1. Shifting the Family Planning Method Mix Needle
Authors: Namwinga Chintu1,2, Felix Tembo 1, John Phiri 1, Doris Mwape,Gertrude Silungwe 1, George Kateteye 1, Loyce Munthali 3 , Masauso Nqumayo 1, Gina Smith 1,2
1Population Services International; 2Society for Family Health-Zambia; and 3USAID Zambia
November 2018, ICFP, Kigali, Rwanda
“YOUTH POWERED” can be removed if needed.

2. This presentation is made possible by the support of the American People through the United States Agency for International Development (USAID). The contents of this presentation are the sole responsibility of PSI/SFH Zambia and do not necessarily reflect the views of USAID or the United States Government.

3. Background Rural Urban 39.5% 60.5% Area Source: ZDHS 2014 Age %
Fertility
Fertility rate: 5.3
Average mothers age at first birth: 20.3
Delivery by adolescents: 141/1,000
Total population 14,075,099
Modern Contraceptive Prevalence Rate (mCPR): 45%
Unmet need for family planning: 21%
Pregnancy and delivery by adolescents is at 141/1000 Pregnancy and delivery by
Pregnancy and delivery by adolescents is at 141/1000 Pregnancy and

4. Background mCPR 45% - predominant use of short-term methods
FP Method mix in Zambia
mCPR 45% - predominant use of short-term methods
Low use of Long term Acting Contraception(LARC)
Zambia FP 2020 commitment-increase CPR to 58%
Zambia Integrated Family Planning Scale-Up Plan

5. Goal: Increase mCPR by 2% per year
Funder: USAID
Project period:
Goal: Increase mCPR by 2% per year
Supports 88/303 (29%) public facilities in 15 supported districts
Catchment area population for women in childbearing age (WCBA) – 731,054
SARAI covers 47% of population of WCBA
Kanchibiya
Lavunshi Manda

6. Program Interventions
Aim: To support expansion of LARC Services
Specific Interventions
Dedicated FP Providers.
Off Duty Providers
Community based Distributors
*Project offers voluntary FP Services

7. Program Interventions
Placement
Role
Trained FP providers dedicated to training and mentorship
One dedicated provider per province
Mentorship of newly trained providers
Provide Technical support to strengthen logistics and supply chain
Support minimum standards of FP service delivery
Midwives trained in FP service delivery (engaged while off duty to provide services during non clinic days)
At least two providers per Health Facility
Increase access to Family planning through increase in FP hours and days provided at facility level
Generate demand for FP services and provide FP counselling
Community volunteers trained to create demand and provide services
Community level (598 community distributors)
Demand generation and service delivery (oral contraceptives and DMPA SC)

8. Methodology Period: October 2016- September 2017
Sites: Muchinga, Luapula and Copperbelt (88/303 public sector facilities)
Population Total WCBA: ,054
Intervention sites ,404 (41%)
Control sites ,650 (59%)
Data Collection: Routine HMIS collection using public sector systems
Dedicated FP providers, off duty providers and CBDs were deployed to above sites during study period

9. Results
SARAI Contribution to FP Services
492,252

10. Results
Uptake of FP Services
88 OF 303 FACILITIES= 29%

11. Results Increased Contribution to CYPs 96,797 82,558
88 OF 303 FACILITIES= 29%

12. Results Shifting the Family Planning Method Mix Intervention
Control Sites

13. Conclusion
Sustained monitoring, mentoring and supervision of FP providers facilitates increased LARC uptake
Engagement of trained community workers for demand generation and service delivery is an integral part of shifting to LARCs
A consolidated holistic approach involving leadership, facilities, communities an supply chain of commodities is key to sustainable FP approaches
It is feasible to shift the FP needle toward more LARCs methods in a public sector setting while leveraging existing public health systems

14. facebook.com/psihealthylives @psiimpact
Keep in touch
PSIhealthylives
@PSIimpact
psi.org
psi.org + psiimpact.com
ADD HERE
facebook.com/psihealthylives
@psiimpact