Expanding Choice & Building Capacity: Scaling Up Implant Services through Dedicated Providers Maxine Eber, MPA Deputy Director, SIFPO Project 14 November 2013

 PSI-employed midwives  Seconded to busy public facilities strategically selected to reach women with unmet need for FP  Combine demand creation w/ service delivery Dedicated FP Providers 2

Mali Context  2006 CPR: 6.2%  Implants: 0.1%  TFR 6.6%  Unmet Need: 33%  Youth Ever- pregnant: 37.2%

 FP provided during regular immunization days  Interactive education sessions: minutes, discuss all methods  Private/personal counseling and eligibility screening is offered to interested individuals  Co-located, same day services  Increase access and availability Urban Outreach in Mali PAGE 4

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 CPR: 24.5%  IUD: 0.4%  Implant: n/a  Knowledge OCs: 91.5%  Knowledge IUDs: 35.8%  Knowledge Implants: 43.3% Zambia Context PAGE 6

LARC Services Provided: Mali

Measurable Impact page 10

LARC Services: Zambia 10 Midwives

Mali  30% no education  42% primary education  27% < 20 years old  16% have no children  9% have >6 children  50% new FP users* **(includes social franchise clients) PSI Client Service Data Zambia  2% no education  42% primary education  10% < 20 years old  1% have no children  10% have >6 children  43% new FP users PSI Client Service Data Who are we reaching with implants? page 12

Dedicated Providers  Resource-effective  Allows for rapid scale up to address high unmet need  Works in partnership with MOH  Demonstrates feasibility and viability of LARC  Opportunity for capacity-building  Continuity of care

T H S T R E E T, N W | S U I T E W A S H I N G T O N, D C P S I. O R G | T W I T T E R P S I IMPACT | B L O G.P S I IMPACT. C O M Questions? PSI Mali Boureima Maiga Nene Fofana SFH Zambia Jully Chilambwe PSI Washington Maxine Eber PSI