FAMILY PLANNING 2020 (FP2020) VALERIE DEFILLIPO - RESPOND PROJECT
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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.
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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