SIFPO 2010-2015:Making voluntary contraceptive access and choice a reality

Michael HolscherMichael HolscherChief Strategy and Resources OfficerPopulation Services International

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Access: leveraging our service delivery infrastructure to test new approachesMSI 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

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

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Equity: reaching underserved groups

Indigenous communities in the rural highlands of Guatemala

Female sex workers in EthiopiaNew FP users in the rural Sahel

Vulnerable market porters in Ghana

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Choice: what do we see when we offer greater method choice?

Between 2010-2014:

500% increase in implants inserted by MSI377% increase in IUDs inserted by PSIIncrease in users of injectables provided by PSI from 1.4m in 2010 to 2m in 2014

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

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Expanding method choice in sub-Saharan Africa: a PSI perspective

2010 2012 2014 -

1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 7,000,000 8,000,000 9,000,000

10,000,000

SDMInjectableOCImplantIUDPermanent Methods

FP Users (excluding condoms)

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Increasing contraceptive choices through SIFPO

Post-partum IUD Method choice & counselling

Task-sharing research Permanent methods technical

leadership Provider BCC

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