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Geneva, Switzerland, WHO, 2017. 12 p. (Summary Brief WHO/RHR/17.20)Contraception is an inexpensive and cost-effective intervention, but health workforce shortages and restrictive policies on the roles of mid- and lower-level cadres limit access to effective contraceptive methods in many settings. Expanding the provision of contraceptive methods to other health worker cadres can significantly improve access to contraception for all individuals and couples. Many countries have already enabled mid- and lower-level cadres of health workers to deliver a range of contraceptive methods, utilizing these cadres either alone or as part of teams within communities and/or health care facilities. The WHO recognizes task sharing as a promising strategy for addressing the critical lack of health care workers to provide reproductive, maternal and newborn care in low-income countries. Task sharing is envisioned to create a more rational distribution of tasks and responsibilities among cadres of health workers to improve access and cost-effectiveness.
[London, United Kingdom, IPPF, 2015]. 2 p.Family Health Options Kenya (FHOK, the IPPF Member Association in Kenya), the Centre for the Study of Adolescence (CSA) and other civil society organizations (CSOs) have identified a number of ‘high priority’ pledges: progress towards these pledges is critical for increasing access to modern family planning (FP) methods. Civil society calls on the government to: Respond to severe shortages of health workers and poor working conditions in the health sector; Recruit 17,000 health workers by 2017 and an additional 40,000 community health extension workers by 2017 (in accordance with promises made at the Human Resources for Health Conference in Brazil, 2013); Improve the procurement and supply of FP commodities. Currently, Kenya can access FP commodities for free, but only when they are ordered alone. The Kenya Medical Supplies Authority (KEMSA) often orders FP supplies with other essential supplies, and as a result the government has to pay for them, wasting valuable resources; Accelerate the training of trainers on new FP technologies to increase access to developments in family planning. New family planning technologies offer different benefits compared to modern family planning methods currently available. However, health workers must be trained to deliver them.
[London, United Kingdom, IPPF, 2015]. 2 p.The Indonesian Planned Parenthood Association (PKBI/IPPA, the IPPF Member Association in Indonesia) and other civil society organizations (CSOs) have identified a number of ‘high priority’ pledges: progress towards these pledges is critical for increasing access to modern family planning (FP) methods. The government has made some progress towards its pledges, but existing efforts are not enough to deliver on its promises by 2020. In addition, other problems and gaps have emerged. The government must address these problems urgently. Civil society calls on the government to: Create a dedicated budget line for family planning and increase budget allocations for family planning. Currently, only 2.2% of the health budget is allocated for nutrition and maternal health and family planning, which falls short of the US $263.7 million target pledged at the 2012 Family Planning Summit. Although the government increased the health budget by 1.5% from 2014-2015, it is not clear how much of the increase was allocated to family planning; Amend Population Law 52/2009 to state that family planning services must not discriminate on the basis of marital status. To implement this amendment, the government must issue new health service delivery guidelines and raise awareness of the policy change; Establish mechanisms to involve young people in government decision-making processes. Youth programmes, in particular, must take into account young people’s needs and demands in order to be effective.
[London, United Kingdom, IPPF, 2015]. 2 p.The Family Planning Organization of the Philippines (FPOP, the IPPF Member Association in the Philippines) and other civil society organizations (CSOs) have identified a number of ‘high priority’ pledges: progress towards these pledges is critical for increasing access to modern family planning methods. Civil society calls on the government to: Improve implementation of the Reproductive Health Law by issuing clear guidance to government agencies and local government units with regards to what their duties and responsibilities are in relation to the RH Law; Implement behaviour change programmes for bureaucrats, health workers and civil servants so they clearly understand their responsibilities with regards to the RH Law, and to eliminate any possibility that they will misinterpret the Law.
London, United Kingdom, IPPF, 2015 Sep. 2 p.To hold the government to account for its FP2020 commitments, the Planned Parenthood Association of Zambia (PPAZ) developed a monitoring and accountability tool, called the FP annual score card, in collaboration with local partners. The score card measures the government’s annual performance against their commitments, using indicators such as ‘demand generated for FP’, ‘financing’ and ‘access to services’. The score card helps advocates to identify what the government has delivered to date and what it should be delivering, based on a trajectory towards 2020. Family planning organizations and champions, national and international, use the results in their advocacy messaging and monitoring.
Making universal access to sexual and reproductive health a reality – building momentum for comprehensive family planning.
London, United Kingdom, IPPF, 2015 Apr. 4 p.In 2015, 225 million women will not have access to contraception globally, resulting in 74 million unplanned pregnancies, ill health and over 500,000 maternal deaths. Maternal health is currently far off track and universal access to sexual and reproductive health remains a distant reality for many of the world’s poor, marginalized and vulnerable women, men and young people. To enable 120 million more women and girls to use contraception by 2020, IPPF is doing its part by: increasing family planning services to save the lives of 54,000 women, averting 46.4 million unintended pregnancies and preventing unsafe abortion; tripling the number of comprehensive and integrated sexual and reproductive health services annually, including 553 million services to adolescents. For over 60 years, IPPF has been at the vanguard in delivering comprehensive voluntary family planning services and is the leading global service provider for sexual and reproductive health. This technical briefing showcases IPPF’s work globally. We are a grassroots organization, directed by and responding to the needs of the communities that we serve.
London, United Kingdom, IPPF, 2015 Oct. 50 p.As the largest civil society provider of family planning, IPPF plays a leadership role – holding governments to account for the pledges they made at the London Summit on Family Planning 2012, pushing for family planning and SRHR within the new Sustainable Development Goals national plans whilst strengthening our own delivery. Our new pledge is to reach an additional 45 million between 2015 and 2020 – meaning a total FP2020 contribution from IPPF of 60 million new users to family planning. This report showcases IPPF’s innovation and impact as the global leader in family planning services and advocacy.
London, United Kingdom, International Planned Parenthood Federation [IPPF], 2016 Jun. 12 p.Governments have agreed a range of commitments to advance sustainable development, including promoting women’s and girls’ health and protecting human rights for all. Global commitments are important as they set a framework for funding to flow towards a particular issue and influence national development strategies and programming. As advocates, we can use global commitments to encourage coordination across national development plans, to push for funding and to increase political buy-in. This factsheet will focus on the linkages between the Sustainable Development Goals (SDGs) and Family Planning 2020 (FP2020) commitments.
[London, United Kingdom, IPPF], 2016. 21 p.Family planning is a critical, human rights-based, and cost-effective approach to climate change adaptation and resilience building. The aims of the paper are for national family planning advocates to be better placed to ensure: (a) national development (including climate change) planning processes include greater emphasis on family planning; and (b) more “climate change programmes” include family planning actions, therefore increasing overall investment and action in reproductive health. After defining “climate change” and introducing the United Nations Framework Convention on Climate Change, 10 arguments are summarised which national family planning advocates are encouraged to employ, to suit their national contexts, to further these aims.
Climate change: time to "think family planning." A communications toolkit for family planning advocates.
[London, United Kingdom, IPPF], 2016. 9 p.This paper asserts that family planning is a critical, human rights-based, and cost-effective approach to climate change adaptation and resilience building. The aims of the paper are for national family planning advocates to be better placed to ensure: (a) national development plans (including climate change planning processes) include greater emphasis on voluntary family planning; and (b) more “climate change programmes” and strategies include family planning actions, therefore increasing overall investment and action in reproductive health. The accompanying policy paper summarises strategies which family planning advocates are encouraged to employ, to suit their national contexts, to further these aims. This Communications Toolkit summarises how those arguments can be edited into key messages and how those key messages can be used to reach advocacy targets in the run up to COP22, the next Climate Change Conference, to be held in Marrakech, Morocco, from 7 to 18 November 2016.
Guttmacher Policy Review. 2015 Spring; 18(2):27-33.The U.S. overseas program for family planning and reproductive health has been under attack from policymakers who are antiabortion and increasingly anti-family planning. The two most notorious of these attacks are the blocking of U.S. funding for the United Nations Population Fund and the enforcement of the global gag rule, which prohibits aid to foreign nongovernmental organizations that engage in abortion services or advocacy with non-U.S. funds. In an ongoing counterproductive cycle, these restrictions have come in and out of effect depending on the political party in power -- a struggle that is expected to heat up again with a socially conservative Congress.
New York, New York, UNFPA, 2010. 2 p.This brief argues that despite increases in contraceptive use since 1994, high unmet need for family planning persists. Among the most significant underserved group is a new generation of adolescents. They enter adulthood with inadequate information on sexuality and reproductive health and few skills to protect their health and rights.
[Washington, D.C.], USAID, .  p.A technical consultation, co-sponsored by the World Health Organization (WHO), USAID, and Family Health International (FHI), was held June 15-17, 2009, at the WHO in Geneva to review the evidence and programmatic experience for community-based provision of injectable contraceptives. Thirty technical and program experts from countries and organizations reviewed the scientific evidence and experiences from programs that provided injectable contraceptives through community-based health workers (CHWs). This evidence and programmatic experience came from Africa, Asia, and Latin America and focused on depotmedroxyprogesterone acetate (DMPA). The evidence consistently showed that given appropriate training, CHWs can screen clients effectively, provide DMPA injections safely, and counsel on side effects appropriately, demonstrating competence equivalent to higher level facility-based providers of DMPA. Continuation of use of DMPA by clients of CHWs was as long as those of clients receiving injections at clinics. In addition, the vast majority of clients expressed satisfaction with CHW provision of DMPA. The Consultation concluded that sufficient evidence existed for national policies to support the introduction, continuation, and scale-up of community-based provision of progestin-only injectable contraceptives, especially DMPA. Provision of DMPA by CHWs will expand choice for underserved populations and contribute to reducing the unmet need for family planning. Operational guidelines for family planning should therefore reflect that appropriately trained CHWs can safely initiate use of DMPA and provide reinjection. (Excerpt)
Community-based health workers can safely and effectively administer injectable contraceptives: Conclusions from a technical consultation.
Research Triangle Park, North Carolina, FHI, 2009. 4 p.In June 2009, a technical consultation held at the World Health Organization (WHO) in Geneva concluded that evidence supports the introduction, continuation, and scale-up of community-based provision of progestin-only injectable contraceptives. The group of 30 technical and programme experts reviewed scientific and programmatic experience, which largely focused on the progestin-only injectable, depot-medroxyprogesterone acetate (DMPA). The experts found that community-based provision of progestin-only injectable contraceptives by appropriately trained community health workers (CHWs) is safe, effective, and acceptable. Such services should be part of a family planning programme offering a range of contraceptive methods. (Excerpt)
Repositioning family planning: Guidelines for advocacy action. Le repositionnement de la planification familiale: Directives pour actions de plaidoyer.
Washington, D.C., Academy for Educational Development [AED], 2008. 64 p.Countries throughout Africa are engaged in an important initiative to reposition family planning as a priority on their national and local agendas. Provision of family planning services in Africa is hindered by poverty, poor access to services and commodities, conflicts, poor coordination of the programmes, and dwindling donor funding. Although family planning enhances efforts to improve health and accelerate development, shifting international priorities, health sector reform, the HIV/AIDS crisis, and other factors have affected its importance in recent years. Traditional beliefs favouring high fertility, religious barriers, and lack of male involvement have weakened family planning interventions. The combination of these factors has led to low contraceptive use, high fertility rates in many countries, and high unmet needs for family planning throughout the region. Family planning advocates must take action to change this situation. Family planning, considered an essential component of primary health care and reproductive health, plays a major role in reducing maternal and newborn morbidity and mortality and transmission of HIV. It contributes to the achievement of the Millennium Development Goals and the targets of the Health-for-All Policy for the 21st century in the Africa Region: Agenda 2020. In recognition of its importance, the World Health Organisation Regional Office for Africa developed a framework (2005-014) for accelerated action to reposition family planning on national agendas and in reproductive health services, which was adopted by African ministers of health in 2004. The framework calls for increase in efforts to advocate for recognition of "the pivotal role of family planning" in achieving health and development objectives at all levels. This toolkit aims to help those working in family planning across Africa to effectively advocate for renewed emphasis on family planning to enhance the visibility, availability, and quality of family planning services for increased contraceptive use and healthy timing and spacing of births, and ultimately, improved quality of life across the region. It was developed in response to requests from several countries to assist them in accelerating their family planning advocacy efforts.
Arlington, Virginia, John Snow [JSI], DELIVER, 2006 Nov.  p. (USAID Contract No. HRN-C-00-00-00010-00)In light of the phaseout of donor funds for family planning in Latin America and the Caribbean, Paraguay will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. The Government of Paraguay will need to look at regional and international procurement opportunities to ensure that contraceptive security is not compromised during this transition period. This report presents findings from a legal and regulatory analysis and pricing study of different procurement options to identify efficient, economical, high quality and timely distribution of contraceptives. A summary of the current country situation, procurement practices, laws, policies, and regulations is presented along with a comparison of regional contraceptive prices. Options and recommendations are presented for next steps. (author's)
Arlington, Virginia, John Snow [JSI], DELIVER, 2006 Nov.  p. (USAID Contract No. HRN-C-00-00-00010-00)In light of the phaseout of donor funds in Latin America and the Caribbean, Nicaragua will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. The Government of Nicaragua needs to look at regional and international procurement opportunities to ensure that contraceptive security is not compromised during this transition period. This report presents findings from a legal and regulatory analysis and pricing study of various procurement options to identify efficient, economical, and timely distribution of high-quality contraceptives. A summary of the current country situation, procurement practices, laws, policies, and regulations is presented along with a comparison of regional contraceptive prices. Options and recommendations are presented for next steps. (author's)
Arlington, Virginia, John Snow [JSI], DELIVER, 2006 Nov.  p. (USAID Contract No. HRN-C-00-00-00010-00)In light of the phaseout of donor funds in Latin America and the Caribbean, the Dominican Republic will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. The government of the Dominican Republic needs to look at regional and international procurement opportunities to ensure that contraceptive security is not compromised during this transition period. This report presents findings from a legal and regulatory analysis and pricing study of various procurement options to identify efficient, economical, and timely distribution of high-quality contraceptives. A summary of the current country situation, procurement practices, laws, policies, and regulations is presented along with a comparison of regional contraceptive prices. Options and recommendations are presented for next steps. (author's)
Arlington, Virginia, John Snow [JSI], DELIVER, 2006 Nov.  p. (USAID Contract No. HRN-C-00-00-00010-00)In light of the phaseout of donor funds in Latin America and the Caribbean, Bolivia will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. The Government of Bolivia needs to look at regional and international procurement opportunities to ensure contraceptive security is not compromised during this transition period. This report presents findings from a legal and regulatory analysis and pricing study of various procurement options to identify efficient, economical, and timely distribution of high-quality contraceptives. A summary of the current country situation, procurement practices, laws, policies, and regulations is presented along with a comparison of regional contraceptive prices. Options and recommendations are presented for next steps. (author's)
In: The global family planning revolution: three decades of population policies and programs, edited by Warren C. Robinson and John A. Ross. Washington, D.C., World Bank, 2007. 155-174.In Jamaica, as in many countries, the pioneers of family planning were men and women who sought to improve the well-being of their impoverished women compatriots, and who perhaps were also conscious of the social threats of rapid population growth. When, eventually, population control became national policy, the relationship between the initial private programs and the national effort did not always evolve smoothly, as the Jamaican experience shows (see box 10.1 for a timeline of the main events in relation to family planning in Jamaica). A related question was whether the family planning program should be a vertical one, that is, with a staff directed toward a sole objective, or whether it should be integrated within the public health service. These issues were not unique to Jamaica, but in one respect Jamaica was distinctive: it was the setting for the World Bank's first loan for family planning activities. Family planning programs entailed public expenditures that were quite different from the infrastructure investments for which almost all Bank loans had been made, and the design and appraisal of a loan for family planning that did not violate the principles that governed Bank lending at the time required a series of decisions at the highest levels of the Bank. These decisions shaped World Bank population lending for several years and subjected the Bank to a good deal of external criticism. For that reason, this chapter focuses on the process of making this loan. (excerpt)
Vietnam Population News. 2007 Apr-Jun; (43):3-6.On 5 May 2007, Madame Le Thi Thu, Minister-Chair-woman of VCPFC, and heads of ministries and sectors warmly welcomed Ms. Ann M. Veneman, UNICEF's Executive Director. At the meeting, Madame Thu gave a brief on Viet Nam's achievements in child care, education and protection during the past few years and future work orientation. Children's living standards have been unceasingly improved, children's rights have been step by step met in terms of physical, intellectual, spiritual and morality. She hoped to receive the efficient support of UNICEF. Ms. Ann M. Veneman is impressed by Viet Nam's achievements. She said that UNICEF would have focus to HIV/AIDS, childhood injury, and under-five underweight. She recommended Viet Nam to pay more attention to causes of those issues, especially setting up databases and provide data/indicators that can be compared with other countries in the region. During her visit, Ms. Ann M. Veneman also met with Government officials to discuss about related matters. She said Viet Nam is likely to be one of the countries to reach the Millennium Development Goal (MDG) targets, with some of these targets ahead of 2015. Despite the significant progress achieved, there remain challenges, such as disparity between the rich and poor, impacts of HIV on children and protecting children from injury and harm. (excerpt)
Washington, D.C., World Bank, Human Development Network, 2007 Apr.  p. (HNP Discussion Paper)The objective of this paper is to discuss some obstacles and opportunities presented by population processes in order to prioritize areas for investment and analytical work as background information for the 2007 HNP Sector Strategy. Within HNP, two areas fall within population: (1) reproductive, maternal, and sexual health issues, and the health services that address them; and (2) levels and trends in births, deaths, and migration that determine population growth and age structure. Many of the aspects of delivery of sexual and reproductive health services are addressed in the overall sector strategy. This paper, therefore, focuses on the determinants and consequences of demographic change, and on policies and interventions that pertain to fertility and family planning. Fertility has declined in most of the low- and middle-income countries, with TFRs converging toward replacement level, except in 35 countries, mainly in Sub-Saharan Africa, where a broad-based decline in fertility has not occurred. As the priorities of donors and development agencies have shifted toward other issues, and global funds and initiatives have largely bypassed funding of family planning, less attention is being focused on the consequences of high fertility. Reproductive health is conspicuously absent from the MDGs, and assistance to countries to meet the demand for family planning and related services is insufficient. The need for Bank engagement in population issues pertains to economic growth and poverty reduction, as well as inequities in terms of the impact of high fertility on the poor and other vulnerable groups. Evidence indicates that large family size reduces household spending per child, possibly with adverse effects on girls, and the health of mothers and children are affected by parity and birth intervals. Equity considerations remain central to the Bank's work as poor people are less likely to have access to family planning and other reproductive health services. Other vulnerable groups that are less likely to be served by reproductive health services include adolescents and rural populations. Additionally, improved education for girls, equal opportunities for women in society, and a reduction of the proportion of households living below the poverty line are necessary elements of a strategy to achieve sustainable reductions in fertility. The Bank has a comparative advantage to address these issues at the highest levels of country policy setting, and its involvement in many sectors can produce synergies that will allow faster progress than a more narrow focus on family planning services. (author's)
Targeting access to reproductive health: Giving contraception more prominence and using indicators to monitor progress.
Reproductive Health Matters. 2007 May; 15(29):186-191.Unmet need for contraception represents a major failure in the provision of reproductive health services and reflects the extent of access to services for spacing and limiting births, which are also affected by personal, partner, community and health system factors. In the context of the Millennium Development Goals, family planning has been given insufficient attention compared to maternal health and the control of sexually transmitted infections. As this omission is being redressed, efforts should be directed towards ensuring that an indicator of unmet need is used as a measure of access to services. The availability of data on unmet need must also be increased to enable national comparisons and facilitate resource mobilisation. Unmet need is a vital component in monitoring the proportion of women able to space and limit births. Unmet need for contraception is a measure conditioned by people's preferences and choices and therefore firmly introduces a rights perspective into development discourseand serves as an important instrument to improve the sensitivity of policy dialogue. The new reproductive health target and the opportunity it offers to give appropriate attention to unmet need for contraception will allow the entry of other considerations vital to ensuring universal access to reproductive health. (author's)
Geneva, Switzerland, WHO, Department of Reproductive Health and Research, 2006.  p. (Implementing the Global Reproductive Health Strategy. Policy Brief No. 3)This policy brief is intended to give guidance to policy-makers and others engaged in planning and implementing policies and programmes in sexual and reproductive health. It elaborates on one area of action outlined in the WHO Global Reproductive Health Strategy, by explaining what is meant by a supportive legislative and regulatory framework and providing examples of actions that can be undertaken to create such a framework. It covers three aspects of a supportive legislative and regulatory framework: developing national laws and policies that respect human rights, ensuring that national regulations and policies meet international standards, and removing policy and regulatory barriers and restrictions. (author's)
Johannesburg, South Africa, University of the Witwatersrand, Reproductive Health and HIV Research Unit, 2006 Oct. 58 p.A systematic review of the literature was conducted, for evidence on whether a policy of providing a wide range of contraceptive methods, as opposed to the provision of a limited range, improves health outcomes such as contraceptive uptake, acceptability, adherence, continuation and satisfaction; reduction of unintended pregnancy; and improved maternal health and wellbeing. Studies of all designs, reviews, reports, policy documents, commentaries, opinion papers and position papers were included in a search of MEDLINE (via Pubmed, Ovid MEDLINE and Old Ovid MEDLINE), All EBM Reviews, POPLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), LILACS and Psyc Info. A total of 6977 citations were identified. Of these, 3586 were duplicates, leaving 3391 titles/abstracts for screening. After more sensitive review by three authors (AG, JS, NM), 231 citations were included in the review. Two authors (AG, JS) independently extracted data from full reports or papers of all included studies. In a few instances, the full text could not be accessed and the study was assessed on the abstract only. Not unsurprisingly, this systematic review has failed to find large quantities of high quality evidence that increasing choice has a direct impact on the contraceptive outcomes of interest. The best evidence retrieved is summarised in Table 1. (excerpt)