The Jhpiego Difference India Jhpiego India’s Projects in ... · The Jhpiego Difference Strengthening and scaling-up of the provision of Family Planning Services including Postpartum

The Jhpiego Difference Strengthening and scaling-up of the provision of

Family Planning Services including Postpartum and

Post Abortion Family Planning Services for improved

maternal and child health outcomes in India.

Jhpiego India’s Projects in Family Planning

Strengthening Family Planning Services

Ÿ Strengthening PPFP through expanding choices—Scaling-up PPIUCD

Services in India

Ÿ Providing technical support (to the Family Planning Division,

Government of India) through the National Technical Support Unit

(NTSU) in strengthening voluntary high-quality Family Planning services

in India

Strengthening Family Planning Services through a Quality Assurance Model

Develop, pilot test and advocate for a simplified, contextualized, evidence

based and scalable quality assurance model in Jharkhand.

Advance Family Planning Program

Advocate for increasing the budgets for family planning services and quality

parameters in Jharkhand.

Expanding access to IUCD services in India.

Ÿ Strengthening postpartum family planning through public sector in

Bihar, India.

Ÿ Improving quality of care in providing FP services

Ÿ Expanding the basket of PPFP contraceptive options

29, Okhla Phase – III, New Delhi – 110020, India. Tel: (91) 11-49575100www.jhpiego.org/india

Working in India since 2009

Currently reaching out to more than facilities across states

1000 7

Worked across states since

20 2009

Grants from USAID, Gates Foundation, Packard Foundation and an Anonymous Donor

India

Lead partner of Maternal Child Survival Program (MCSP). Promoting

expansion of proven modern contraceptive options and effective clinical

governance for adherence to quality standards and guidelines in India.

EAISI

Strengthening Systems, Building Capacities, Expanding Choices of Family Planning Services

Technical Expertise Quality

Assurance

Partnerships

Strengthening Healthcare

Systems

updated till April 2017

Improving and Expanding Access to Quality Family Planning Services in India

What are we up against?

Too many:

Ÿ

India is a country of 1.2 billion 1people

Marry too young:Ÿ

thOver 2/5 of all women aged 20-24

were married before the legal 2miminum age of 18.

Become mothers too soon: Ÿ Almost one-half of married

adolescents are mothers. Over 60% women have their second child within

3three years of the first.

Losing too many precious lives:Ÿ Every 90 seconds a woman dies due

4to pregnancy related complications ; Every minute, India loses two infants

Large unmet need:

Ÿ

Ÿ

5India’s Total Fertility Rate (TFR) is 2.3.

Nearly 2/3rd of postpartum women have an unmet need for family planning.

1 Census 20112 NFHS 33 NFHS 34 World Health Organization, Trends in Maternal Mortality; http://apps.who.int/iris/bitstream/10665/44423/1/9789241500265_eng.pdf

5(SRS 2014)

Technical Assistance to MoHFW and States

·

·

Building capacity through

centralized and on-site trainings

Development of resource

material

360 Degree Advocacy

· Fostering learning

through partnerships with: Government, Policy Makers, Program Managers, Professional Associations, and Providers

Quality Assurance(Data till March 2017)

·

·

·

Using Performance Standards

Structured Supportive Supervision Visits for efficient institutionalization of FP service provision

Expulsion (at 3.2%) and infection rate (at 1.6%) have remained at acceptable level during scale-up in India

· Innovative quality improvement processes and tools developed

Strengthening Capacity to Record, Report and

Analyze Data

·

·

Use of data for decision

making through facility based dashboards

Integrating ICT into

programs

Demand Generation at Facilities (through

counselors) and community level (through ASHAs)

·

·

Integration of PPFP/FP at

community outreach and MNH platforms

Over 10 million women

counseled in family planning in the postpartum period

11,57,775 PPIUCDs inserted

Expanding Access (Data till March 2017)

·

··

17,383 Health Care Providers

trained in providing PPIUCD services

190 master trainers prepared

85 training sites established

274 providers trained on

newer contraceptives

·

Policies Influenced

·

·

·

·

Enhanced focus on spacing

methods

Staff nurses allowed to undertake

insertions

New cadre of RMNCH+A

counselors deployed at high load delivery points

Expanding the basket of FP

choices to include Postpartum, Post-abortive and Interval IUCD services

A Systems

Approach to

Programming