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Programme Strategies for Postpartum Family Planning : A new resource for FP programmes

Programme Strategies for Postpartum Family Planning : A new resource for FP programmes. Mary Lyn Gaffield, PhD . November 2013. Scientist, Human Reproduction Team. Backgroun d.

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Programme Strategies for Postpartum Family Planning : A new resource for FP programmes

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  1. Programme Strategies for Postpartum Family Planning: A new resource for FP programmes Mary Lyn Gaffield, PhD November 2013 Scientist, Human Reproduction Team

  2. Background • Since 2010, WHO has been approached by Member States, USAID, and other development partners to promote and strengthen family planning services for women during the postpartum period • Clinically defined period (6 weeks) • WHO guidelines address contraceptive safety and service delivery during 6 week period • Recognition that programmes need to consider an extended postpartum period – the first 12 months after childbirth

  3. Identifying and addressing the need • Development of a plan of work and products through… • Brainstorming meetings at WHO and MCHIP (March & November 2010, April 2011) • Panel sessions at international conferences • First Global Forum for Health Services Research (Montreux, Switzerland), 2010 • 2nd International Conference on Family Planning (Dakar, Senegal), 2011 • The products • Statement for Collective Action • Programme Strategies for Postpartum Family Planning: A new resource for FP programmesmanagers and policy makers to implement the Statement

  4. Statement for collective action • Highlights importance that family planning programmes reach postpartum women • Defines the issue, offers broad strategies to address unmet family planning needs for these women • Numerous endorsements obtained • Available in French, Spanish translation underway

  5. WHO’s commitment at the Family Planning Summit – July 2012 Facilitating the delivery of family planning to women during the year postpartum identified as one of the essential components of health care.

  6. The goal of the resource • Tailored for users with different needs • For comprehensive programmingor • To strengthen single or multiple elements within the health system • Recognizes programme interventions require holistic perspective and need to be evidence-informed

  7. The method of work • The process • 'Map' existing guidance on the topic • Interview public health officials from selected countries for contextual input • Synthesize the published evidence • Develop the draft document • Meeting of expert to review draft document in July 2012 (Washington .DC) • WHO Technical consultation to finalize document in September 2012 (Geneva, Switzerland) • Multiple reviews of drafts among experts to produce final document

  8. Drawing upon existing guidelines

  9. Keeping the needs of users in mind • Reminders of the unique needs of postpartum women • Understanding the landscape for programme design: • Question-driven process • Applying a health systems framework • Illustrative examples • Integration points within the system • Examples from country programmes

  10. Developed for the needs of users – cont. • Users guided to assess their national health system based upon WHO framework for action to understand their setting: • health services • HMIS • health workforce • medicines/technology • leadership/governance • health financing

  11. Linking assessment to potential interventions

  12. Content areas to guide programming Antenatal care Labor and delivery/pre-discharge Postnatal Infant health and immunization services

  13. Example of a strategy • Overall programme goals • Programme outcomes • Approaches to programme design • Illustrative programme strategies • illustrative programme activities • illustrative indicators

  14. Additional resources • Monitoring and evaluation • Indicators, definitions, data source, frequency • Sample indicators address • policy/enabling environment • service delivery/capacity • client/community/FP demand • FP service coverage • Supporting evidence for program design

  15. Stay tuned  • Publication on WHO website: • http://www.who.int/reproductivehealth/publications/family_planning/ppfp_strategies/en/index.html • Publication on USAID website: • http://www.usaid.gov/ • Publication on MCHIP website: http://www.mchip.net/addisppfp • Questions ? Email us at: reproductivehealth@who.int • Translations into French and Spanish will be undertaken

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