FAMILY PLANNING 2020 (FP2020) VALERIE DEFILLIPO - RESPOND PROJECT

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FAMILY PLANNING 2020 (FP2020) VALERIE DEFILLIPO - RESPOND PROJECT
Family Planning 2020 (FP2020)
Valerie DeFillipo
FAMILY PLANNING 2020 (FP2020) VALERIE DEFILLIPO - RESPOND PROJECT
FP2020 Vision and Goals

 FP2020 VISION
 Women and girls should have the same access to
 lifesaving contraceptives and services no matter
 where they live.
 FP2020 GOALS
 To support the rights of 120 million additional women
 and girls in the world’s poorest countries to choose
 and use contraceptive information, services and
 supplies.
 To use family planning success to drive future
 momentum for the broader Reproductive Maternal
 Newborn Child Health (RMNCH) continuum of care.
FAMILY PLANNING 2020 (FP2020) VALERIE DEFILLIPO - RESPOND PROJECT
FP2020 will work with countries to reach
shared objectives
    Setting a baseline for current contraceptive use and goals for each country where
    appropriate

    Coordinate in-country efforts to improve contraceptive demand and contraceptive mix
    forecasts, which in turn can be aggregated into global demand forecasts

    Mobilize financial and health system resources for contraceptives and service delivery at
    the country level, and increase those resource contributions over time

    Identify ways to dramatically decrease contraceptive stock-outs and ensure broader
    access to women-preferred methods

    Encourage the identification and application of best practices to drive effective scale-up of
    family planning service delivery

    In coordination with partners (including civil society organizations), identify novel ways to
    improve supply and generate demand, particularly in those countries with very low modern
    contraceptive prevalence rates

    Monitor and proactively review progress against goals and take additional action through
    governance and accountability processes as required
Countries Making Commitments

Bangladesh   Burkina Faso    Ethiopia         Ghana           India

                                                                         Donors
                                                                         Committed
  Kenya        Malawi       Mozambique        Niger        Philippines   2.6B USD
                                                                         to reach 120M
                                                                         by 2020
 Rwanda        Senegal      South Africa     Uganda         Zambia

Zimbabwe     Sierra Leone     Liberia      Cote d’Ivoire   Tanzania

Indonesia      Nigeria       Solomon        Pakistan
                              Islands
Illustrative Examples of Commitments and Progress
                     ▪ Malawi – CPR will grow to 60% by 2020; National Population Policy
                       approved December 2012 and budget line already created for FP
Financial, Policy,   ▪ Rwanda - Commits to ensuring the availability of FP services in each of the
and Service            14,841 Rwanda administrative villages (Imidugudu)
Delivery             ▪ Uganda – Reduce unmet need for FP from 40% to 10% in 2022, increase
Commitments            annual govt allocation for FP supplies from US $3.3 million to US $5 million
                       for the next five years

                     ▪ Ethiopia – Hosted its first-ever National FP Symposium, including outreach
Local Summits          to adolescents in November 2012 and will host 3rd ICFP in November 2013
and National         ▪ Nigeria – FP conference emphasized its critical role in achieving the MDGs
Family Planning        and other development goals
Conferences          ▪ Tanzania – National FP Conference October 2013, focusing on Local
                       Solutions to Local Problems

Strategic,           ▪ Zambia - Refined, costed, and launched eight year plan to scale up
Detailed and           services across the country, complete with sequencing of prioritized
Costed Family          activities
Planning Plans       ▪ Kenya – Currently updating costed implementation plan and increased
                       2012/2013 budget

                     ▪ Senegal – Informed push model to address stock-outs and increase access
Innovative             to a full-range of methods
Approaches and       ▪ Public-private partnerships – Decreased the price of Jadelle & Implanon
Partnerships           implants by over 50%
**Bolded countries are
                                                                                                             anticipated pledges at
       Anticipated Commitments                                                                               the International
                                                                                                             conference on Family
                                                                                                             Planning in Ethiopia

 1                                                     2
     23 Countries made commitments                           We anticipate 5 new country commitments in Addis but
     in London                                               the remaining countries have not made commitments

 ▪   Bangladesh           ▪   Pakistan                  ▪   Afghanistan           ▪   Egypt           ▪   Mali            ▪ Sudan (and
 ▪   Burkina Faso         ▪   Philippines               ▪   Benin                 ▪   Eritrea         ▪   Mauritania          South Sudan)
 ▪   Côte d’Ivoire        ▪   Rwanda                    ▪   Bhutan                ▪   Gambia          ▪   Mongolia        ▪   Tajikistan
 ▪   Ethiopia             ▪   Senegal                   ▪   Bolivia               ▪   Guinea          ▪   Myanmar         ▪   Timor-Leste
 ▪   Ghana                ▪   Sierra Leone              ▪   Burundi               ▪   Guinea-Bissau   ▪   Nepal           ▪   Togo
 ▪   India                ▪   Solomon Islands           ▪   Cambodia              ▪   Haiti           ▪   Nicaragua       ▪   Uganda
 ▪   Indonesia            ▪   South Africa1             ▪   Cameroon              ▪   Honduras        ▪   Palestinian     ▪   Uzbekistan
 ▪   Kenya                ▪   Tanzania                  ▪   Central African       ▪   Iraq                Territory       ▪   Vietnam
 ▪   Liberia              ▪   Uganda                        Republic              ▪   Korea, DR       ▪   Papua New       ▪   Western
 ▪   Malawi               ▪   Zambia                    ▪   Chad                  ▪   Kyrgyzstan          Guinea              Sahara
 ▪   Mozambique           ▪   Zimbabwe                  ▪   Comoros               ▪   Lao People’s    ▪   Sao Tome        ▪   Yemen
 ▪   Niger                                              ▪   Congo                     Democratic          and Principe
 ▪   Nigeria                                            ▪   Congo, DR                 Republic        ▪   Somalia
                                                        ▪   Djibouti              ▪   Lesotho         ▪   Sri Lanka
                                                                                  ▪   Madagascar

1 South Africa is not one of the 69 FP2020 countries though they did make a pledge in London
Financial Commitments to
     Family Planning
Commitments to the Global Strategy│
Number of commitments

   The number of
    commitments
    increased from 111 in
    September 2010 to
    293 in June 2013.

   The London Summit
    on Family Planning
    was a key marker for
    commitments and of
    73 new commitments
    in 2012, 34 were
    made at the event.
Commitments to the Global Strategy│
 Family Planning commitments

The number of commitments
reported has increased from
2011 to 2013, in line with the
2012 report recommendation
for:

 “…increased attention and
    resource allocation to
     previously neglected
interventions, such as family
           planning”
Commitments to the Global Strategy│
Alignment with Essential RMNCH Interventions
   Family planning has been the subject of the largest number of commitments
    compared to other RMNCH interventions.
Bilateral Disbursements

FP disbursements by
bilateral donors and
the Bill & Melinda
Gates Foundation
grew at a faster rate
compared to other
areas of RMNCH
spending.
Disbursement Projections

 FP disbursements by donors and Global Strategy countries are
  projected to increase by US$1.9 billion by 2015, closing the Global
  Strategy funding gap for FP by 40%.
FP2020 Structure
FP2020 Governance Structure
                         Reference Group
                               Dr. Chris Elias
  Champions
                             Bill & Melinda Gates
                                  Foundation
    Group                Dr. Babatunde Osotimehin
                                    UNFPA

    Task Team                        Working Groups
     Valerie DeFillipo                Country Engagement        Independent Expert
         Director                   Dr. Kechi Ogbuagu, UNFPA
                                                                Research Group (iERG)
                                       Ellen Starbird, USAID
                                     Rights & Empowerment       UN Commission on Life
                                        Suzanne Ehlers, PAI
                                                                Saving Commodities
                                     Sivananthi Thanenthiran
                                              ARROW
                                    Performance Monitoring &
                                          Accountability
                                      Zeba Sathar, Population
                                          Council Pakistan
                                     Dr. Marleen Temmerman,
                                               WHO
                                         Market Dynamics
                                        John Skibiak, RHSC
                                         Alan Staple, CHAI

                                                                         Existing
      Ministries of Health/National Governments
                                                                       Partnerships
       In Country Family Planning Committees
                                                                       Civil Society
The Working Groups are
the operational arms of
FP2020 providing technical
advice and support in four
focus areas.
• Country Engagement
• Market Dynamics
• Performance Monitoring &
  Accountability
• Rights & Empowerment
Working Groups│Areas of Work
   Country Engagement Working Group

   • Countries are supported to develop and implement costed national family
     planning plans that accelerate access to voluntary family planning with support
     from development partners, multilateral organizations, civil society, and
     FP2020.

   Market Dynamics Working Group

   • Consistent, equitable, and affordable availability of a range of methods at the
     global level.

   Performance Monitoring & Accountability Working Group

   • Data are disseminated, reported and utilized to promote accountability and
     inform family planning at the country and global levels in support of FP2020
     goals.

   Rights & Empowerment Working Group

   • A rights-based approach underpins all of FP2020's efforts, including women's
     agency, quality of care, and equity.
Working Groups│Key Developments Since the May
2013 Reference Group Meeting

    Country Engagement Working Group

    • First Member Meeting Washington, D.C. July 24-25, 2013
    • Preliminary Work Plan

    Market Dynamics Working Group

    • Selected Membership September 12, 2013
    • Updated TOR

    Performance Monitoring & Accountability Working Group

    • First Member Meeting Geneva, Switzerland July 30-31, 2013
    • Preliminary Work Plan

    Rights & Empowerment Working Group

    • First Member Meeting Washington, DC August 20-21, 2013
    • Preliminary Work Plan
Country Engagement Working Group
                                                   Illustrative activities:
Output 2           Work Streams
                                                   ▪ Strengthen and refine landscaping tool
 Countries are                                     ▪ Review and analyze landscape data and
                   1    LANDSCAPING AND SURVEYS      cluster countries according to technical and
 supported to
                                                     financial needs, determining areas of
 develop and
                                                     intervention
 implement
 costed                                            ▪ Map existing technical resources
 national family       TECHNICAL ASSISTANCE AND    ▪ Facilitate access to assistance in
                   2                                 developing/strengthening, reviewing,
 planning              FUNDING NEEDS
 plans that                                          costing or implementing plans
 accelerate                                        ▪ Identify country needs for technical
 access to                                           assistance (proactive approach) and
 voluntary                                           analyze requests for assistance (reactive
                       HIGH IMPACT PRACTICES AND
                   3                                 approach)
 family                INNOVATIONS
 planning with                                     ▪ Identify resource gaps (proactive
 support from                                        approach) or based on country requests
 donors,                                             (reactive approach)
 multilateral                                      ▪ Identify and collate success stories, best
 organizations,                                      practices, and innovations (ensure linkages
 civil society,                                      with existing platforms)
 and FP2020.                                       ▪ Identify and disseminate unified approach
                                                     to costing
Performance Monitoring & Accountability
 Working Group
Output 3          Work Streams                    Illustrative activities as identified in PMA WG
                                                  meeting in Geneva:
                                                  ▪   Conduct an audit of the global FP
 Data are         1   ACCOUNTABILITY                  accountability landscape, including tracking of
 disseminated,                                        FP2020 financial, policy, and service delivery
                                                      commitments (and address gaps)
 reported and
 utilized to                                      ▪ Fine tune FP2020 core indicators
 promote                                          ▪ Advise and guide the process for establishing
                  2   INDICATORS & DATA SOURCES       an annual progress assessment of MCPR and
 accountability
                                                      other indicators
 and inform
 family                                           ▪   Identify opportunities for FP2020 to utilize
                                                      existing data in new ways and/or highlight gaps
 planning at                                          in data/measurement agenda
 the country                                      ▪   Create new or leverage existing tools to
 and global       3   DATA UTILIZATION                encourage data utilization
 levels in                                        ▪   Provide strategies to strengthen capacity for
 support of                                           data utilization at policy/advocacy; resource;
 FP2020 goals.                                        program design/implementation levels
                                                  ▪ Enhance communication among researchers to
                  4   LEARNING AGENDA                 promote use of existing best practices
Rights & Empowerment Working Group
                                                 Illustrative activities:
Output 3          Work Streams                   ▪   Identify and collate practical tools for use in
                                                     programming for programming for
                     APPROACHES, KNOWLEDGE           countries/implementers
 Data are         1 MANAGEMENT AND STRATEGIC     ▪   Develop rights language (reactive – as
 disseminated,      COMMUNICTIONS                    requested, and proactive – as a resource)
 reported and                                    ▪   Draft guidance template for review of plans
 utilized to                                     ▪   Package training tools and best practices for
 promote                                             dissemination
                       RIGHTS & EMPOWERMENT AT
 accountability   2
                      THE COUNTRY LEVEL          ▪ Develop an experts database
 and inform                                      ▪ Make recommendations based on this work
 family                                              and evaluate progress
 planning at                                     ▪   Meet with PMA sub-group on indicators and
 the country                                         data sources
                       RIGHTS & EMPOWERMENT IN
 and global       3
                      MARKET DYNAMICS            ▪   Review/analyze range of studies to collect
 levels in                                           qualitative and quantitative data underway to
 support of                                          advance the field in measuring whether rights
 FP2020 goals.                                       are being respected, protected and fulfilled in
                                                     FP programs.
                  4
                      RIGHTS & EMPOWERMENT AND   ▪   Conceptualize and propose development of
                      MEASUREMENT                    new ways of presenting R&E data with the goal
                                                     of data utilization and in ways that will
                                                     move/influence various audiences (ex. stories,
                                                     maps, etc.)
Implant Access Initiative
Market2020 Aims

 Ensure the choice of methods women and men want

 Secure the availability of supplies needed to reach 120M
  new users by 2020

 Guarantee the effective, timely delivery of contraceptive
  supplies through appropriate data sharing and
  coordination
Meeting the Challenge

 Delivering increased volumes of supplies to meet
  growing demand

 Ensuring quality services are in place to deliver higher
  volumes

 Making sure new opportunities are within the reach of
  those who will make a difference

 Confronting the multiplicity of bottlenecks that impede
  choice and access
Delivering increased volumes

 Bayer has increased its manufacturing capacity, while Merck
  uses more of the capacity it increased in 2011

 New product registrations in place for Jadelle, Implanon and
  Implanon NXT (which will soon replace Implanon, starting in
  2014).

 Efforts underway to balance country needs with the demands
  of global procurement processes

 RH community is getting on board, and bringing with them
  tools, new partnerships and expanded efforts at information
  sharing.
Expanding services

 Efforts are underway within SMO sector to train public and
  private sector providers on implant insertion and removal,
  infection prevention and counseling.

 Standardized training materials are being developed.

 Country based trainings are ongoing with more being
  planned, also within the context of LARCS more broadly.

 Efforts are still needed to better integrate training into country
  plans and strategically pursue options for international
  financing
Knowing where to turn for help

 Implants TRT of the UN Commission assembles 82
  stakeholders with expertise in increasing access to
  implants.

 FP2020 Working Groups positioned to address critical
  issues such as training/service delivery, forecasting and
  supply planning, and performance monitoring.

 Possible interest platform that could serve as a one-stop-
  shop for information dissemination and a portal for
  others to seek support need to increase access to
  implants.
Website:
www.familyplanning2020.org
Contact:
info@familyplanning2020.org
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