Designing for Sustainability

Ensuring sustainability of CBFP services, such as CHW and drug shops provision of FP services, requires close collaboration with stakeholders that represent all levels of the local health system as well as the local community. These groups need to have a sense of “ownership” of the service and an understanding of its importance to their community. The process of collaborating with key stakeholders at multiple levels helps ensure that CBFP services continue after a project ends.

The Family Planning Sustainability Checklist identifies six essential program elements that must be in place to increase the likelihood of continued family planning services at the community level:

  1. Reliable supply of contraceptive methods
  2. Training
  3. Maintaining a network of quality service delivery providers
  4. Supervision
  5. Demand Creation
  6. Reporting and Integration of CBFP program data

The relative importance of each element will vary with the local context, but all of these elements should be considered in project design and during implementation.

The resources in this section of the toolkit provide information, case studies, and tools for harnessing programming components to plan, implement, and maintain sustainable CBFP programs in low-resource settings.