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Elements of Family Planning Success Toolkit

What elements are needed to make family planning programs successful? Health care professionals around the world have identified the top 10 essential components that program managers, policy makers, service providers, and others can focus on to make their efforts a success. Some 500 survey respondents from 98 countries made suggestions as to what are the most important and challenging elements of a successful family planning program. Another 280 health care professionals from 60 countries discussed the findings of the survey online. K4Health staff organized the findings into 10 categories.

The 10 elements of family planning success include:
  • Supportive Policies [1]
  • Evidence-Based Programming [2]
  • Leadership and Management [3]
  • Effective Communication [4]
  • Contraceptive Security [5]
  • Trained Staff [6]
  • Client-Centered Care [7]
  • Easy Access [8]
  • Affordable Services [9]
  • Integrated Services [10]

These elements are on the navigation tabs on the right side of this page and throughout the toolkit. Use the tabs to view lists of resources that you can download, adapt, and use in your work.

This toolkit contains more than two dozen audio and video interviews with family planning experts [11], up-to-date background and reference materials, job aids and other tools, PowerPoint presentations, books, manuals, briefs, case studies, fact sheets, newsletters, pamphlets, posters, project reports, reviews, and teaching and training materials. Resources listed are from more than 80 organizations.

If you have an experience to share about family planning programming, we invite you to tell us about it through the feedback form [12], where you can also suggest new resources. To find out if a resource has already been included in this toolkit, type the title in the search box. For more information about this toolkit and other K4Health toolkits, please click on About [13].  

Contraceptive Options

To learn more about specific contraceptive methods, please visit K4Health's other family planning toolkits:
  • Condom Use [14]
  • Implants [15]
  • Injectables [16]
  • IUD [17]
  • Lactational Amenorrhea Method [18]
  • Oral Contraceptives [19]
  • Standard Days Method [20]
  • TwoDay Method [21]

What are K4Health eToolkits?

What is the purpose of this toolkit?

Who developed this toolkit?

Who are the publishers of the resources?

What types of resources are included?

Who are the intended audiences?

How do I get started using this toolkit?

How can I suggest a resource to include in this toolkit?

How can I make a comment or give feedback?


What are K4Health eToolkits?

K4Health Toolkits [22] are electronic collections of carefully selected information resources on a particular topic for health policy makers, program managers, and service providers. They are based on a continuous publishing principle that allows them to evolve after publication to capture additional resources and to identify and fill remaining information gaps. 

What is the purpose of this toolkit?

K4Health's predecessor (The INFO Project) initiated the Elements of Family Planning Success activity to provide recommendations made by program managers and policy makers to program managers and policy makers. Health care professionals from around the world identified the top 10 elements essential for the success of family planning programs. The INFO Project and the follow-on K4Health Project then merged this local knowledge with evidence-based information gathered worldwide to develop a package of resources, including this toolkit. (Other resources in the package include a  Population Reports [23] issue and Family Planning Programming -- Elements of Success [24] e-learning course.)

Who developed this toolkit?

INFO Project staff surveyed health care professionals around the world on what they felt were the most important elements of successful family planning programs. Survey respondents identified the top 10 elements most important to program success as well as the elements that are the hardest to achieve. Some 500 respondents from 98 countries replied.  We followed the survey with a two-week online discussion forum using the Implementing Best Practices Knowledge Gateway [25]. About 280 health care professionals from 60 countries joined the discussion.  INFO developed a package of resources based on the survey results, the forum discussion, and a synthesis of evidence-based information. K4Health staff selected the resources in this toolkit and organized them into the 10 categories.

Who are the publishers of the resources?

Resources selected for inclusion in this toolkit were published by the following organizations working throughout the world to promote evidence-based best practices and improve the delivery of health services.

Abt Associates [26]

Academy for Educational Development [AED] [27]

Advance Africa [28]

Asia-Pacific Population Journal [29]

Association for Voluntary Surgical Contraception [AVSC] International [30]

Association of Schools of Public Health [31]

CARE [32]

Centers for Disease Control and Prevention [CDC] [33]

Chinese Journal of Family Planning

DELIVER PROJECT [34]

Delivery of Improved Services for Health [DISH] [35]

Department of Reproductive Health and Research of World Health Organization [36]

Engender Health [37]

Family Care International [FCI] [38]

FHI 360 [27]

FRONTIERS Population Council [39]

Futures Group International [40]

Global Network of People Living with HIV [GNP+] [41]

Guttmacher Institute [42]

Health Communication Partnership [43]

Health Policy Initiative [44]

Hewlett Foundation [45]

IGES

Information and Knowledge for Optimal Health Project [INFO] [46]

Initiatives Inc. [47]

International Community of Women Living with HIV/AIDS [ICW] [48]

International Health Programs [IHP] [49]

International Planned Parenthood Federation [IPPF] [50]

International Youth Foundation [51]

IntraHealth International [52]

Jhpiego [53]

John Snow, Inc. [JSI] [54]

Johns Hopkins Bloomberg School of Public Health [55]

Johns Hopkins University Center for Communication Programs [56]

Joint United Nations Programme on HIV/AIDS [UNAIDS] [57]

Journal of Adolescent Health [58]

Journal of Advanced Nursing [59]

Journal of Clinical Nursing [60]

Journal of Family Planning and Reproductive Health [61]

Journal of Reproduction and Contraception [62]

Lawrence Erlbaum Associates [63]

London School of Hygiene and Tropical Medicine [64]

Macro International [65]

Management Sciences for Health [MSH] [66]

Maximizing Access and Quality [MAQ] Initiative

Medical Anthropology [67]

National Cancer Institute [68]

National Institutes of Health [NIH] [69]

Oxford University Press [70]

Packard Foundation [71]

Pathfinder International [72]

Patient Education and Counseling [73]

Policy Project [74]

Polimap PolicyMaker 4 Software [75]

Population Council [76]

Population Leadership Program [PLP] [77]

Population Reference Bureau [PRB] [78]

Population Research and Policy Review [79]

Population Services International [PSI] [80]

PRIME II Project [81]

Private Sector Partnerships-One [PSP-One] [82]

Program for Appropriate Technology in Health [PATH] [83]

Project HOPE [84]

Regional Office for South Asia [85]

Reproductive Health and HIV Research Unit [RHRU] [86]

Reproductive Health Supplies Coalition [87]

Rockefeller Foundation [88]

Sage Publications [89]

San Diego Young Positives [90]

Save the Children [91]

Strengthening the Social Acceptance of Family Planning in the Philippines Project [TSAP-FP] [92]

The ACQUIRE Project [93]

The AIDS Reader [94]

The WHO Mediterranean Centre for Vulnerability Reduction [WMC] [95]

The World Bank [96]

Training Resource Group [TRG] [97]

U.S. Agency for International Development [USAID] [98]

Uganda Ministry of Health [99]

United Nations Children's Fund [UNICEF] [100]

United Nations Population Fund [UNFPA] [101]

United States Department of Health & Human Services [102]

University of California [103]

University of North Carolina at Chapel Hill [104]

University of the Witwatersrand [105]

World Health Organization [WHO] [106]

World Vision [107]

World Wildlife Fund [108]

Yale University [109]

What types of resources are included?

This toolkit provides relevant, reliable, and usable information related to 10 essential elements of successful family planning programs. The resources were selected with health policy makers, program managers, and service providers in mind. For example, the toolkit contains:

  • Over two dozen audio and video interviews with family planning experts around the world. 
  • Up-to-date background and reference materials to design evidence-based, state-of-the art programs.
  • Job aids and other tools to increase the effectiveness and quality of program activities and services.
  • PowerPoint presentations and other quality information resources that can be downloaded and adapted to better serve local circumstances and languages.
  • Various publication formats including books, manuals, briefs, case studies, fact sheets, newsletters, pamphlets, posters, project reports, reviews, teaching and training materials, photos, tools, and job aids. 

Who are the intended audiences?

Program managers and others are encouraged to use this toolkit to share their successes and lessons learned, network with people around the world, solve problems, bounce ideas off each other, and ultimately create a better program. Key audiences of this toolkit include policy makers, program managers, service providers, and others who want to strengthen their programs. We invite you to suggest resources [12] or adapt the resources in this toolkit to suit your local circumstances and languages.

How do I get started using this toolkit?

To browse the contents of this toolkit, use the navigation to view resources related to the 10 elements of family planning success. You can also use the search box if you know what you are looking for or have a specific item in mind.
 
Resources in this toolkit can be downloaded and adapted for teaching and training, research, advocacy, policymaking, and program management. Some of the tools are readily available in an adaptable format (for example, Microsoft PowerPoint presentations or Word documents). We encourage you to alter and personalize these tools for your own use. (Please remember to credit the source.) If you do use these tools or adapt them, we would love to hear from you. Please e-mail us [110]. (To make a comment about the toolkit or suggest a resource, use the feedback form [12].)

How can I suggest a resource to include in this toolkit?

We invite you to contribute to evolving and enhancing this toolkit. If you have developed or use quality resources that you think should be included in the toolkit, please use the feedback form [12] to suggest them. The toolkit collaborators will review and consider your suggestions.

How can I make a comment or give feedback?

If you have comments about the toolkit, please use the feedback form [12]. Your feedback will help to ensure the toolkit remains up-to-date and is continually improved. For example, you can share ideas about how you have used the toolkit in your work so that others can learn from and adapt your experiences.

 

Proud parents smile upon their newborn daughter Atikta Haoua Riane at her official naming ceremony or "indeeri" in Lagdo of the Northern Province of Cameroon, one week after her birth. Due to high infant mortality rates, babies are not named until they have survived his or her first seven days, therefore parental joy for the new addition to the family is precarious and cautious. After posing for photographs, the baby was blessed by the family's priest and guests. © 2004 Rachel Hoy, Courtesy of Photoshare

Supportive Policies

  • PDF version [111]

Family planning programs need high-level support to operate successfully. Supportive policies, statutes, and regulations, at both the national and operational level, lay groundwork for family planning service delivery. Operational policies—also known as “service delivery policies”—are the link between national policy and service delivery performance. While national policies often describe what should be done, operational policies often explain how it should be done and establish systems for delivering services. Advocacy efforts with a focus on the benefits of family planning can build political will, support, and commitment to high quality family planning service delivery.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [112]

Included in this section of the Toolkit are a series of audio and video interviews with family planning experts discussing the importance of supportive government policies to the success of family planning programs. Specifically, interviewees talk about establishing partnerships with government; understanding religious factors associated with family planning; reasons why government should support family planning; and challenges to government involvement in family planning programs.

For example, Bright Ekweremadu, Managing Director of Society for Family Health in Nigeria, emphasizes the critical role of a supportive government in helping family planning providers accomplish their work by creating an enabling environment. Dr. Jeff Spieler, Senior Science Advisor at USAID, discusses in detail why political leaders should support family planning. He argues that "family planning is the solution to many problems..." because it enables couples to have the number of children they want and to space pregnancies. These abilities reduce child mortality, reduce maternal morbidity and mortality, and increase opportunities for women, thereby increasing economic growth. Dr. Punima Mane, Deputy Executive Director of UNFPA, talks about the importance of data in dvocacy, planning and policy around family planning programs and services.

Advocating for Policy Change

  • PDF version [113]

International Guidelines for Policy Development

  • PDF version [114]

Tools for Policy Making

  • PDF version [115]

Evidence-Based Programming

  • PDF version [116]

Successful family planning programs use research, monitoring and evaluation to guide design and implementation. The tools collected in this section of the Toolkit provide crucial information for deciding wisely how to develop in new directions, solve problems, assess effectiveness and make adjustments.

For country-specific examples of evidence-based programming, please visit the Country Experiences [117] tab.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [118]

This series of video interviews with family planning experts focuses on the importance of monitoring and evaluation and research in family planning programming. Dr. Jane Bertrand, Director of Johns Hopkins Center for Communication Programs, talks about monitoring and evaluation as an important component to successful family planning programs and describes some of her own experiences in monitoring and evaluating family planning programs. Dr. Sian Curtis, Director of USAID’s MEASURE Evaluation Program, talks about the purpose and importance of monitoring and evaluation and discusses some of the barriers that are faced in program  implementation, such as resources, time and staffing, and the importance of planning ahead when implementing a monitoring and evaluation system.

Additionally, Dr. Joe Speidel of the Bixby Center for Global and Reproductive Health at UCSF talks about his entry into the field of family planning and how relatively quick of an effect family planning has in reducing fertility and population growth once family planning is invested in (examples including the U.S. and many developing countries). Dr. John Townsend, Vice President and Director of the Population Council's Reproductive Health Program, talks about the importance of listening to clients and shaping programs around their needs.

Evidence-based Practices

  • PDF version [119]

Monitoring & Evaluation

  • PDF version [120]

Leadership & Management

  • PDF version [121]

Leadership and management have been described as two sides of the same coin: Each is equally essential for any organization to achieve its purpose. Often program managers play the roles of both leader and manager. The vision and innovation of strong leaders and advocates help lay a strong foundation for family planning programs. Leaders use creative thinking and innovation to build an overall vision for their programs, and they inspire others to make the changes needed to realize that vision. Managers deal with day-to-day complexities, such as planning and organizing resources to achieve objectives, implementing activities, problem-solving, and monitoring and evaluating progress.

Strong leadership and good management help programs improve and expand services, scale up best practices, and navigate change. Many tools are available to help managers, supervisors and others organize and run a program to ensure a smooth and efficient operation. These include opportunities for training and professional development, assessment tools and strategies for quality improvement, guidance on organizing programs for maximum effectiveness, and tools for supervision.

To browse a more comprehensive collection of resources relevant to leadership and management, please visit the Leadership and Management Toolkit [122]. The Leadership and Management Toolkit provides evidence-based guidance and tools to update, expand, or develop leadership and management skills in health managers and service provision programs.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

 

Interviews with Family Planning Experts

  • PDF version [123]

This series of audio and video interviews with family planning experts highlights issues related to leadership and management of family planning programs. The interviewees address the importance of strong and influential leadership; leadership development; and community involvement. For example, Margaret Neuse, Emeritus Director of USAID’s Office of Population and Reproductive Health, talks about the importance of training local staff for leadership roles. Bright Ekweremadu, Managing Director of Society for Family Health, and Mike Egboh, a Country Representative for Pathfinder International, both of Nigeria, talk about the importance of community involvement, including community acceptance and input, recognizing the community and religious leaders and cooperating with the community leaders.

Leadership and Management Fundamentals

  • PDF version [124]

Leadership and Management Tools

  • PDF version [125]

Training to Build Influential FP Leaders

  • PDF version [126]

Improving Quality

  • PDF version [127]

Organizing Work

  • PDF version [128]

Supervision

  • PDF version [129]

Effective Communication

  • PDF version [130]

The highest quality, most accessible health care services are pointless if people do not know about them or want them. Effective behavior change communication (BCC) activities raise awareness about family planning, motivate individuals to seek services, and help them to successfully use their contraceptive method of choice. BCC also helps couples discuss their fertility desires and contraception, encourages behavior change, and helps to make contraceptive use a community norm. Strategic BCC programs use a systematic process to develop and carry out communication activities, drawing on behavioral theory. They also use a mix of mass media, interpersonal, and community-based communication channels.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [131]

This series of audio and video interviews with family planning experts examines the role of communication and behavior change communication in family planning. Interview discussion of behavior change communication in general and the media's role in behavior change are included. Experts talk about the importance of communication programs in successful family planning programs and the importance of behavior change theories in family planning decision-making. Additionally, specific program experiences in communication strategies and campaigns are described.

Ruwaida Salem, Senior Technical Writer at Johns Hopkins Center for Communication Programs, provides a history of family planning communication, reviews communication strategies and methods, and talks about the importance of understanding behavior change theories and the local context for family planning programs to best assist and support family planning decision-making. Ed Scholl, Director of Public Health Programs at FHI, talks about the media’s role in behavior change and points to ways the media can help and hinder family planning.

Behavior Change Communication

  • PDF version [132]

Contraceptive Security

  • PDF version [133]

An assortment of contraceptive methods used at a Clinical Service Improvement (CSI) project clinic in Egypt. © 2003 Center for Communication Programs, Courtesy of PhotoshareTo succeed, a family planning program needs an uninterrupted supply of a variety of contraceptives so that clients can choose and use their preferred method without interruption.  Successful programs provide contraceptive security—that is they ensure that people are able to choose, obtain, and use high-quality contraceptives whenever they want them. Offering a full range of contraceptive options is also important. Contraceptive security requires planning and commitment on several levels to ensure that the necessary commodities, equipment, and other supplies are always available.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [134]

This series of audio and video interviews with family planning experts covers issues related to contraceptive security. Dr. Robert Hatcher of Emory University talks about contraceptive method mix and having a broad range of services while Dr. Alan Bornbusch of USAID talks about supply chains and "choke points". Dr. Bornbusch gives examples of national contraceptive success stories in Bangladesh and Zimbabwe as well.

 

Contraceptive Security

  • PDF version [135]

Several resources are available to help programs understand the local context and ensure contraceptive security. This section of the Toolkit includes several tools, including tools that can help decision-makers measure a country’s level of contraceptive security and tools that help program managers plan optimal procurement and delivery schedules for health commodities as well as monitor their orders throughout the supply chain.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Forecasting

  • PDF version [136]

Procurement

  • PDF version [137]

Strengthening Logistics Systems

  • PDF version [138]

Supply Management & Distribution

  • PDF version [139]

Trained Staff

  • PDF version [140]

© 2008 Daniel Kasansula, Courtesy of PhotoshareMany cadres of health professionals, including nurses, auxiilliary nurse-midwives, physicians, pharmacists, and community health workers, can be trained to provide family planning services. To offer high-quality, client-centered care, family planning service providers need training on a range of topics, including:

  • Screening clients for medlcal elegibility for contraceptive methods
  • Offering client-centered family planning services
  • Counseling clients on contraceptive options, correct use of contraceptives, how to handle side effects, and other related issues
  • Designing, implementing, and evaluating training for contraceptive service providers

A successful training workshop for family planning providers requires careful planning and preparation. The organizers of the training should invite participants who can then provide cascade training to other contraceptive providers working in clinical and community-based settings. It is important that the planners and facilitators of the training understand the learning needs of the participants and adapt the training materials and methods accordingly. Initial training sessions should be followed up with supportive supervision to ensure quality service provision. Refresher training sessions should also be conducted once the participants have had a chance to apply their new knowledge and skills in their jobs.

Do you have a comment about this section of the toolkit or a new resource or training topic you’d like to suggest? Please share your feedback by sending a message through the feedback form [12].

Interviews with Family Planning Experts

  • PDF version [141]

This series of audio and video interviews with family planning experts focuses on training family planning staff. Dr. Irina Yacobson, Assistant Medical Director for FHI, talks about training and motivating staff, and the importance of listening to client's needs and informed choice. Dr. Ricky Lu, Director of Reproductive Health and Family Planning at JHPIEGO, talks about the importance of comprehensive training and the different ways program managers can provide training to family planning service providers.

Reproductive Health Training Resources

  • PDF version [142]

In this section of the Toolkit's training tab are a selection of general training resources, including tools, guides and manuals essential to training health care providers in reproductive health and family planning.

Have a suggested resource or comment about this section? Please visit our discussion board [12].

Client-Centered Care

  • PDF version [143]

When clients receive services that are tailored to their needs, they are more likely to find a suitable contraceptive method, continue using family planning, and return to a provider when they need help or another method. Client-centered care means that clients’ needs guide the planning and implementation of family planning services. It also means that services meet medical standards, which requires providers’ commitment and expertise.

Understanding the needs, attitudes and cultures of family planning clients will enable family planning providers to offer better quality services. Good client-provider interaction is key to successful family planning programming. Thorough, high-quality screening and counseling practices enable family planning clients to make informed decisions based on their reproductive goals, individual circumstances, and lifestyles.

For method-specific job aids and counseling tools, please visit the contraceptive methods toolkits. Links to these toolkits are available in the Contraceptive Options box in the right column of this page.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [144]

This series of audio and video interviews with family planning experts focuses on providing client-centered care. Bright Ekweremadu, Managing Director of Society for Family Health in Nigeria, and Dr. Townsend, Vice President and Director of the Population Council's Reproductive Health Program discuss the importance of listening to clients and shaping programs around their needs.  Many of the interviews focus on family planning for adolescents.  Dr. Robert Blum, Professor at Johns Hopkins Bloomberg School of Public Health, explains the importance of adolescent reproductive health care and talks about the challenges of peer education programs to prevent adolescent pregnancy. Dr. Winifride Mwebesa, Advisor at Save the Children, discusses family planning services for young girls and emphasizes the importance of sensitivity and appropriateness of family planning services tailored for young girls.

Client Satisfaction

  • PDF version [145]

Understanding the needs, attitudes and cultures of family planning clients will enable family planning providers to offer better quality services. This section of the Toolkit includes several resources on providing quality of care, client satisfaction, and addressing the needs of continuing family planning clients.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Client-Provider Interactions

  • PDF version [146]

Good client-provider interaction (CPI) is key to successful family planning use, services and programs. Here you will find resources how clients, providers and programs can support and improve CPI as well as best practices in CPI.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Screening and Counseling Tools

  • PDF version [147]

Thorough and quality screening and counseling practices enable family planning clients to make well-informed decisions based on their reproductive goals, individual circumstances, and lifestyles. This section of the Toolkit includes resources on screening and counseling family planning clients. You also will find job aids and tools that take a client-centered approach to family planning service delivery. These resources can help providers screen and counsel clients as well as educate clients about family planning methods and involve them in the decision-making process.

Additional screening and counseling resources for family planning methods are included in the following contraceptive method toolkits: Condom Use [14], Implants, [15]Injectables,  [16]IUD,  [17]Lactational Amenorrhea Method (LAM),  [18]Oral Contraceptives [19], and Standard Days Method. [20]

Easy Access

  • PDF version [148]

When clients can easily obtain services, they are better able to use family planning. In the broadest sense, a population has good access to services when service delivery points are conveniently available to everyone, everyone knows where to find these services, everyone feels welcome, services are free of unnecessary administrative and medical barriers, and people can choose from a range of contraceptives. In many settings, access to family planning services is constrained by geographic, physical, financial, medical, administrative, social, or cultural barriers. Offering services through multiple channels, such as clinics, community-based distribution, private practices, mobile or temporary facilities, and retail outlets, helps to increase access. This section of the toolkit includes resources for addressing the challenges one might face in trying to obtain family planning services and for implementing multiple service delivery systems to broaden the reach of family planning programs.

To browse resources on expanding access to family planning services, click on the links below:

Addressing Barriers and Reach

Multiple Service Delivery Systems

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [149]

This series of audio and video interviews with family planning experts explores ways to promote easy access to family planning services. Dr. John Stanback and Ed Scholl of FHI and Dr. Winifride Mwebesa of Save the Children discuss the importance of a variety of service delivery points to increase access to family planning services.  Margaret Neuse, Emeritus Director of USAID’s Office of Population and Reproductive Health, talks about the importance of private sector collaboration as a means to providing greater access to services and commodities.

Addressing Barriers and Reach

  • PDF version [150]

Access to family planning services can be constrained for many reasons. This section of the toolkit includes resources addressing the many types of barriers one may face in trying to obtain family planning services, including geographic or physical barriers, financial barriers, medical or administrative barriers, social or cultural barriers, and barriers in outreach to specific populations (for example, youth).

Multiple Service Delivery Systems

  • PDF version [151]

Family planning services can be offered through a variety of delivery systems, including, clinics (public, NGO, or private), community-based distribution, private providers’ offices, retail outlets, and mobile or temporary facilities. Many programs use a mix of service delivery points to make methods available to all potential users. Here you will find resources on Community-Based Family Planning; Community-Based Access to Injectables; and Social Marketing.

K4Health Toolkits are also available specifically on Community-Based Family Planning [152] and Community-Based Access to Injectable Contraceptives [153].

Affordable Services

  • PDF version [154]

As the number of contraceptive users increases worldwide, growth is fastest among those least able to pay for services. The decrease in donor funding for many programs challenges programs to keep services affordable for everyone while ensuring that people are able to choose, obtain, and use high-quality contraceptives whenever they want them. Targeting free or subsidized family planning services to low-income users while encouraging people to pay what they can keeps services affordable for all clients. It also contributes to the financial sustainability of programs.

This section of the Elements of Family Planning Success Toolkit includes briefs, primers, and success stories outlining different financing strategies for family planning programs, such as health insurance programs, public-private partnerships, and vouchers.

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [155]

These audio interviews with Dr. Robert Hatcher, Professor at Emory University School of Medicine, and Dr. John Stanback, Deputy Director of the PROGRESS project at FHI, explore the provision of family planning services for the poor.

Costing Tools

  • PDF version [156]

Health Insurance

  • PDF version [157]

Public-Private Partnerships

  • PDF version [158]

Vouchers

  • PDF version [159]

Integrated Services

  • PDF version [160]

Offering multiple health care services at the same facility or through a community-based program can benefit clients, providers and programs. Integrating services can address a wider range of health needs conveniently for clients. It also can be more efficient for programs and so can serve more people for the same expenditures. Services commonly integrated with family planning include: HIV care and prevention; maternal, newborn, and child health care; child immunization services; and postabortion care services. 

Have a suggested resource or comment about this section? Please visit our feedback form [12].

Interviews with Family Planning Experts

  • PDF version [161]

This series of audio and video interviews with family planning experts speaks to the importance of integrating family planning with other reproductive and child health services. Interviewees highlight both the benefits and challenges to integrating services, as well as the importance of offering organized and comprehensive family planning and reproductive health services due to the difficulties patients encounter when seeking out services.

For example, Dr. Heidi Reynolds, a Senior Research Associate for FHI, talks about the integration of family planning services with HIV services. Dr. Duff Gillespie of Johns Hopkins Bloomberg School of Public Health also addresses integration wtih HIV/AIDS services and discusses the difficulties of achieving appropriate HIV/AIDS integrated service programs, such as voluntary testing with family planning, due to lack of evidence and documentation. Dr. Habib Sadauki, Senior Reproductive Health and Family Planning Advisor at Pathfinder International, provides examples of opportune times to integrate health and education services and the multiple benefits that come with program integration within the community setting.

Integrating Family Planning with HIV

  • PDF version [162]

Integrating Family Planning with Maternal and Child Health

  • PDF version [163]

Integrating Family Planning with Other Health Services

  • PDF version [164]

Country Experiences

  • PDF version [165]

Family planning program managers and planners can learn from each other’s experiences. Sharing knowledge strengthens programs efficiently, helps avoid costly, time-consuming trial-and-error,helps growing programs to succeed more quickly and successful programs to improve further.

The Country Experiences section of the Elements of Family Planning Success Toolkit includes documents that describe the program- and country-specific experiences related to the 10 elements of family planning program success. The experiences and lessons presented can help program managers, donor agency staff, policymakers, and other family planning professionals to plan new programs, improve existing programs, and prepare for future developments and challenges.

Browse Experiences by Country

  • PDF version [166]
In this section of the Toolkit, publications documenting country-specific experiences with the elements of family planning success are viewable by region and country.

Africa

  • PDF version [167]

Regional

Egypt

  • PDF version [168]

Ghana

Kenya

Lesotho

Madagascar

Malawi

Rwanda

Senegal

Sierra Leone

Swaziland

  • PDF version [169]

Tanzania

Uganda

Asia & Pacific

  • PDF version [170]

Bangladesh

India

Indonesia

Nepal

Pakistan

Philippines

Latin America & Caribbean

  • PDF version [171]

Regional

Bolivia

El Salvador

Guatemala

Haiti

Jamaica

Paraguay

Peru

Supportive Policies

  • PDF version [172]

Supportive policies help ensure that family planning has a prominent place on the national agenda, that adequate financial resources are allocated, and that family planning services are affordable and accessible. In this section of the Toolkit you'll find resources that review the history and evolution of family planning policies as well as country specific examples describing how family planning policies have influenced programs, access and service delivery.

 

Evidence-Based Programming

  • PDF version [173]

Successful family planning programs use research to help tailor programs to their context and use monitoring and evaluation to inform and strengthen program planning and management. This section of the Toolkit includes resources describing country and program experiences in using research to understand family planning need and effective service delivery strategies, as well as resources describing how programs have implemented best practices and evidence-based practices into family planning programs.

Leadership & Management

  • PDF version [174]

Strong leadership coupled with good management helps programs improve and expand services, scale up best practices, and navigate change. Here you will find resources on how family planning program managers and service delivery providers have benefited from learning and using good leadership and management skills.

Effective Communication

  • PDF version [175]

Communication grounded in behavior theory and sensitive to local norms motivates clients to seek services and helps them make good family planning choices. The resources included in this section of the Toolkit provide examples on how communication efforts, using various strategies, have influenced knowledge and attitudes on family planning as well as the reach of programs and services.

Contraceptive Security

  • PDF version [176]

A strong logistics system and a long-term plan for contraceptive security ensure that a variety of methods, and the supplies and equipment to provide them, are always available. This section of the Toolkit includes briefs and reports on country and program experiences in achieving or making progress towards contraceptive security by ensuring contraceptive options and availability.

Client-Centered Care

  • PDF version [177]

Planning and providing services with the clients in mind help to make sure their needs are met and their preferences are honored. The resources included in this section describe program experiences in implementing client-centered care.

Easy Access

  • PDF version [178]

Offering family planning services through a variety of delivery points helps clients obtain services easily and makes methods available to more potential users. Here you will find resources on how community-based distribution and other strategies have been used to increase provision of contraceptives. For more country experiences on community-based family planning you can go to the Country Experiences [179] section of the Community-Based Family Planning Toolkit. [152]

Affordable Services

  • PDF version [180]

Services that are not affordable can pose a major barrier to women and couples seeking out family planning. This section of the toolkit includes resources on how programs have addressed financial barriers to accessing family planning services. Specifically, resources on tapping into the private sector and use vouchers are included here.

Integrated Services

  • PDF version [181]

Programs can address a wider range of health needs by integrating services where appropriate and offering referrals where it is not. In this section of the Toolkit many resources are included on integrating family planning services. Resources on specific program experiences are found here as well as reports on the evidence and policies supporting integration of services.


Source URL: http://www.k4health.org/toolkits/fpsuccess

Links:
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[2] http://www.k4health.org/toolkits/fpsuccess/evidence-based-programming
[3] http://www.k4health.org/toolkits/fpsuccess/leadership-management
[4] http://www.k4health.org/toolkits/fpsuccess/effective-communication
[5] http://www.k4health.org/toolkits/fpsuccess/contraceptive-security
[6] http://www.k4health.org/toolkits/fpsuccess/trained-staff
[7] http://www.k4health.org/toolkits/fpsuccess/client-centered-care
[8] http://www.k4health.org/toolkits/fpsuccess/easy-access
[9] http://www.k4health.org/toolkits/fpsuccess/affordable-services
[10] http://www.k4health.org/toolkits/fpsuccess/integrated-services
[11] http://www.k4health.org/toolkits/fpsuccess/interviews-family-planning-experts
[12] http://www.k4health.org/toolkits/fpsuccess/feedback
[13] http://www.k4health.org/toolkits/fpsuccess/about-elements-family-planning-success-toolkit
[14] http://www.k4health.org/toolkits/condoms
[15] http://www.k4health.org/toolkits/implants
[16] http://www.k4health.org/toolkits/injectables
[17] http://www.k4health.org/toolkits/iud
[18] http://www.k4health.org/toolkits/lam
[19] http://www.k4health.org/toolkits/oral-contraceptives
[20] http://www.k4health.org/toolkits/sdm
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[127] http://www.k4health.org/printpdf/7068
[128] http://www.k4health.org/printpdf/7094
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[137] http://www.k4health.org/printpdf/7089
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[139] http://www.k4health.org/printpdf/7090
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[142] http://www.k4health.org/printpdf/7078
[143] http://www.k4health.org/printpdf/7063
[144] http://www.k4health.org/printpdf/7239
[145] http://www.k4health.org/printpdf/7091
[146] http://www.k4health.org/printpdf/7092
[147] http://www.k4health.org/printpdf/7093
[148] http://www.k4health.org/printpdf/7065
[149] http://www.k4health.org/printpdf/7241
[150] http://www.k4health.org/printpdf/7235
[151] http://www.k4health.org/printpdf/7236
[152] http://www.k4health.org/toolkits/communitybasedfp
[153] http://www.k4health.org/toolkits/cba2i
[154] http://www.k4health.org/printpdf/7060
[155] http://www.k4health.org/printpdf/7238
[156] http://www.k4health.org/printpdf/7085
[157] http://www.k4health.org/printpdf/7084
[158] http://www.k4health.org/printpdf/7082
[159] http://www.k4health.org/printpdf/7083
[160] http://www.k4health.org/printpdf/7064
[161] http://www.k4health.org/printpdf/7244
[162] http://www.k4health.org/printpdf/7097
[163] http://www.k4health.org/printpdf/7098
[164] http://www.k4health.org/printpdf/7096
[165] http://www.k4health.org/printpdf/7225
[166] http://www.k4health.org/printpdf/7302
[167] http://www.k4health.org/printpdf/7329
[168] http://www.k4health.org/printpdf/7334
[169] http://www.k4health.org/printpdf/7333
[170] http://www.k4health.org/printpdf/7330
[171] http://www.k4health.org/printpdf/7331
[172] http://www.k4health.org/printpdf/7226
[173] http://www.k4health.org/printpdf/7227
[174] http://www.k4health.org/printpdf/7228
[175] http://www.k4health.org/printpdf/7229
[176] http://www.k4health.org/printpdf/7230
[177] http://www.k4health.org/printpdf/7231
[178] http://www.k4health.org/printpdf/7232
[179] http://www.k4health.org/toolkits/communitybasedfp/country-experiences
[180] http://www.k4health.org/printpdf/7233
[181] http://www.k4health.org/printpdf/7234