This holistic model for family planning and reproductive health (FP/RH) service delivery was developed by the ACQUIRE Project for use in national-, regional-, and district-level programs. The model applies to both FP/RH services in general and to clinical FP/RH services.

This PowerPoint presentation provides a template for guiding a discussion surrounding how to select appropriate interventions to improve utilization of the IUD using outcomes from performance needs assessments.

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This PowerPoint presentation provides a template for guiding a local program to conduct its own stakeholder meeting around revitalizing the IUD.

This brief outlines the advantages of providing IUD services to postpartum women and to women who have just had an abortion. It also gives an overview of programmatic considerations for providing high-quality postpartum IUD services, including special counseling and insertion training for IUD providers.

This document discusses some of the key factors related to the providers and their provision of IUDs.  It addresses some ideas behind what motivates and discourages providers about IUDs and how to address these issues.

The government of India, as part of its continual efforts to improve the quality of family planning services, has replaced the CuT-200B with the Cu-T380A in its National program due to the distinct advantages of the CuT-380A.  This book, as a result of collaboration between CEDPA India and FHI, is intended to orient NGO staff to the advantages of the CuT-380A in efforts to have them promote it in the National Family Welfare Programme in India.

A performance needs assessment actively involves stakeholders in clarifying their expectations and program goals for IUD revitalization within an overall family planning program followed by objectively assessing current IUD program performance (at system, provider, and client/community levels), in order to identify the performance gaps, their root causes and appropriate solutions. This document contains tools, developed by the ACQUIRE Project, to assist programs to conduct their own performance needs assessment regarding IUDs.

This PowerPoint presentation provides a template for guiding a discussion surrounding how to select appropriate interventions to improve utilization of the IUD using outcomes from performance needs assessments.

This document discusses some of the key issues to consider when developing a work flow for provision of IUDs. 

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Reorganizing skills among cadres is called task shifting (moving skills from one cadre to another) or task sharing (increasing the number of cadres able to perform a skill). Based on a review of the literature and country examples, the brief describes why task shifting is important and highlights some key steps in planning for, developing, and supporting cadres involved in task shifting. The guidance in this brief can be applied to task sharing for IUD programs, which is needed to meet the high demand demonstrated by IUD programs.

This document discusses a number of ways in which family planning programs can provide IUD services at modest cost per client, including training a core group of IUD providers; permitting trained allied health workers to provide IUD services; eliminating the need for routine laboratory tests before IUD insertion; using high-level disinfection to process used instruments; using new or clean examination gloves during IUD insertion and removal; eliminating unnecessary routine follow-up visits; and offering immediate postpartum services.

This report looks at two key questions relevant to increasing availability of long-acting and permanent methods (LA/PMs) worldwide: (1) How can LA/PMs, which require trained providers and clinical settings for administration, be made more widely accessible even in rural or other low-resource settings? and (2) How can sustainable LA/PM provision be achieved? Costs of providing IUDs compared with other methods are provided from a number of countries. 

This brief discusses the findings of a Private Sector Partnerships-One analysis of DHS data from four countries (Bolivia, Colombia, Egypt, and Peru) on IUD use, source, and ability to pay. Request a copy of this document:

One way for developing countries to afford the costs of family planning is to reduce the number of women who have the ability to pay from obtaining subsidized (public) services. Public-sector resources can then be directed to women with the greatest financial need. Such targeting is an important component of contraceptive security because it has the potential to expand access to family planning to society’s poorest groups while addressing equity concerns. Various papers have pointed out that wealthy women receive a subsidy when they use the public sector.

Strengthening the role of the commercial sector in contraceptive provision is an important strategy for reducing costs to donors and to local governments. Attention has focused on increasing the commercial market for short-acting methods of contraception like pills and condoms; less attention has been paid to commercial sector provision of long-acting and permanent methods (LAPMs): IUDs, implants, and female and male sterilization.

This document discusses some of the key cost factors associated with IUD use and how they factor into a program's decision to provide IUDs and a woman's decision to use an IUD.  Also included are some additional resources on cost, pricing, and financing as it relates to the IUD.

As part of a training needs assessment to identify gaps in performance of providers and/or systems, data on the actual performance of service providers and on the supervision of providers should be collected. The sample provider interview guide collects data on three areas of learning that demonstrate performance: knowledge, skills, and attitude. The sample supervisor interview guide collects information about frequency of supervision visits, activities performed during supervision, and resources needed to perform appropriate supervision.

This PowerPoint presentation provides a template for guiding a discussion surrounding how to select appropriate interventions to improve utilization of the IUD using outcomes from performance needs assessments.

This paper distills lessons from recent efforts to improve the supervision of family planning and health programs in developing countries and identifies approaches that may be more effective and sustainable. The paper provides a framework for what supportive supervision means in practice and identifies key lessons from recent efforts, as well as gaps in knowledge. Published by Management Sciences for Health [MSH], Management and Leadership Program, Produced for the Maximizing Access and Quality Initiative (MAQ). Supplement to Population Reports, Volume XXX, No. 4.

In contrast to traditional supervisory systems, facilitative supervision emphasizes mentoring, problem solving, and continuous communication between the supervisor and those being supervised. This working paper presents the key components of facilitative supervision and describes the steps a program can take to move from a traditional to a facilitative supervisory system.

Monitoring the progress of IUD programs allow managers to determine where program performance is outstanding, adequate, or inadequate. In turn, this information can be used to target areas for improvement and to strategically allocate resources that will contribute to improved performance. This document discusses a few specific indicators of program progress and suggests definitions, data sources, reporting frequency, and suggested analysis for each indicator.

From the U.S. Agency for International Development (USAID), this web page explains what couple years of protection (CYP) is, how it is calculated, and the CYP coversion factors that USAID uses for various contraceptive methods. For IUDs, USAID uses 3.5 CYP per Copper-T 380-A IUD inserted. 

The general objective of this Compendium is to encourage program evaluation and to improve the quality of work in this area. To this end, the Compendium provides a comprehensive listing of the most widely used indicators for evaluating reproductive health programs in developing countries.

Introducing or reintroducing a contraceptive requires attention to policy and service delivery, on one hand, and to the public and potential users’ knowledge and perceptions, on the other. Family planning program managers can ask themselves, clinic administrators, and service providers the questions in this checklist to help assure that programs can provide high-quality IUD services.

This field guide provides a framework and methodology to guide program managers and health facility staff in adapting and implementing similar programs tailored to their own settings. The aim of this field guide is to present a step-by-step process, practical tools and other resources for improving performance and quality of health services using the standards-based management and recognition approach (JHPIEGO's practical approach for performance and quality improvement). 

This IUD assessment tool provides performance standards for IUD provision based on type of visit-new client or revisit. It may be used as part of a programmatic performance improvement initiative, by the site or individual providers to self-assess or by external evaluators to assess achievement of the standards. Often, performance standards are used to effect change at multiple sites.

Partnership Defined Quality (PDQ) is a methodology to improve the quality and accessibility of services with community involvement in defining, implementing, and monitoring the quality improvement process. Partnership Defined Quality links quality assessment and improvement with community mobilization. This manual offers tools that can be used by project managers, health service managers, or facilitating agencies. It can also be used by health workers or community advocates, who would like to work to make a difference in the quality of health services available in their area.

Recognizing the gap between the rhetoric and the reality of informed choice, EngenderHealth developed an expanded conceptual framework for informed and voluntary sexual and reproductive health (SRH) decision making, which is the basis of this practical tool kit. Field-tested in several countries, Choices in Family Planning consists of four sections:

In 2003, EngenderHealth revised the original handbook to include additional information about how to conduct COPE® and began producing a set of accompanying toolbooks; this toolbook, the first in the series, addresses a full range of topics reflecting a reproductive health approach to services.

COPE®, which stands for "client-oriented, provider-efficient" services, is a process that helps health care staff continuously improve the quality and efficiency of services provided at their facility and make services more responsive to clients' needs. COPE® provides staff with practical, easy-to-use tools to identify problems and develop solutions using local resources, and it encourages all lev

These briefs provide an overview of how quality of care can be implemented in reproductive health programs; describe clients' perspectives and the barriers clients may encounter in seeking care; and look at providers' concerns in providing services that reflect the quality of care concept. The series also discusses the various definitions of quality of care in the context of reproductive health and suggests tools for measuring it. The series also includes a short literature review on best practices in client-provider interactions in reproductive health care.

This paper is intended to provide guidance to family planning programs on how to improve the quality of CPI. It synthesizes the

In this paper, we are speaking to the program leaders and donor agencies that are responsible for allocating resources for service delivery programs. We provide guidance on the actions that must take place to improve the quality of reproductive health and child survival programs. This guidance is based on the field experiences of members of the Management and Supervision subcommittee of USAID’s Maximizing Access and Quality (MAQ) Initiative.

Faced with the challenge of putting into practice the ideals of the Millennium Development Goals and other global summits of the last decade, decision-makers and programme managers responsible for sexual and reproductive health ask how they can: improve access to and the quality of family planning and other sexual and reproductive health services; increase skilled attendance at birth and strengthen referral systems; reduce the recourse to abortion and improve the quality of existing abortion services; provide information and services that respond to young people’s needs; and integrate