Family planning through faith-based health networks Where we are & Where we could go

CCIH 2014 Conference Presentation by Lauren Van Enk

Institute for Reproductive Health, Georgetown University

Objectives • Develop an appreciation for the

contribution of faith-based health networks in family planning service provision

• Gain an understanding of the current state of family planning programs in select faith-based health networks in Africa

• Discover a capacity building strategy for improving family planning programs

A3 Goal Strengthen the family planning programs of select FBOs in Rwanda and Uganda and expand their method mix through the introduction of effective, easy-to-use fertility awareness-based methods. Project length: 2014-2015

SO1

Wom

en a

nd m

en in

Rw

anda

and

Uga

nda

have

ex

pand

ed a

cces

s to

fam

ily p

lann

ing

(FP)

info

rmat

ion

and

serv

ices

, inc

ludi

ng F

AM

, thr

ough

Fai

th-b

ased

org

aniza

tion

(FBO

) pro

gram

s

IR 1.1

FBOs have strengthened capacity to offer FP services, including FAM

Outputs 1.1 1. Provider and client materials and training curricula 2. Trained providers 3. Improved provider supervision systems 4. Improved FP reporting, HMIS, and logistics systems

IR 1.2 FP services, including FAM, are available

Outputs 1.2 1. Reliable stock of FP products 2. New FP users

IR 1.3 Women and men have improved access to information about the benefits of family planning, the methods that are available, and where to receive services

Outputs 1.3 1. Community members with FP awareness 2. Sensitized religious leaders

IR 1.4 External audiences have accessed knowledge and evidence-based tools for increasing fertility awareness and access to FP, including FAM, through FBOs

Outputs 1.4 1. Fertility awareness and FAM evidence base 2. FBO knowledge-sharing platform

Results Framework

Action Familiale Rwandaise (AFR)

Caritas

Rwanda

Uganda Protestant Medical Bureau (UPMB)

CRS & Uganda Catholic Medical Bureau (UCMB)

Uganda

Elements of Successful Family Planning Programs

Training & Service Delivery

Supervision System

Data Collection

Commodity Availability

Awareness Raising

Creating a Supportive Environment

Landscape assessment: Programmatic Indicators

AFR Rwanda

Caritas Rwanda

UCMB Uganda

UPMB Uganda

Facility-based providers trained in FP - Community-based providers trained to offer FP FP job aids available to providers

Master FP trainers available within organization Implements quality assurance/supervision plan Records FP user data in HMIS HMIS data sent to MOH Procurement system for FP commodities Community outreach activities

FP/FAM in norms & guidelines

System in place System partially in place

Training & Service Delivery

Supervision System

Data Collection

Commodity Availability

Awareness Raising Creating a Supportive Environment

A3 Target Areas: Programmatic Indicators

AFR Rwanda

Caritas Rwanda

UCMB Uganda

UPMB Uganda

Facility-based providers trained in FP - Community-based providers trained to offer FP FP job aids available to providers

Master FP trainers available within organization Implements quality assurance/supervision plan Records FP user data in HMIS HMIS data sent to MOH Procurement system for FP commodities Community outreach activities

FP/FAM in norms & guidelines

System in place System partially in place A3 target area

Landscape assessment: Method Availability

AFR Rwanda

Caritas Rwanda

UCMB Uganda

UPMB Uganda

Standards Days Method (SDM)/CycleBeads TwoDay Method Lactational Amenorrhea Method (LAM) Billings Ovulation Method Other Natural Family Planning Condoms - - - Pills - - - Injectable - - - Implants - - - IUD - - -

Sterilization - - -

A3 Target Areas: Method Availability

AFR Rwanda

Caritas Rwanda

UCMB Uganda

UPMB Uganda

Standards Days Method (SDM)/CycleBeads TwoDay Method Lactational Amenorrhea Method (LAM) Billings Ovulation Method Other Natural Family Planning Condoms - - - Pills - - - Injectable - - - Implants - - - IUD - - -

Sterilization - - -

Training & Service Delivery

Supportive Supervision

Data Collection

• Expand method mix with new FAM (SDM, LAM, TwoDay) at facility level

• Introduce FP at community level, FAM + Pills & Condoms (UPMB)

• Quarterly supervision HQ → field

• Monthly supervision Facility → Community

• Develop community-based tools re FP services & IEC activities

• Periodic meetings with district-level MOH re receipt of data

Elements of Successful Family Planning Programs

Commodity Availability

Awareness Raising Creating a Supportive

Environment • Integrate

CycleBeads into stock cards

• Periodic meetings with district-level MOH re stock-outs

• Periodic meetings with JSI-DELIVER re CycleBeads procurement (Rwanda)

• Sensitization sessions with Religious Leaders

• Home visits

• Radio spots

• Community health talks

• Ensure FP, including FAM, is in norms and guidelines

• Periodic meetings with MOH to integrate FAM into national norms

Elements of Successful Family Planning Programs

Key Resources • FAM Materials: Provider & Client

method materials adapted for location and religion

• The Faithful House (TFH): Couple-strengthening curriculum developed by CRS

• Love, Children and Family Planning: Bible study discussion guide for protestant groups

Expand family planning choices. Advance Gender Equality.

Involve Communities.