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Malawi: Family Planning Program

Malawi: Family Planning Program. Where we started. Family Planning programme was re-introduced as a vertical program in 1982 1992 CPR 7% 2000 CPR 26% 2006 CPR 38% 1997 Reproductive Health Unit was established & FP became an integrated part of RH services

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Malawi: Family Planning Program

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  1. Malawi: Family Planning Program

  2. Where we started • Family Planning programme was re-introduced as a vertical program in 1982 1992 CPR 7% 2000 CPR 26% 2006 CPR 38% • 1997 Reproductive Health Unit was established & FP became an integrated part of RH services • 2000, concept of EHP was adopted • 2004, concept of SWAp was adopted and MOU signed with the major development partners

  3. Demographic data

  4. SRH Programme Goal Improved sexual & reproductive health for all men, women and young people in Malawi, especially the vulnerable and underserved

  5. OBSTACLES Inconsistent and inadequate supplies Inadequate resources for SWAp POW; Donor Dependence; Human resources - adequate number of well trained and deployed Limited access and quality of services Clients seeking, adopting and consistent use. Male involvement; Youth services Minimal Involvement of the private sector 5

  6. What has worked well:- Political commitment;- Conducive Policies - RH activities, including FP, incorporated and costed in the 2004-2010 POW- All family planning methods are part of the EHP and provided free of charge in public facilities- Contraceptive Logistics Management Information System has been expanded to the LMIS in support of all commodities required for the delivery of the EHP Guidelines for Community Initiatives for Reproductive Health May 2007 Reproductive Health Policy 2009 National Reproductive Health Strategy 2006 – 2010 Roadmap for the Acceleration of the reduction of maternal and Neonatal Mortality and Morbidity Maputo Plan of Action 2007 - 2010 Implementation Plan for Sexual and Reproductive Health 2007 – 2010 Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi 6

  7. Promising Strategies • Liberalization of policies through reviews and updates • Integration of FP into pre-service training • Introduction of long term methods at community level. • CBD of Orals and condoms using volunteers • Introduction of Emergency Contraception • Community provision of DMPA • CBD program to include DMPA long-term strategy for reducing maternal disease burden and mortality FP being repositioned as part of development agenda to achieve targets for both MDGs and MGDS Increasing partnerships with private sector (Service Level Agreements with CHAM & BLM 7

  8. What needs to be strengthened Advocacy at the highest levels –use of RAPID Engagemultiple sectors to prioritize FP Strengthencommunity-based distribution programs including DMPA Implementa sustained, nationwide communication campaign to stimulate demand for FP Increase private sector-based FP service delivery ImproveFP services for youth Sustain commitment and support from leaders at national and district levels and donors Guarantee availability of contraceptive commodities Overall Resource Envelope for POW

  9. Zikomo Thank you 9

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