Module 3.1: Service Delivery Models for Family Planning

1. Module 3.1: Service Delivery Models for Family Planning

3. Unmet need / Met Need Knowledge and Interest Access and Quality Social and Political Environment

7. Social and Political Environment National Policies National FP Policy Policies reflecting integration of FP into other services HIV Services (PMTCT, VCT, ART) MNC Services Environmental Programs Others? Social Policies Community Norms Religious Practices Other?

8. - Community level services will be covered in the next session - Public Health Facilities and Private Sector Facilities must be taken into consideration when implementing a community-based FP program. Since CB FP programs rely upon the health facilities (private and public sector) to function as referral sites, the CB FP program must assess the quality of services and ensure quality FP services are available. The program might either support the health facility with activities necessary to provide quality services (ie. Training, supervision, commodity support, HR management, etc�) or ensure the support is coming form another source - Social marketing will be covered under programming issues - The private sector (health facility and pharmacies) will not be covered in this course - Contraceptive logistics and supply will be covered later in the week.- Community level services will be covered in the next session - Public Health Facilities and Private Sector Facilities must be taken into consideration when implementing a community-based FP program. Since CB FP programs rely upon the health facilities (private and public sector) to function as referral sites, the CB FP program must assess the quality of services and ensure quality FP services are available. The program might either support the health facility with activities necessary to provide quality services (ie. Training, supervision, commodity support, HR management, etc�) or ensure the support is coming form another source - Social marketing will be covered under programming issues - The private sector (health facility and pharmacies) will not be covered in this course - Contraceptive logistics and supply will be covered later in the week.

9. Cross-Cutting Themes Management Supervision Advocacy Leadership Training Referral Systems Partnerships and interfacing Integration with other health services

10. Discuss some of the pros and cons for each of these community approaches. NOTE: CBD is NOT necessarily the best strategy and the challenges should be highlighted rather than assuming it is part of all community based strategies. Discuss some of the pros and cons for each of these community approaches. NOTE: CBD is NOT necessarily the best strategy and the challenges should be highlighted rather than assuming it is part of all community based strategies.

11. Public Health Facility Level Provision of quality basic family planning services: Counseling Screening Follow-up Community Outreach / Support for Community FP activities Receiving referrals Referrals Discuss some of the challenges to improving these elements at the facility level. - Highlight that CB FP programs still need to ensure quality services at the health facility level as they will be relying upon the facilities for referrals. The CBFP program might consider working directly with the health facilities or MOH if there is sufficient capacity Discuss some of the challenges to improving these elements at the facility level. - Highlight that CB FP programs still need to ensure quality services at the health facility level as they will be relying upon the facilities for referrals. The CBFP program might consider working directly with the health facilities or MOH if there is sufficient capacity

13. Referral Systems Necessary to ensure access to widest range of contraceptive methods possible Community to local health facility Local health facility to other facilities for LTPM as necessary