world’s poorest regions. Merck continues to work with the Bill & Melinda Gates Foundation and other FP2020 partners in implementing the IMPLANON® Access Program.

The International Contraceptive Access (ICA) Foundation—a public-private partnership between the Population Council and Bayer HealthCare Pharmaceuticals—commits to donating contraceptive products to public health organizations, such as multilaterals, governments and NGOs in Family Planning 2020 (FP2020) focus countries.

The foundation commits to offering in donation up to 20,000 levonorgestrel releasing intrauterine systems (LNG IUS) per year from 2016 to 2020 to qualified service organizations in the 69 FP2020 focus countries—after approval by the Board of the project proposals LNG IUS is a contraceptive method containing a synthetic female hormone, levonorgestrel, which is released slowly into the uterus (womb), and is widely used in other contraceptive methods, such as implants and oral contraceptive pills.

Over the first year of use, the pregnancy rate for LNG IUS users is less than 1 percent. Since 2003, the ICA Foundation has donated nearly 75,000 LNG IUS devices to organizations in 28 developing countries in an effort to serve the reproductive needs of women and families in resource-poor settings.

Management Sciences for Health - Program & Service Delivery

DateSeptember 15, 2015

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.

Somalia - Program & Service Delivery

DateSeptember 15, 2015

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.

Cameroon - Program & Service Delivery

DateNovember 25, 2014

The Government of Cameroon commits to ensuring contraceptive security to avoid stock outs, providing the full range of contraceptives by ensuring quality services, including family planning counseling, training, and supervision of health workers, and ensuring the government’s and its partners’ accountability for funding family planning.

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UNFPA - Financial

DateJuly 11, 2012

UNFPA (United Nations Population Fund) works to deliver a world where every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled.  

UNFPA will double the proportion of its resources focused on family planning from 25 percent to 40 percent based on current funding levels, bringing new funding of at least US $174 million per year from core and non-core funds. This will include a minimum of US $54 million per year, from 2013-2019, in increased funding for family planning from UNFPA’s core resources.

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DateJuly 11, 2012

Merck for Mothers is a 10-year, $500 million initiative focused on creating a world where no woman dies giving life. Merck for Mothers commits US $25 million over eight years. Merck's funding will be directed toward increasing awareness of and education about family planning services among women and girls in resource-limited settings; improving the supply chain for quality family planning resources and services to improve maternal health; and working with governments, the private sector, civil society and local health providers to increase support and access to family planning services.

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DateJuly 11, 2012

International Planned Parenthood Federation (IPPF) supports the Civil Society Declaration to the London Summit on Family Planning.

IPPF will mobilize civil society and governments to improve the legislative, policy, regulatory and financial environment for family planning and will mobilize the international movement created through IPPF’s role as Co-Vice Chair of the Stakeholder Group to the London Summit on Family Planning to hold governments accountable.

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Niger - Program & Service Delivery

DateJune 11, 2012

Niger will work to include injectable contraceptives in methods provided by community health workers (CHWs). They will focus on new strategies to reach marginalized groups, including through Friends of Youth centers, and integrate family planning teaching into school health curricula.

Plans to increase services for isolated populations include:
  • Extension of local sites distributing contraceptive products;
  • Offering injectable contraceptives (DépoQ) by CHWs; and
  • Mobile clinics which will focus on offering long-term contraceptive methods.

Niger will also work to increase demand by scaling up the network of 200 Ecole Des Maris (School for Husbands), working with faith based networks, and integrating FP in the school health curriculum. To measure progress on the implementation of population policies, Niger will conduct contraceptive coverage surveys every 3 years, as well as conduct a national RHCS survey every year to follow indicators on the security of RH products, with emphasis on the availability of contraceptive products. Niger plans to have bi-annual follow-throughs of the supply chain of contraceptive products at the level of all 42 country districts and of the 8 regions as well as the national office of pharmaceutical and chemical products (ONPPC and the 3 regional ONPPC depots). In addition, Niger will introduce informative material and FP management tools (Channel software) at all levels (central, regional, district) for the monitoring and management of contraceptive commodities. 

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DateJuly 11, 2017

Cycle Technologies commits to:  

  1. Distribute free app-based fertility awareness options to 8 million women worldwide by the year 2020 with a particular focus on those areas with the highest unmet need.
  2. Complete a comprehensive efficacy study of an app-based family planning method by September 2018.
  3. Conduct impact research to measure how free, app-based fertility awareness options are addressing unmet need.
  4. Provide physical CycleBeads to qualified programs such as USAID and UNFPA at the lowest possible price. Specifically, work through existing health programs to distribute 2 million sets of CycleBeads to women in low resource settings with unmet need for contraception between 2017 and 2020.

Globally 225 million women have an unmet need for contraception. This means that they are at risk for pregnancy, but are not using a modern contraceptive method. Each year there are also 85 million unplanned pregnancies with almost all of these – 95% - occurring to women who were not using contraception consistently at the time they became pregnant.

Fertility awareness methods, and specifically well researched, proven, easy to use methods, have the potential to reach millions of women who have unmet need with effective contraception. These options address the primary reason cited by women for not using birth control consistently – side effects. They also expand the method mix, work in a variety of cultural contexts, and can be accessed by women for free, directly through their mobile devices. Because of this, they have the potential to have a huge impact in addressing the needs of the millions of women worldwide who are at risk for pregnancy, yet are not using a modern contraceptive method.

Cycle Technologies has extensive experience in making effective, easy to use fertility awareness-based methods available widely. Research on our technologies has found that they bring new users to family planning and can reach a significant number of women who have unmet family planning need. Over 6 million women, many in the areas with the most unmet need, have successfully used these effective contraceptive options.

Recent impact studies indicate that offering these contraceptive options via mobile technology has the potential to be a game-changer. Research conducted by the Institute for Reproductive Health at Georgetown University in Kenya, Ghana, and India on Cycle Technologies’ mobile application CycleBeads show that this contraceptive app can bring new users to family planning, reaches women who are at risk for pregnancy, and can be offered cost efficiently to a massive number of women through a smartphone device.

Cycle Technologies app – Dot Fertility & Period Tracker – which is undergoing the first ever full-scale contraceptive app efficacy study in 2017, was named by Women Deliver as a Top 10 Global Health App Changing the Lives of Women and Girls.

DateJuly 11, 2017

Mylan is a leading global generic and specialty pharmaceutical company dedicated to setting new standards in health care and ensuring affordable access to high quality, life-saving medicines.  As a supplier of oral contraceptive pills, injectables, and a growing number of other methods, Mylan will strive to offer contraceptives to 25 million women and girls by 2020.  Mylan will further aim to registering its contraceptive portfolio to 80 percent of the 69 FP2020 countries, to ensure equitable access to women and girls across the globe. 

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