Community-Based Family Planning
K4Health’s Community-Based Family Planning Toolkit presents a collection of carefully selected resources to help health policy makers, program managers, service providers, information officers, and others improve access to and quality of community-based family planning (CBFP) services. It includes experience and tools from dozens of countries, many of which can be adapted or revised for use in specific country contexts and unique program circumstances.
The Community-Based Access to Injectable Contraceptives Toolkit is a platform for strengthening the capacity of agencies and organizations to plan, implement, evaluate, promote, and scale up community-based access to injectables (CBA2I) programs and to advocate for changes to national policy and service delivery guidelines. Many items, including the community health worker provision strategy and guidelines for educational tours, can be adapted or revised for use in specific country contexts and unique program circumstances.
The Population, Health, and Environment Toolkit offers resources for PHE implementation, policy communications, and advocacy in countries around the world. The intended audience is practitioners, program managers, advocates, policymakers, educators, and donors in any sector—but particularly the health, environment, and development field—who are interested in projects and policies that integrate community development activities with environment and health (especially reproductive health) interventions.
Community-based access to injectables
Injectable contraceptives are the most popular family planning method in sub-Saharan Africa. When governments allow community health workers (CHWs) to initiate this method away from a facility, they remove a major access barrier for women in hard-to-reach areas. The World Health Organization (WHO) recommends that CHWs screen, initiate, and reinject clients who choose injectable contraceptives.
FHI 360's Community-Based Access to Injectable Contraceptives (CBA2I): Select Resources aim to help stakeholders effectively implement and monitor CBA2I programs. The implementation handbook (with accompanying adaptable resources) is a step-by-step guide for introducing injectable contraceptives into an existing community-based distribution program. The M&E resources help stakeholders effectively monitor and evaluate community-based distribution, as well as advocate for buy-in and change in policy and programs, including piloting, implementing and scaling up programs.
Developed as part of the Sayana® Press pilot introduction project, PATH’s Sayana® Press Training Materials focus on the administration of Sayana® Press (DMPA-SC) for facility- and community-based providers. Materials (available in both French and English) include icebreakers, counseling clients, safe storage and handling, administering injections, job aids, and frequently asked questions.
Advancing Partners & Communities’ (APC) advocacy package, Community Health Worker Provision of Injectable Contraceptives: An Effective CBA2I Strategy (2014; PDF, 3.1MB), contains a comprehensive set of resources to be used by advocates, program managers, policymakers, donors, ministry of health staff, and other key stakeholders such as faith-based groups, media, and family planning champions who are interested in building support for CBA2I through community health workers in countries where they work. This strategy complements K4Health’s CBA2I Toolkit.
Additionally, APC hosts a wide-ranging collection of resources, projects, and success stories that involve CBA2I.
Working in communities
The Tékponon Jikuagou consortium's How-To-Guide for Social Network Diffusion Approaches to Overcome Social Obstacles to Family Planning Use (IRH/CARE/Plan/USAID, 2017; PDF, 7.85MB) functions as a stand-alone initiative or as a supplement to ongoing health and development programs. It offers guidance for planning and implementing the five components of the social network diffusion package (engage communities in social mapping, support influential groups in reflective dialogue, encourage influential individuals to act, use radio to create an enabling environment, and link family planning providers with influential groups), and presents the tools, materials, guides and instructions developed, tested, and used in Tékponon Jikuagou.
APC’s Community Health Systems Catalog draws from policies and related documentation across the 25 countries deemed priority by USAID’s Office of Population and Reproductive Health. It includes specific attention to family planning and is intended for policy makers, program managers, researchers, and donors interested in learning more about the current state of community health systems. It features an interactive map and the option for users to upload recent information to be added to the database.