ccih 2014-fp-faith-based-organizations-lauren-van-enk
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Family planning through faith-based health networks Where we are & Where we could go
CCIH 2014 Conference Presentation by Lauren Van Enk
Institute for Reproductive Health, Georgetown University
Objectives • Develop an appreciation for the
contribution of faith-based health networks in family planning service provision
• Gain an understanding of the current state of family planning programs in select faith-based health networks in Africa
• Discover a capacity building strategy for improving family planning programs
A3 Goal Strengthen the family planning programs of select FBOs in Rwanda and Uganda and expand their method mix through the introduction of effective, easy-to-use fertility awareness-based methods. Project length: 2014-2015
SO1
Wom
en a
nd m
en in
Rw
anda
and
Uga
nda
have
ex
pand
ed a
cces
s to
fam
ily p
lann
ing
(FP)
info
rmat
ion
and
serv
ices
, inc
ludi
ng F
AM
, thr
ough
Fai
th-b
ased
org
aniza
tion
(FBO
) pro
gram
s
IR 1.1
FBOs have strengthened capacity to offer FP services, including FAM
Outputs 1.1 1. Provider and client materials and training curricula 2. Trained providers 3. Improved provider supervision systems 4. Improved FP reporting, HMIS, and logistics systems
IR 1.2 FP services, including FAM, are available
Outputs 1.2 1. Reliable stock of FP products 2. New FP users
IR 1.3 Women and men have improved access to information about the benefits of family planning, the methods that are available, and where to receive services
Outputs 1.3 1. Community members with FP awareness 2. Sensitized religious leaders
IR 1.4 External audiences have accessed knowledge and evidence-based tools for increasing fertility awareness and access to FP, including FAM, through FBOs
Outputs 1.4 1. Fertility awareness and FAM evidence base 2. FBO knowledge-sharing platform
Results Framework
Action Familiale Rwandaise (AFR)
Caritas
Rwanda
Uganda Protestant Medical Bureau (UPMB)
CRS & Uganda Catholic Medical Bureau (UCMB)
Uganda
Elements of Successful Family Planning Programs
Training & Service Delivery
Supervision System
Data Collection
Commodity Availability
Awareness Raising
Creating a Supportive Environment
Landscape assessment: Programmatic Indicators
AFR Rwanda
Caritas Rwanda
UCMB Uganda
UPMB Uganda
Facility-based providers trained in FP - Community-based providers trained to offer FP FP job aids available to providers
Master FP trainers available within organization Implements quality assurance/supervision plan Records FP user data in HMIS HMIS data sent to MOH Procurement system for FP commodities Community outreach activities
FP/FAM in norms & guidelines
System in place System partially in place
Training & Service Delivery
Supervision System
Data Collection
Commodity Availability
Awareness Raising Creating a Supportive Environment
A3 Target Areas: Programmatic Indicators
AFR Rwanda
Caritas Rwanda
UCMB Uganda
UPMB Uganda
Facility-based providers trained in FP - Community-based providers trained to offer FP FP job aids available to providers
Master FP trainers available within organization Implements quality assurance/supervision plan Records FP user data in HMIS HMIS data sent to MOH Procurement system for FP commodities Community outreach activities
FP/FAM in norms & guidelines
System in place System partially in place A3 target area
Landscape assessment: Method Availability
AFR Rwanda
Caritas Rwanda
UCMB Uganda
UPMB Uganda
Standards Days Method (SDM)/CycleBeads TwoDay Method Lactational Amenorrhea Method (LAM) Billings Ovulation Method Other Natural Family Planning Condoms - - - Pills - - - Injectable - - - Implants - - - IUD - - -
Sterilization - - -
A3 Target Areas: Method Availability
AFR Rwanda
Caritas Rwanda
UCMB Uganda
UPMB Uganda
Standards Days Method (SDM)/CycleBeads TwoDay Method Lactational Amenorrhea Method (LAM) Billings Ovulation Method Other Natural Family Planning Condoms - - - Pills - - - Injectable - - - Implants - - - IUD - - -
Sterilization - - -
Training & Service Delivery
Supportive Supervision
Data Collection
• Expand method mix with new FAM (SDM, LAM, TwoDay) at facility level
• Introduce FP at community level, FAM + Pills & Condoms (UPMB)
• Quarterly supervision HQ → field
• Monthly supervision Facility → Community
• Develop community-based tools re FP services & IEC activities
• Periodic meetings with district-level MOH re receipt of data
Elements of Successful Family Planning Programs
Commodity Availability
Awareness Raising Creating a Supportive
Environment • Integrate
CycleBeads into stock cards
• Periodic meetings with district-level MOH re stock-outs
• Periodic meetings with JSI-DELIVER re CycleBeads procurement (Rwanda)
• Sensitization sessions with Religious Leaders
• Home visits
• Radio spots
• Community health talks
• Ensure FP, including FAM, is in norms and guidelines
• Periodic meetings with MOH to integrate FAM into national norms
Elements of Successful Family Planning Programs
Key Resources • FAM Materials: Provider & Client
method materials adapted for location and religion
• The Faithful House (TFH): Couple-strengthening curriculum developed by CRS
• Love, Children and Family Planning: Bible study discussion guide for protestant groups
Expand family planning choices. Advance Gender Equality.
Involve Communities.
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