1. SIFPO 2010-2015: Making voluntary contraceptive access and choice a reality Michael Holscher Chief Strategy and Resources Officer Population Services International

2. Access: leveraging our service delivery infrastructure to test new approaches MSI mobile outreach in 2014: 3.7 million FP services 38,000 rural delivery sites, 550 teams 80% living on less than $2.50/day Evolving models to meet changing FP preferences/health system needs 2 PSI: Social franchising scale-up: 2010: 8,500 2014: 14,800 Increased SF CYPs from 2m to 7.2m (2010 – 2014) Scale up Quality Assurance of RH/FP in private sector DHIS2 to improve service delivery Youth-friendly health services

3. Equity: reaching underserved groups Indigenous communities in the rural highlands of Guatemala 3 Female sex workers in Ethiopia New FP users in the rural Sahel Vulnerable market porters in Ghana

4. Choice: what do we see when we offer greater method choice? 4 Between 2010-2014: 500% increase in implants inserted by MSI 377% increase in IUDs inserted by PSI Increase in users of injectables provided by PSI from 1.4m in 2010 to 2m in 2014

5. 5 Expanding method choice in sub-Saharan Africa: an MSI perspective

6. 6 Expanding method choice in sub-Saharan Africa: a PSI perspective FP Users (excluding condoms)

7. Increasing contraceptive choices through SIFPO 7 Post-partum IUD Method choice & counselling Task-sharing research Permanent methods technical leadership Provider BCC

8. 8 Looking forward: How do we close the access and choice gap and meet FP2020 commitments?