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

2.  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

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

4.  FP provided during regular immunization days  Interactive education sessions: 20-30 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

5. page 5

6.  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

9. LARC Services Provided: Mali

10. Measurable Impact page 10

11. LARC Services: Zambia 10 Midwives

12. 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 2010-2013 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 2009-2012 Who are we reaching with implants? page 12

13. 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

14. 1 1 2 0 1 9 T H S T R E E T, N W | S U I T E 6 0 0 W A S H I N G T O N, D C 2 0 0 3 6 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 (bmaiga@psimali.org) Nene Fofana (nfofana@psi.org) SFH Zambia Jully Chilambwe (jully@sfh.org) PSI Washington Maxine Eber (meber@psi.org) PSI