Expanding Access to Postpartum Family Planning with Dedicated Providers in Mali and Zambia Maxine Eber SIFPO-PSI Deputy Director September 18, 2015

Short birth intervals increase risk of adverse maternal and child health outcomes 65% women have unmet need for contraception in 12 months following delivery The Problem

 Low awareness among providers and couples: - Health consequences of short birth intervals -Pregnancy risk in post-partum period -Method choices for lactating women  Cultural taboos around post-partum sexual activity  Disconnect between ANC, Delivery, and PNC  Service Access Barriers to PPFP

Where do women access health services? Delivery Immunization Bring services closer to the client

 PSI midwives seconded to strategically selected public clinics to reach women with unmet need for FP  FP provided during regular immunization days  Interactive education sessions  Private counseling and eligibility screening  Co-located, same day services Dedicated FP Providers

Mali: Adding LARC to the Method Mix

Measurable Impact page 7

 Questions of sustainability: Dedicated providers external to clinic health teams Challenges

Group 1: no support Group 2: partial support Looking Forward: An Evolving Model

New Opportunities Revised WHO MEC expands range of methods available to breast feeding women post-delivery PP Implant! Dedicated IUD inserter facilitates delivery-room provision

Thank you.