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Scaling Up Implant Services: Strengthening Family Planning Access in Mali and Zambia

This presentation, delivered by Maxine Eber, MPA, Deputy Director of the SIFPO Project, explores innovative strategies to expand access to long-acting reversible contraception (LARC) through dedicated family planning providers. Focused on Mali and Zambia, the session highlights successful models combining demand creation with service delivery, particularly in high-need areas. Key statistics reveal the urgent need for services, while outcomes demonstrate the potential impact of trained midwives and co-located services in mitigating unmet family planning needs.

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Scaling Up Implant Services: Strengthening Family Planning Access in Mali and Zambia

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  1. Expanding Choice & Building Capacity: Scaling Up Implant Services through Dedicated Providers Maxine Eber, MPA Deputy Director, SIFPO Project 14 November 2013

  2. Dedicated FP Providers • PSI-employed midwives • Seconded to busy public facilities strategically selected to reach women with unmet need for FP • Combine demand creation w/ service delivery

  3. Mali Context • 2006 CPR: 6.2% • Implants: 0.1% • TFR 6.6% • Unmet Need: 33% • Youth Ever-pregnant: 37.2%

  4. Urban Outreach in Mali FP provided during regular immunization days Interactive education sessions: 20-30 minutes, discuss all methods Private/personal counseling and eligibility screening is offered to interested individuals Co-located, same day services Increase access and availability

  5. Zambia Context CPR: 24.5% IUD: 0.4% Implant: n/a Knowledge OCs: 91.5% Knowledge IUDs: 35.8% Knowledge Implants: 43.3%

  6. LARC Services Provided: Mali

  7. Measurable Impact

  8. LARC Services: Zambia 10 Midwives

  9. Who are we reaching with implants? Zambia • 2% no education • 42% primary education • 10% < 20 years old • 1% have no children • 10% have >6 children • 43% new FP users PSI Client Service Data 2009-2012 Mali • 30% no education • 42% primary education • 27% < 20 years old • 16% have no children • 9% have >6 children • 50% new FP users* **(includes social franchise clients) PSI Client Service Data 2010-2013

  10. Dedicated Providers Resource-effective Allows for rapid scale up to address high unmet need Works in partnership with MOH Demonstrates feasibility and viability of LARC Opportunity for capacity-building Continuity of care

  11. Questions?PSI MaliBoureimaMaiga (bmaiga@psimali.org)Nene Fofana (nfofana@psi.org)SFH ZambiaJullyChilambwe (jully@sfh.org)PSI WashingtonMaxine Eber (meber@psi.org) PSI

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