• Le Burundi dispose d’un  plan d'accélération de la planification Familiale 2015-2020, qui est opérationnel. Il a été élaboré sur  base des gaps stratégiques et géographiques. Les grandes actions stratégiques  de ce plan portent sur l’environnement favorable à la promotion de la planification familiale notamment à travers l’organisation des sessions d'échanges avec les ministères en charge des questions de genre, de l'agriculture, de l'environnement, de l'artisanat, de la jeunesse  pour  les sensibiliser sur la nécessité de prendre en compte la question de la Planification Familiale dans leur politique sectorielle respective.
• Le Burundi dispose d’un Projet de Décret portant création et fonctionnement de l’Office national de la population(ONP) + organigramme afin de renforcer la coordination et la promotion de l’approche multisectorielle des questions liées à la PF, dividende démographique et développement durable.
• Le Burundi est en train d’améliorer les mécanismes de collaboration entre le secteur public et privé notamment à travers la prise en compte du secteur privé :
  • Dans le renforcement du plateau technique de leurs structures
  • Participation dans les réunions de planification et coordination, suivi évaluation
  • Création de la demande à travers différents canaux et approches de communication pour le changement de comportement
  • Offre des services de PF par le secteur privé : De janvier 2015 à Juin 2016 37 nouveaux Centre de Santé privés ont été admis à la franchise sociale pour la PF, 10 Centres de Santé offrent des services conviviaux aux jeunes et 9 Centres de Santé ont été formés en Soins Obstétricaux Néonatals d’Urgence de Base (SONUB). Dans le cadre de la franchise sociale 1211 implants, 11 436 DMPA, 428 DIU, 9672 cycles de pilules ont été administrés et 8358 condoms ont été distribué.  Dans ce cadre 5 919 jeunes ont eu accès aux services de PF.
• Participation dans les réunions de quantification des besoins en  contraceptifs

• Les programmes de planification familiale (PF) menés au Bénin depuis plus de 20 ans, ont permis à 82,4% des femmes et 90,2 des hommes sexuellement actifs de connaître les méthodes modernes de PF en 2012. Cependant la prévalence contraceptive demeure faible 8% en 2012, et les besoins non satisfaits (BNS) ont augmenté à 33% en 2012 (EDS 2011-2012).
• Pour inverser cette tendance, il a été proposé par l’Institut de Santé de la Reproduction (IRH) de Georgetown University en collaboration  avec CARE International et Plan International,  une nouvelle pratique basée  sur « les réseaux sociaux » pour réduire les BNS comme alternative à l’approche traditionnelle qui consistait à organiser au profit des communautés des séances d’informations et de communication pour le changement de comportements. Cette approche consistait à identifier les principaux réseaux sociaux au sein d’une communauté, ainsi que les détenteurs d’enjeux appelés « influents » afin de susciter des discussions sur les questions de fécondité, de planification familiale, de communication dans le couple et leurs impacts.  Avec des réseaux sociaux fiables déjà présents dans les communautés, la pratique amène les acteurs influents à réfléchir et à agir sur les normes sociales qui entretiennent les BNS en matière de PF. L’implication de la communauté dans  l’identification des groupements et personnes influentes est importante pour la réussite de la pratique. Le staff de mise en œuvre doit être formé sur l’approche de genre. Dans le même sens, l’appui de Heath Communication Capacity Collaborative (HC3) a permis de rendre disponible des manuels de communication sur le changement de comportement en santé sexuelle et reproductive destinés aux offreurs de ces services. Enfin sous le Project TRANFORM PHARE, c’est le développement des approches novatrices pour atteindre un groupe cible marginalisé et améliorer ses besoins en matière SR/PF.  Au Bénin, elle consistera à procéder à la segmentation de la demande de services par les adolescents. Cette initiative conduite par PSI ABMS au Benin permettra d’adapter les solutions pour plus d’efficacités des interventions.
• Le gouvernement a déjà procédé en 2015 à la dissémination du Plan National de Santé Familiale révisé en 2014. Elle a été suivi du processus de révision des protocoles des services de santé familiale : composantes communes prévues pour 2015 et reportée pour 2016. Actuellement les TDR ont déjà été élaborés et le processus de révision est censé être achevé d’ici la fin de l’année 2016.

• La ligne budgétaire allouée à l’achat de produits contraceptifs est passée de 100 millions CFA à 300 millions en 2016.

• Le Plan de Développement Economique et Social (PDES) 2012-2015 est arrivé à échéance. Un nouveau plan Niger Horizon 2035 est en cours d’élaboration. Cependant la nouvelle politique nationale de santé a été élaborée et adoptée.
• Le Comité National RHCS fonctionne, appuyé par le comité de suivi du plan PF. Au niveau région, il a été formé un pool d’agents pour les besoins de la quantification.
• Le décret d’application la loi sur la santé reproductive est déjà signé, publié dans le journal officiel de la République et en vigueur depuis.

• The National Partnership to Promote Maternal-Child Healthcare is being revitalized, whereby its launch is scheduled for November 2014. The government, via the Ministry of Health, is working with its partners to make this event a moment of mobilization for everyone to speed up the actions that contribute to reaching MDG 4 and 5. An internal working group led by the public healthcare sector was established and involves senior sector levels, whose goal is to monitor all the acceleration processes involved in the reduction of maternal and infant mortality.

• With the approval in 2010 of the integrated package of services offered to adolescents and youth by the National Healthcare Service (SRH/STD/HIV/AIDS, Mental Health, Nutrition and Hygiene/Sanitation of the area), a space opened to discuss adolescent and youth issues in a holistic manner, which has contributed to the improvement in access to information, especially family planning, among the various services.

• In 2013, a National Adolescent and Youth Meeting was held, where participants from different sectors in the government and partners discussed the situation of adolescent healthcare and the means of improving access to information by that specific group. This meeting defined the guidelines for the adolescent and youth healthcare strategy which is being drafted. On the other hand, the revitalization of areas in public schools where a student has access to healthcare information and education is underway.

• In collaboration with UNFPA, a partnership was established with DKT International, focused on training healthcare providers in the public and private sector. Since 2012, 511 public sector and 28 private sector providers were trained in this partnership.

• Considering the primary network, the current coverage of healthcare centers offering at least 3 methods of contraception in the country is 89 percent. The country is focused on increasing that coverage, however, the lack of human resources has been the main limitation.

• The number of technicians trained in postpartum counseling, family planning, and contraception for 2012/2013 was 3,633, listed in the table below:

• In order to increase community access to FP, the following interventions are underway, namely:
  1. District-level training of community healthcare agents in promoting and offering contraceptives (birth-control pills and condoms), in partnership with non-governmental organizations (NGOs). By 2013, 3,323 community healthcare agents were active promoting FP and distributing birth control pills in communities.
  2. Offering complete family planning services (with exception of IUD insertion) in communities via Mobile Brigades and National Healthcare Weeks.

The process of revising the curriculum for training Elementary Multi-Task Agents is underway to ensure that the latter are the permanent agents offering information, education, and anti-conception methods at the community level.

• The intensification of community involvement ... in education activities related to family planning will be invigorated by the healthcare and co-management committees, respectively. Between 2012 and 2013, 1,283 new healthcare committees and 302 new co-management committees were created.

• The healthcare committee members are the community reference agents, that is, religious leaders, community leaders, traditional midwives, traditional medicine practitioners, healthcare providers, among others. They are the beneficiaries of a holistic training package in community healthcare, so they can support healthcare-promoting activities, specifically in relation to the disclosure of services, community education via lectures, the identification of healthcare problems in the community and their reference. These groups have played a fundamental role in family planning education and the need for an institutionalized delivery.

• Mozambique continues to offer integrated sexual and reproductive health services in all health facilities in the country, as an approach to increase access to these services. This commitment is evident in the Health Sector Strategic Plan 2014-2019, recently approved at the highest government level.

• Under the scope of the implementation of the family planning (FP) strategy, the offer of providing counseling in FP in all sexual and reproductive health services (SRH) was introduced, including the bureaus of HIV counseling, testing and Care and Treatment Services. Providers of other services (not just maternal and child health) were also included in ongoing training as a means of ensuring service provision to women in a "one stop" approach, where a package of SRH/FP services are offered, including at the pre-natal, postpartum, child at risk, and child vaccination visit.

• The implementation of offering long-term methods (IUD) immediately [following] postpartum are underway. The integration of offering modern contraceptive methods in the HIV program is also in the discussion phase.

• In the context of integrating SRH services, the capacity of screening Breast and Cervical Cancer (BCC) expanded from 31 US [Unidades de Saúde (Healthcare Centers)] in 2012 to 83 US at the moment, via training more than 670 healthcare professionals (530 - SMI [Saúde Materno-Infantil (Maternal and Child Healthcare)] nurses, 113 - general physicians, and 27 - gynecologists-obstetricians) and the allocation of the respective screening kits. During this period (2012 to July 2014), 203,110 women took the screening exam for cervical cancer. To accommodate these structural changes , all the registration instruments for Maternal and Child Health were reviewed, involving several sectors and institutions linked to the program, for the purpose of harmonizing said registration. The implementation of these instruments is set forth for January 2015, and they are being reproduced at this time.

• The government has focused on establishing a legal framework that permits the upholding of individual sexual and reproductive rights, with a particular emphasis on risk groups. The Assembly of the Republic approved the Law of Decriminalizing Abortion, the implementation of which is awaiting promulgation. In addition to laws, the Government approved strategies such as the Prevention and Treatment of Obstetric Fistula in 2012, as a means of increasing access to the treatment of fistula that affect women in low income families. With this action, a basic right is given back to these women that enables their social and familial re-insertion.

• To improve coordination, a family planning technical sub-group [has been] established; [its] mission is to review the policies, strategies, norms, and plans set forth in SRH/FP, as well as monitor family planning on a national level and mobilize human resources and materials for the implementation of activities. This working sub-group is lead by the Ministry of Health [Ministério da Saúde] and currently co-lead by UNFPA and meets regularly once a month and extraordinarily whenever necessary. As a result of this group's work, the following instruments were established:
  • The family planning consultation norms
  • The family planning acceleration plan
  • Emergency contraception norms
  • The quality standards of RH/FP consultations
  • The criteria for family planning in the mobile brigades and National Healthcare Week.

• The family planning sub-group, in coordination with other areas, will be performing various research/evaluations, namely:
  • The evaluation of availability of modern contraceptive methods at Healthcare Centers;
  • The evaluation of Elementary Multi-Task Agents' follow-up in the community of women using DEPO as a method of contraception; and
  • The evaluation of the integration of SRH and HIV services.

• To further improve coordination and ensure better logistical management, a technical sub-group for materials and products for RH/FP lead by MISAU (FP Program and Central de Medicamentos e Artigos Médicos - CMAM) exists, with the support and contribution of Cooperation and Implementation Partners. This sub-group, among other activities, is responsible for analyzing and revising requirements on a provincial level to avoid errors, given that one of the weaknesses is the rigor in accounting for needs at all levels.

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

At global, regional and national levels, IPPF persuades governments and decision makers to promote sexual and reproductive health and rights, to change policy and to fund programs and service delivery. In 2014, IPPF made significant progress to improve an enabling environment towards strengthening the recognition of SRHR at the regional level:

• Working in partnership with the African Union (AU) on the Maputo Plan of Action. IPPF’s Liaison Office in the African Union headquarters in Addis Ababa plays a critical role in influencing policy processes at the African Union and the United Nations Economic Commission for Africa. The African Union has requested that the IPPF Africa Regional Office works with civil society organizations across Africa to conduct a review of the Maputo Plan of Action. The plan is Africa’s policy framework for universal access to comprehensive sexual and reproductive health services, including family planning. The review will assess progress and make recommendations for the next phase. IPPF convened the General Assembly of the African Parliamentary Forum on Population and Development in the Ivory Coast. The assembly produced a positive statement on Africa’s position on sexual and reproductive health and rights for the new Sustainable Development Goals. This was taken forward to the 6th International Parliamentarians’ Conference on the Implementation of the ICPD Programme of Action in Sweden where African parliamentarians reaffirmed their commitment to gender equality, women’s empowerment, elimination of violence against women, and universal access to sexual and reproductive health services.

Engaging BRICS: More than 42 per cent of the world’s population live in the five BRICS countries of Brazil, Russia, India, China and South Africa, which means that the policies and views of governments in these countries are critical for the health and well-being of billions of people. IPPF works in BRICS countries in partnership with civil society organizations, including Member Associations, to raise awareness among the leaders and policy makers of the importance of sexual and reproductive health and rights.

• In March 2014, South Africa hosted the BRICS Inaugural Seminar of Officials and Experts on Population Matters. IPPF’s Director-General and the Western Hemisphere Regional Director participated, alongside Member Associations and representatives from other civil society organizations mobilized by IPPF. A milestone agreement was reached with the BRICS countries adopting a framework for ongoing cooperation and learning on contraception, sexual and reproductive health and reproductive rights, gender equality and women’s rights.
• In February 2015, IPPF convened a civil society forum in Brasilia, ahead of the First BRICS Meeting of Ministers Responsible for Population Matters. IPPF worked with civil society organizations, including the Member Associations of China and India, to review the zero draft of the Agenda for BRICS Cooperation on Population Matters 2015–2020. Country official delegates were encouraged to support sexual and reproductive health and rights, and gender equality in negotiations on the content of the final document. Following this work, the agenda agreed by ministers at the First BRICS Meeting of Ministers Responsible for Population Matters reflects many of IPPF’s key concerns such as sexual and reproductive health rights, and empowerment of women and girls.

IPPF continues to advocate for affordable pricing for contraceptives and raise awareness and change the attitudes of community, political and public opinion leaders to support SRHR for all. We introduce new contraceptive methodologies to meet the needs of under-served communities and address the known barriers to voluntary family planning service uptake of vulnerable populations. In 2014, IPPF successfully called for the expansion of high-quality and affordable contraceptives through:

• Collaboration with the Reproductive Health Supplies Coalition (RHSC): IPPF continued to play an integral role in the membership-based RHSC. Through its role as co-chair of the RHSC Advocacy and Accountability working group, IPPF has mobilized global, regional and national civil society to call on governments for increased political and financial support to family planning and reproductive health supplies. IPPF contributed to the RHSC Take Stock initiative by pledging to develop and roll out a Federation wide RH Commodity Security Strategy to help IPPF identify potential stockouts and mitigate against them, by building capacity in supplies management and strengthening supply chains across the Federation.

• Partnership for price reductions: IPPF continues to work with other international partners to ensure that the price reductions for implants achieved through the minimum volume guarantees actually reach women needing these products. IPPF is also advocating for UNFPA to list products by formulation, rather than brand name—this is likely to increase take-up of more affordable generics and create a more sustainable market. Partnership with UNFPA to boost family planning services in 13 countries through ensuring affordable family planning supplies.

• IPPF participates in technical groups such as the High Impact Practices in Family Planning (HIPPs) Group and the UN Commission on Life-Saving Commodities, particularly the Implant Technical Reference Team.

• Piloting Sayana Press: Reproductive Health Uganda is working in partnership with PATH to pilot Sayana Press—a self-injection method—with clients receiving services at two urban family planning clinics in Gulu District, with a focus on provision to young people. The research will be instrumental in understanding the appeal of the concept of home and self-injection among younger women, and determine whether women can self-inject Sayana Press competently in an unsupervised setting.

• IPPF is also a member of the International Contraceptive Access (ICA) Foundation—a partnership that has enabled several Member Associations to obtain access to LNG-IUS (levonorgestrel releasing intrauterine system) a hormonal intra-uterine contraceptive device. In 2014, LNG-IUS were shipped to the following IPPF Member Associations: Curacao, Dominican Republic, Paraguay, Mongolia, St. Lucia and Sri Lanka.

• IPPF also actively participates in the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), and regularly attends HRP policy committee meetings.

IPPF is the global and regional convener and mobilizer of civil society organizations that advocate for public, political and financial commitments to voluntary family planning. Through our advocacy, we influence and support enabling environments to increase high quality, affordable sexual and reproductive health services and for governments to be accountable for the pledges that they made at the 2012 London Summit on Family Planning.  IPPF Member Associations regularly hold their governments to account by ensuring that citizens know their rights, by monitoring and tracking that people’s rights are being delivered, and by supporting constructive engagement among citizens, services and government officials to address barriers and challenges. In 2014:

• IPPF worked in partnership with Advance Family Planning to mobilize action at district, national and international levels with a focus on the implementation of commitments made by governments in 2012 at the London Summit on Family Planning. In 2014, IPPF’s Director-General spoke on a high-level panel about the importance of maintaining momentum on contraception and maternal and newborn health, alongside the United Kingdom’s International Development Secretary, Justine Greening, and Melinda Gates of the Bill & Melinda Gates Foundation. As a partner in the USAID-funded Evidence Project, IPPF began research into how social accountability mechanisms can increase access to contraceptive services.

• Through successful advocacy, the Family Planning Association of Nepal celebrated the first-ever Family Planning Day on 18 September 2014. Nepal’s Health and Population Secretary, the Minister of Health and Population, and the National Planning Commission inaugurated the Day which has helped put family planning back on the priority list.

• Association de Bien-Etre Familial–Naissances Désirables of the Democratic Republic of Congo collaborated with local networks to convince the government to allocate its first-ever funding for purchase of contraceptives in 2013. Previously, contraceptive procurement depended solely on donor support.

• Tonga Family Health Association delivered technical input to revise the national youth strategy. Through extensive advocacy, the Member Association secured a specific objective on sexual and reproductive health for young people.

In 2014, the government of Uganda launched its US$200 million official Family Planning Costed Implementation Plan, 2015–2020 (FP-CIP) to reduce unmet need for contraception from 40 to 10 per cent, and increase the modern contraceptive prevalence rate to 50 per cent by 2020. RHU convened and led a youth group and an expert group to provide feedback during the FP-CIP’s development process. Of the 18 countries preparing FP-CIPs, this is the only example of these plans being developed following this approach. RHU’s activities were instrumental in ensuring that young people’s needs and a rights-based approach to family planning programmes were included in the plan. The Association also worked with the government to ensure that the FP-CIP is fully costed, and to raise resources with bilateral donors to fund its various components.