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Commitments, Progress & Transparency

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Uganda - Program & Service Delivery

DateOctober 28, 2017

2017 Update: Read the commitment here

2012:Uganda will partner with appropriate private sector bodies and institutions for the integration of maternal health, reproductive health, family planning, and HIV&AIDS information and services for their employees and families and strengthen institutional capacity of public and community-based service delivery points to increase choice and quality of care at all levels (through staff recruitment, training, motivation and equipment).

Uganda will support the development and professionalization of midwifery through skills training, good employment practices, and the involvement of midwives in policy dialogue and health management. The Government of Uganda will continue investing in midwifery career promotion and the bonded midwifery scholarship programs. A road-map to finance, train, recruit, retain, and manage performance of skilled human resources for health will be developed.

Uganda commits to rolling out youth friendly services in all Government Health Centre IVs and District Hospitals; Strengthening the technical and institutional functionality of Uganda Health Marketing Group and National Medical Store in a dual public-private reproductive health supplies distribution system; and continuing to support the public-private arrangement for increased access to family planning services. Uganda plans to scale up partnerships with CSOs and private sector entities for family planning outreach and community-based services to target hard to reach communities, and to invest in social marketing and social franchising approaches to ensure access to family planning. 

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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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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 - Policy & Political

DateJuly 11, 2017

2017 Update: 

  • Bangladesh will fully operationalize its new National Adolescent Health Strategy with special focus of addressing the family planning needs and promoting rights of all adolescents.  Adolescents in Bangladesh will have access to widest range of family planning methods possible and special efforts will be made to track adolescent health data. Bangladesh reiterates its commitment to end child marriage. 

2012: Bangladesh aims to adopt the policy of provision of clinical contraceptive methods by trained/skilled nurses, midwives, and paramedics by 2016. The government has also pledged to promote policies to eliminate geographical disparity, inequity between urban and rural, and rich and poor, ensuring rights and addressing the high rate of adolescent pregnancies.

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Nepal - Policy & Political

DateJuly 11, 2017

2017 Update: Read the commitment here

2015: Nepal pledges to reposition family planning to foster sustainable social and economic development and to execute the Costed Implementation Plan on FP (2015-2020) within the Nepal Health Sector Program III (2015-2020). Nepal commits to identify barriers to accessing family planning services faced by individuals and couples, including adolescents and youth, those living in rural areas, migrants and other vulnerable or marginalized groups. The government also pledges to formulate policies and strategies to address these barriers. Furthermore, Nepal commits to improving the regulatory framework to promote public-private partnerships.

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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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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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Mali - Program & Service Delivery

DateJuly 11, 2017

2017 Update: Read the commitment here

2015:The Government of Mali commits to ensuring the availability and accessibility of contraceptives throughout the country. In addition, it pledges to continue and to strengthen national campaigns that have been promoting family planning since 2005 under the aegis of the Prime Minister. Mali commits to ensuring the regular monitoring of the implementation, at the ministerial level, of the National Family Planning Action Plan and to strengthening communication methods designed to change behavior around family planning, with increased focus on addressing the needs of youth and teens and women and men living in urban, suburban and rural areas.

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Pathfinder International - Program & Service Delivery

DateNovember 15, 2015

Nov. 15, 2015: In 2015, Pathfinder International renewed its FP2020 commitment with a pledge to expand sexual and reproductive health services to 25 million youth in developing countries by 2020. 

July 11, 2012: Pathfinder will initiate new work with communities to prevent early marriage in two countries in Francophone West Africa and work with partners to deliver family planning as a package of comprehensive reproductive health care, livelihood and environmental conservation activities in remote areas of Western Tanzania. 

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Zimbabwe - Program & Service Delivery

DateJuly 22, 2012

2017 Update: Read the commitment here

2012: Zimbabwe plans to increase access to a comprehensive range of family planning methods including long-acting and permanent methods (LAPMs) at both private and public health facilities. Other plans include promoting dual protection for prevention of unwanted pregnancy and STIs/HIV by increasing the availability of male and female condoms for sexually active persons; integrating family planning services with PMTCT and MCH services, with a particular focus on post-partum women; and improving and scaling-up gender-sensitive family planning services for vulnerable groups including youth, especially adolescent girls.

Zimbabwe will strive to increase knowledge of all family planning methods using a targeted approach that addresses the needs of women, girls, youths, and other disadvantaged groups (e.g. disabled) in both urban and rural areas to generate demand and enable them to make informed family planning decisions. Zimbabwe commits to improve method mix and strengthen the integration of family planning with reproductive health, HIV and maternal health services, as well as to strengthen overall coordination and consolidate existing and establish new partnerships (e.g. public/private partnerships) to scale up and improve the quality of the national family planning program.

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CARE International - Program & Service Delivery

DateJuly 11, 2012

CARE International commits to developing approaches for addressing gender and social barriers to increased family planning use and validating tools to measure the impact of these approaches on health outcomes.

CARE International also commits to reaching the most vulnerable and marginalized populations to reduce inequality, ensuring women and girls’ family planning and reproductive health needs are addressed in both development, emergency and post-conflict response activities.

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Bloomberg Philanthropies - Program & Service Delivery

DateJuly 11, 2012

Bloomberg Philanthropies will continue to work to improve maternal and child health in some of the world’s poorest regions. For example, in Tanzania, Bloomberg Philanthropies has improved access to emergency obstetric care and raised the standard of care for mothers and their children in some of the most isolated parts of the country. Bloomberg Philanthropies is committed to the importance of integrating family planning services with obstetric care.

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Indonesia - Program & Service Delivery

DateJuly 11, 2012

2017 Update: Read the commitment here

 

Indonesia will include post-partum family planning services as part of its national childbirth insurance scheme. The country will broaden access and choice, especially in poorer regions, by strengthening public and private clinic services and provision of long-acting and permanent methods of family planning. Indonesia will improve 23,500 FP clinics between 2006 and 2014, and increase mobile family services in remote areas. 

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Indonesia - Financial

DateJuly 11, 2012

2017 Update: Read the commitment here

 

The government commits to maintaining its investment in finances for family planning programs, which has increased from US $65.9 million in 2006 to US $263.7 million in 2012. The government has reallocated resources to the most densely populated provinces and districts where the TFR is high. They are also concentrating on the harder to reach populations in rural areas and smaller islands.

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India - Financial

DateJuly 11, 2012

Expenditure on family planning alone out of the total reproductive, maternal, newborn, child and adolescent health (RMNCH+A) budget is expected to exceed US $2 billion from 2012 to 2020. India will mobilize domestic resources without dependence on external aid and will invest increased resources in the National Rural Health Mission, the largest public health program in the world. India will implement the National Urban Health Mission, which has a special focus on the poor. The country will continue implementation of costed plans for reproductive health and child health including family planning national, sub-national, and district levels, with the goal of scaling up investments and service delivery in 264 districts with particularly weak public health indicators.

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India - Policy & Political

DateJuly 11, 2012

India will include family planning as a central element of its efforts to achieve Universal Health Coverage. Through the largest public health program in the world, the National Rural Health Mission and the upcoming National Urban Health Mission, addressing equity, ensuring quality, including adolescents and integration into the continuum of care are slated to be the cornerstones of the new strategy. The centre-piece of its strategy on family planning will be a shift from limiting to spacing methods, and an expansion of choice of methods, especially intrauterine devices.

India commits to continuing to develop indigenous public and private sector capacity to manufacture the entire range of family planning commodities for domestic use and for export. The country will provide family planning services and supplies free of cost to 200 million couples and 234 million adolescents, utilizing the extensive public health network in collaboration with civil society organizations and the private sector. India will strengthen health systems including creation of physical infrastructure, augmentation of human resources at all levels, assured drugs, supplies and logistics, mobile medical units to take health services to remotest areas and increased attention to social determinants of health.

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