Commitments, Progress & Transparency

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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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Bangladesh - Program & Service Delivery

DateJuly 11, 2017

2017 Update: 

  • Bangladesh will increase its commitment for postpartum family planning by fully implementing its National Postpartum Family Planning Action Plan by training doctors, midwives, nurses and, in part by placing Family Welfare Visitors in each of the 64 district hospitals.
  • Bangladesh will introduce a regional service package on family planning in Chittagong, Sylhet and Barisal divisions for hard to reach populations.
  • Bangladesh commits to deploy at least two qualified diploma midwives in each of the Upazila Health Complexes to provide midwife-led continuum of quality reproductive health care by 2021. Midwives will be trained to provide widest range of family planning methods included in their agreed scope of practice in country. Midwives will be trained to provide greater attention to first time young mothers.
  • Bangladesh will scale up quality improvement measures in family planning programs by establishing Family Planning Clinical Supervision Teams (FPCST) in each of the 64 districts.
  • Bangladesh commits to providing free and adequate contraceptives to NGOs, private clinics and hospitals and garment factory clinics with trained FP personnel.
  • Bangladesh will use technology and programme delivery innovations in family planning
    • In capacity development by providing tablets to field workers including an e-Toolkit and develop eLearning courses and empower them with ICT knowledge and skills
    • In programme delivery by working with marriage registrars to reach newlywed couples with family planning messages and organizing family planning client fairs in hard-to-reach areas.
    • Family planning messages, counselling and advice will also be provided through the national 24/7 call center of the Director General of Health Services.
  • Bangladesh will include a service provider with reproductive health skills within its rapid response teams and mainstream the minimum initial service package (MISP) for reproductive health in crisis into its emergency response.

2012: The Government of Bangladesh commits to increasing adolescent-friendly sexual and reproductive health and family planning services, providing adolescent sexual and reproductive health services at one-third of maternal newborn and child health centers. Bangladesh will monitor to ensure quality of care is strengthened, including informed consent and choice and to support women to continue use of family planning methods. The government will work with the private sector and non-governmental organizations (NGOs) to: address the needs of young people, especially young couples; reduce regional disparities, working with leaders and communities to delay early marriage and child birth; and increase male involvement. It will also increase training and workforce development. Bangladesh commits to adopting innovative service delivery approaches, like behavior change and information and communications technology. The government also commits to improving choice and availability of Long Acting and Permanent Methods (LaPMs), including for men, and post-partum and post-abortion services.

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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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Malawi - Policy & Political

DateJuly 11, 2017

2017: Malawi commits to ensure universal access to, and coverage of, sexual reproductive health and rights information and services with specific focus to all adolescent and young people through promoting wider method mix choice and LARCS with the goal of “no parenthood before adulthood,” and in the spirit of the SGDs “leaving no-one behind.” Specifically, the Ministry of Health will:

  • Implement the newly constituted WHO guidelines on youth contraceptives and align national policies/guidelines to allow increased access to Family planning commodities by 2030.
  • Execute fully the YFHS strategy as a guiding document to ensure multi-sectoral participation and accountability of stakeholders for improved access to SRH including contraceptives amongst sexually active young people 10-24 years.

Malawi is further committed to reducing teenage age pregnancies by 5% per annum until 2030 in line with HSSP II set targets (2017 -2021). This will be done through ending child and early forced marriages and ensuring that girls complete their secondary education to safeguard young people in anticipating better youth participation necessary for harnessing the Demographic Dividend. To address the relatively high rate of child marriages and expectations of the first child is high, the Ministry of Health commits to:

  • To work closely with line Ministries – e.g. Gender, Youth, Education; MPs, religious leaders, civil society, private sector, and the media to reinforce implementation of the Marriage, Divorce and Family Relations Act and the value of the girl child, the importance of keeping girls in school through public dialogue with traditional leaders, parents and other stakeholders to address the root causes of child, early and forced marriage in the hopes of ENDING child and early forced marriages by 2030.

 

To address inadequate integration of information on FP modern methods in CSE and public media, the government commits to:

  • Integrate information on modern contraceptive in CSE and lobby for CSE in both public and private primary, secondary school and all tertiary institutions including knowledge and attitude improvements, use of mass media; social media to reach-out more young people in workplaces and communities.
  • Harmonize the in-and out of school CSE curricula for standardised implementation by all stakeholders and certainty of standardized messaging going out to youth in all sectors.

 

To support meaningful participation of young people in coordination and implementation of SRH/FP/YFHS, the government commits to:

  • Strengthen capacity of SRH leaders from youth clubs, and youth- led organisations to participate in planning implementation and coordination of YFHS services from 100 to 200 youth leaders.
  • Advocate with young people, guardians, teachers, and communities to develop positive attitude towards YFHS.

2012: Malawi will attempt to raise the legal age for marriage to 18 by 2014 and strengthen policy leadership by elevating the Reproductive Health Unit to a full Directorate. Malawi also committed to approving the National Population Policy by Dec. 31, 2012.

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Mauritania - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2013:Mauritania’s national action plan on family planning was developed in 2013 through a participatory and inclusive process and outlines Mauritania’s priorities for family planning and creates a framework for partnership and resource mobilization. Mauritania commits to implement the plan for the period of 2014-2018.

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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.

Hewlett Foundation - Policy & Political

DateJuly 11, 2012

The William and Flora Hewlett Foundation will support an effort to develop and cost out options for an external accountability mechanism around the financial and political commitments made at the London Summit on Family Planning. The Hewlett Foundation also will intensify engagement in the Ouagadougou Partnership and its focus on accelerating access to family planning services in Francophone West Africa with the Gates Foundation, USAID, and the French Government.  

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Zambia - Program & Service Delivery

DateJuly 11, 2012

2017 Update: Read the commitment here

2012:Zambia will work to expand method mix and increase access, particularly for the underserved population. Zambia will allow task shifting to community health assistants and trained community based distributors to increase access for the underserved communities, and initiate new dialogue with religious and traditional leaders and NGOs at local level to generate demand, dispel the myths and 'open up the dialogue' on family planning. Finally, Zambia will utilize sub-district structures to generate demand for family planning.

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Mozambique - Program & Service Delivery

DateJuly 11, 2012

2017 Update: Read the commitment here

2014:Mozambique will revitalize family planning information, services, and outreach for youth, build public-private partnerships to improve the distribution of contraceptive commodities, and increase the number of health facilities offering at least three contraceptive methods from one-third to 50 percent by 2015. Efforts will be put forth to train at least 500 health providers to provide post-partum and post-abortion counseling on family planning and contraception by 2015.

Additionally, the Government of Mozambique will stimulate an increase in demand of family planning services, by expanding the provision of information and family planning services in rural and peri-urban communities. It will do this by promoting community based distribution of contraceptives and the participation and involvement of communities, health agents, traditional midwives, non-governmental organizations, and mobile clinics. Mozambique, in particular, will intensify community involvement at local levels through engaging religious leaders and community leaders in educating and advocating for various methods of family planning.

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Ipas - Program & Service Delivery

DateJuly 11, 2012

Ipas will also train new cadres of health care workers—4,000 per year—to provide a wider range of sexual and reproductive health services, including post-abortion family planning services, integrating family planning and other sexual and reproductive health services with primary care. Ipas will support research on post-abortion family planning service delivery and will advocate for improved medical service delivery protocols. Finally, Ipas will also promote increased participation of women and other stakeholders in health policy and decision making and will increase support for SRHR, including family planning and the prevention of unsafe abortion, among religious and community leaders.

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DateJuly 11, 2012

IPPF commits to generating support for sexual and reproductive health and rights from regional bodies, the Oil Rich States, the G20, BRICS and emerging economies, advocate to the pharmaceutical industry for affordable pricing for contraceptives and raise awareness and change the attitudes of community, political and public opinion leaders to support sexual and reproductive health and rights for all.

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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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