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Commitments, Progress & Transparency

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Rwanda - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Rwanda will ensure the availability of family planning services in each of the 14,841 Rwanda administrative villages (Imidugudu) through delivery by the 45,000 community health workers already in service. There are also plans to expand existing family planning communications programs to raise awareness of family planning choices. Focusing on convenience and reducing the frequency of visits to health providers, the Government of Rwanda will introduce long-lasting contraceptive methods, including permanent ones and high quality integrated family planning services in every hospital and health center.

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Senegal - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Senegal has plans to generate demand for family planning, especially through mass media communication and community mobilization, with targeted messages for women and to increase involvement of men and young people, and to leverage networks of religious leaders and national and local champions to advocate for family planning.

Senegal will improve the supply chain and reduce stock outs to zero especially through the Informed Push Model; improve forecasting and quantification of needs with the Reality Check model; Expand service points (e.g., mobile outreach, social marketing, and franchising models) and remove barriers ((e.g. prescription requirements, stock-outs) to increase access for remote and vulnerable populations; Improve choice of methods and the quality of service, especially for youth, through recruitment, training, and supervision of qualified personnel; Introduce innovative approaches to family planning, such as the acceptability study of Depo subQ, a new self-injectable contraceptive; Scale up community based services through task shifting; and integrate family planning services with other programs such as immunization and HIV. 

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Tanzania - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Additionally, the government will execute a FP2020 Action Plan (2013-2015) to address regional disparities and inequalities through training, capacity-building, community-based services, and interventions targeting young people and post-partum women, with a particular focus on the Lake and Western Zones. Through public-private partnerships and training for service providers and local staff, the government will improve contraceptive commodity security, logistics systems, and method mix. Strategic communications will be used to address barriers to family planning use, through a country-wide campaign carried out at the national and sub-national level.

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Kenya - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Please see financial commitment update for program and service delivery commitments. 

2012: Kenya plans to scale up their voucher system, which provides reproductive services, including family planning, in five rural and urban districts in Kenya. The Kenyan Government has already established over 70 Youth Empowerment Centers. The target is to have one in each constituency to provide a one-stop-shop for youth friendly information, including family planning. Kenya will strengthen the collaborative approach, including the participation of public, private, and civil society organizations, at national and devolved governance levels in line with the new constitutional dispensation. Kenya also commits to review barriers to some contraceptive methods at community level health facilities, especially in remote locations, and to reform the Kenya Medical Supply Agency (KEMSA) to end stock outs and improve the supply chain for all medical commodities including family planning. Finally, Kenya has plans to restructure the National Council for Population and Development agency, and facilitate additional resources to re-launch the national family planning campaign.

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Togo - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2014:The Government of Togo commits to increasing service coverage by taking into account private and associative structures offering family planning services, organizing family planning services for the benefit of isolated and marginalized groups, and improving the access of local populations to family planning methods through innovative strategies. It also commits to integrating adolescent-youth sexual and reproductive health services into the PMA (minimum package of services) of health structures and recruiting and training qualified personnel for offering quality services. The Government of Togo commits to strengthening data forecasting and management to optimize the supply chain and to promoting contraceptive product supply chain excellence.

Togo also pledges to evaluate community-based distribution of services, including injectables, by December 31, 2014, reinforce results-based mechanisms for coordination, monitoring, and evaluation, and strengthen communication around family planning, particularly for key target populations. The Government of Togo also pledges to promote family planning with advocacy tools (RAPID, religious RAPID) and to institutionalize the national campaign for family planning.

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Malawi - Program & Service Delivery

DateJuly 11, 2017

2017 Update: The Government of Malawi specifically commits to addressing rapid population growth, high fertility rates, and low uptake of LARCs by:

  • Scaling up delivery of integrated adolescent and YFHS in public, private health facilities from 33% to 70%, with adequate services for SRHR with emphasis to increased method mix to adolescents and young people including internally displaced persons during humanitarian crisis.
  • Ensuring focal points in emergency cluster/teams for improved coordination
  • Procuring and strategically pre-positioning RH kits through numbers utilised by the Women of child bearing age.
  • Generating in-country evidence on cause and effect of Depo-Provera for women living with HIV as this may affect future programming and fertility.
  • Design a task shifting service delivery model with all short acting methods (promoting method mix) to reach out to more young people.
  • Mobilize resources to support SRHR outreach services for hard to reach adolescents through advocacy.

Increase the percentage of accredited YFHS facilities that meet at least the 5 minimum standards from 37% to 60% by 2020.

2012: Malawi will develop a comprehensive sexual and reproductive health program for young people starting FY 2013-14. The Malawi government plans to increase coverage of services through the expansion of public/private partnerships, starting FY2013-14. They also plan to increase community participation in family planning services through initiatives like the Traditional Chiefs Committee and to strengthen forecasting and data management for effective supply chain operation.

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Pakistan - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2012: Pakistan will engage with provinces to implement the Minister's directive to provide birth spacing services in health facilities at all levels. Contraceptive services will be included in the essential service package of two provinces in 2012, with the others following in 2013.

Pakistan commits to making FP a priority for over 100,000 LHWs, who cover 70% of rural areas. They will strengthen LHW quality of care by regularizing their employment status, providing training, and reinforcing referral links between LHWs, community midwives, and nearby facilities. Pakistan will strengthen supply chain management, training and communication campaigns. A modern state of the art storage tracking system at the Central Contraceptive Warehouse in Karachi has been installed.

Pakistan is working to scale up access through public-private partnerships and contracting-out mechanisms, and to scale up work with religious and community leaders and men to promote the benefits of birth spacing. There will also be efforts to increase the focus on men in communications messages, mobilization activities, and services (through the increased availability of vasectomy services and condom distribution).

The provinces are planning other initiatives, such as:

  • Strengthening procurement and logistic systems for timely, regular and uninterrupted availability of contraceptives at all public service delivery points;
  • Improving the technical and communication skills of service providers for better service quality; and
  • Placing greater emphasis on communication for generating more demand, raising awareness, and changing behavior.
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Nigeria - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment summary here

2014:Nigeria commits to train at least 3,700 community health workers (CHWs) to deliver the range of contraceptives, particularly long-acting and reversible methods (LARMs) and support task shifting so CHWs in rural areas can provide multiple methods.

Nigeria plans to focus on education, especially education of girls, and build on the impact of market interventions. The Nigerian Government will improve the supply of contraceptives in the country through stimulating the private sector; lowering the price of contraceptives through removal of import duties and other regulatory barriers; and strengthening the in-country logistics system that ensures commodity availability at the facility level. On the demand side, Nigeria will increase awareness and demand for family planning services.

Finally, Nigeria will use social marketing to mitigate socio-cultural barriers such as preference for large families, religious restrictions, and women's lack of decision-making power. 

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Myanmar - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2013: Myanmar seeks to boost partnership with the private sector, civil society organizations, and other development partners for expanded service delivery. The Government of Myanmar will continue to strengthen the logistics management information system to ensure reproductive health commodity security through improved projection, forecasting, procurement, supply, storage, systematic distribution, and inventory control. In addition, Myanmar will implement a monitoring system to strengthen quality of care and ensure women have a full range of contraceptive options.

The Government of Myanmar will review and develop a five-year strategic plan for reproductive health through a consultative process, and Myanmar’s family plan will address regional disparities and inequalities. The government also commits to improving the method mix with increased use of long-acting and permanent methods.

Myanmar will host a national conference focused on family planning and reproductive health best practices in 2014 and the 8th Asia Pacific Conference on Reproductive and Sexual Health and Rights in 2016. 

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Mozambique - Policy & Political

DateJuly 11, 2017

2017 Update: Read the commitment here

2014:The Government of Mozambique will revitalize the National Partnership to Promote Maternal Health to implement and monitor multi-sector interventions for Millennium Development Goals (MDGs) 4 and 5. They will continue to provide cost-free integrated sexual and reproductive health services (SRH) and commodities in all health facilities, and ensure that existing laws pertaining to SRH are known and implemented at all levels.

Mozambique will also work to strengthen existing coordination mechanisms between partners, private sector and government to accelerate the implementation of the national Family Planning and Contraceptives strategy.

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Mauritania - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2013:Beginning in 2014, the Government of Mauritania commits to allocating health commodity security funds for family planning. It also commits, along with partners, to mobilizing additional resources for the implementation of the national action plan on family planning.

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Liberia - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:In addition to public-sector facilities, the private medical sector also provides family planning services. In Liberia, this includes the Planned Parenthood Association, faith-based health institutions, private hospitals and clinics, pharmacies, private doctors, and private donors.

The following objectives are included in the Liberian national reproductive health strategy:

  1. Expand availability, access to, and choices of safe, effective, acceptable, and affordable contraceptive methods by using integrated approaches at both facility and community levels to minimize missed opportunities.
  2. Increase the number and capacity of health workers at the facility and community level to deliver safe, effective, and acceptable family planning services.
  3. Strength the contraceptive commodity supply chain to ensure adequate supply at all levels of facility- and community-based services.
  4. Strengthen key systems and infrastructure, including management, monitoring, evaluation, and supervision to support family planning services at the facility and community levels.
  5. Strengthen and expand family planning through the private sector, including NGOs, faith-based organizations, social marketing, the commercial sector, private clinics, and pharmacies.
  6. Engage in advocacy and increase demand for and utilization of family planning and reproductive health services in order to decrease unmet need for family planning and increase the CPR.
  7. Improve the health system's capacity to increase utilization of family planning and RH services among underserved and/or vulnerable populations, including adolescents, young adults, victims of sexual exploitation, rape survivors, refugees, and men.

 

Guinea - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2013:The government commits to improving the access of local populations to all family planning methods by using community based service provision and increasing service coverage by taking into account private sector and civil society structures in supplying family planning services. The government commits to integrating youth sexual and reproductive health services into the basic services of health structures in two to eight administrative regions by 2018.

Guinea also pledges to recruiting 2,000 health workers in 2014, at a cost of USD $3.5 million. Each year until 2017, the government will recruit an additional workforce of 51 midwives, 111 government-registered nurses for rural areas, and will train 300 health technicians to serve as midwives.

Guinea will continue the roll-out of long-acting and permanent methods in 15 health districts currently lacking them. Guinea also pledges to improve forecasts and data management to optimize the family planning supply chain.

In addition, the government will strengthen results-driven coordination, monitoring and evaluation, and accountability mechanisms.  Guinea commits to developing partnerships with the private sector to enhance financing for family planning.

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DateJuly 11, 2012

Rotarian Action Group for Population and Development (RFPD), as a resource to all Rotary clubs/districts worldwide for maternal and child health issues, commits to promote and support all efforts by Rotarians to improve maternal and child health and provide family planning information and resources.

RFPD commits to scaling up its model project in Northern Nigeria to expand to other Nigerian states beginning in 2012, opting for further introduction of the model also in other countries. RFPD will continue to expand its efforts in empowering women, promoting responsible parenthood and helping to improve the logistics and supply of family planning services in countries in need. RFPD operates in accordance with Rotary International policy, but is not an agency of, or controlled by, Rotary International.

Zambia - Policy & Political

DateJuly 11, 2012

2017 Update: Read the commitment here

2012:Zambia will strengthen the supply chain for family planning commodities through expansion of the Essential Medicines Logistics Improvement Program and other channels.

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DateJuly 11, 2012

The partnership will also work to strengthen the quality of forecasting and explore innovative approaches, such as mobile phone technology, to ensure better access to meet demand from women, improve availability at the community level and increase knowledge of family planning opportunities among women, families and front line health workers. 

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