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Shifting the Family Planning Method Mix Needle

Shifting the Family Planning Method Mix Needle. Authors: Namwinga Chintu 1,2 , Felix Tembo 1 , John Phiri 1 , Doris Mwape,Gertrude Silungwe 1 , George Kateteye 1 , Loyce Munthali 3 , Masauso Nqumayo 1 , Gina Smith 1,2

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Shifting the Family Planning Method Mix Needle

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  1. Shifting the Family Planning Method Mix Needle Authors: Namwinga Chintu1,2, Felix Tembo1, John Phiri 1, Doris Mwape,GertrudeSilungwe1, George Kateteye1, Loyce Munthali3 , MasausoNqumayo1, Gina Smith 1,2 1Population Services International; 2Society for Family Health-Zambia; and 3USAID Zambia November 2018, ICFP, Kigali, Rwanda

  2. This presentation is made possible by the support of the American People through the United States Agency for International Development (USAID). The contents of this presentation are the sole responsibility of PSI/SFH Zambia and do not necessarily reflect the views of USAID or the United States Government.

  3. Background Total population 14,075,099 Area Fertility Fertility rate: 5.3 Urban Rural 39.5% 60.5% Average mothers age at first birth: 20.3 Delivery by adolescents: 141/1,000 % Age Modern Contraceptive Prevalence Rate (mCPR): 45% Unmet need for family planning: 21% Source: ZDHS 2014

  4. Background • mCPR 45% - predominant use of short-term methods • Low use of Long term Acting Contraception(LARC) • Zambia FP 2020 commitment-increase CPR to 58% • Zambia Integrated Family Planning Scale-Up Plan 2013 - 2020 • FP Method mix in Zambia

  5. Funder: USAID • Project period: 2015 - 2020 • Goal: Increase mCPR by 2% per year • Supports 88/303 (29%) public facilities in 15 supported districts • Catchment area population for women in childbearing age (WCBA) – 731,054 • SARAI covers 47% of population of WCBA Kanchibiya Lavunshi Manda

  6. Program Interventions Aim: To support expansion of LARC Services Specific Interventions • Dedicated FP Providers. • Off Duty Providers • Community based Distributors *Project offers voluntary FP Services

  7. Program Interventions

  8. Methodology Period: October 2016- September 2017 Sites:Muchinga, Luapula and Copperbelt (88/303 public sector facilities) Population Total WCBA: 731,054 Intervention sites 300,404 (41%) Control sites 427,650 (59%) Data Collection: Routine HMIS collection using public sector systems • Dedicated FP providers, off duty providers and CBDs were deployed to above sites during study period

  9. Results SARAI Contribution to FP Services 492,252

  10. Results Uptake of FP Services

  11. Results IncreasedContribution to CYPs 82,558 96,797

  12. Results ShiftingtheFamilyPlanningMethodMix Intervention Control Sites

  13. Conclusion • Sustained monitoring, mentoring and supervision of FP providers facilitates increased LARC uptake • Engagement of trained community workers for demand generation and service delivery is an integral part of shifting to LARCs • A consolidated holistic approach involving leadership, facilities, communities an supply chain of commodities is key to sustainable FP approaches • It is feasible to shift the FP needle toward more LARCs methods in a public sector setting while leveraging existing public health systems

  14. Keep in touch PSIhealthylives @PSIimpact psi.org info@sfh.org.zm • psi.org + psiimpact.com • ADD EMAIL HERE facebook.com/psihealthylives @psiimpact

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