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Learn about expanding choice and building capacity through dedicated providers in Mali and Zambia, addressing unmet needs for family planning. With innovative methods and collaboration with local health authorities, this initiative showcases measurable impact and significant increase in FP users.
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Expanding Choice & Building Capacity: Scaling Up Implant Services through Dedicated Providers Maxine Eber, MPA Deputy Director, SIFPO Project 14 November 2013
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
Mali Context • 2006 CPR: 6.2% • Implants: 0.1% • TFR 6.6% • Unmet Need: 33% • Youth Ever-pregnant: 37.2%
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
Zambia Context CPR: 24.5% IUD: 0.4% Implant: n/a Knowledge OCs: 91.5% Knowledge IUDs: 35.8% Knowledge Implants: 43.3%
LARC Services: Zambia 10 Midwives
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
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
Questions?PSI MaliBoureimaMaiga (bmaiga@psimali.org)Nene Fofana (nfofana@psi.org)SFH ZambiaJullyChilambwe (jully@sfh.org)PSI WashingtonMaxine Eber (meber@psi.org) PSI