Family planning is a proven and cost-effective solution for improved maternal and child health. Access to contraception prevents unintended, often high risk pregnancies — those that come too early, too often or too late in life — and reduces the number of abortions. Furthermore, healthy spacing of births leads to improved child survival. Women with the ability to control their fertility have better access to education and employment opportunities, bringing economic benefits and improved livelihoods to their families and communities.
A lot of obstacles can stand between a woman and easy access to life-saving contraceptives — everything from a dearth of trained health providers, to commodity stockouts, to rampant myths that contraceptives cause infertility. Because of these barriers, 40% of all pregnancies each year (more than 85 million) are unintended and every day more than 800 women die from preventable causes related to pregnancy and childbirth.
In general, our contraception solutions support Family Planning 2020 (FP2020), a global partnership of organizations working to accelerate action around family planning. FP2020’s goal is to reach 120 million more women and girls in the world’s poorest countries with access to voluntary family planning information, contraceptives and services by the year 2020.
Recognizing that young people have an acute need for contraceptives PSI has made an FP2020 Youth Pledge: PSI, through its global network of more than 50 country programs, commits to reaching 10 million people under the age of 25 with modern contraceptive methods by the end of December 2020.
To meet this ambitious goal, PSI and its partners are testing new and bold ways of collaborating with young people to reimagine and redefine the way sexual and reproductive health and rights (SRHR) programs are designed, delivered, measured and evaluated.
For instance, through programs like Adolescents 360 (A360), a US$30-million project funded by the Bill & Melinda Gates Foundation and the Children’s Investment Fund Foundation, PSI is attempting to reimagine and redesign sexual and reproductive health service delivery for adolescents in Ethiopia, Nigeria and Tanzania. A360 uses a marketing model that merges the rigor of public health, developmental science and cultural anthropology with the vigor of human centered design and youth partnership. Rather than starting with the needs of public health systems and actors, our starting point as social marketers is to understand what is deeply desirable to young people. By putting girls at the center of our design process, we seek to breakthrough solutions to take to scale.
In addition to concerted efforts to reach youth, through our network of local members and in collaboration with national governments, we seek to provide access, create demand for family planning and improve service delivery of contraception within the context of informed choice. We implement a number of other approaches and strategies to support FP2020 goals, including:
- Creating franchised networks of medical providers to offer clinical services.
- Working with health service providers through formal, competency-based training programs and rigorous quality assurance to ensure their ability to provide high-quality family planning services.
- Utilizing existing wholesale and retail distribution infrastructure to make products widely available.
- Expanding the reach of products and services to underserved populations through outreach events, task-shifting to lower level providers where possible, and engaging community-based health workers.
- Working with governments and key stakeholders to increase contraceptive security.
- Filling data gaps on contraceptive method availability, service readiness, market share and price to inform evidence-based policies and programs.
- Creating demand for contraceptive products and services using a broad mix of communication activities targeting family planning clients and providers.
- Advocating for policy changes to reduce barriers to access and use of contraception for youth, women and couples.
Click on the Solutions tab for our full contraceptive methods portfolio.
In 2016, PSI’s service provision and distribution of family planning products resulted in 18.6 million CYPs and prevented an estimated 4.3 million unintended pregnancies and more than 11,000 maternal deaths.
PSI supports a comprehensive mix of methods, ranging from short-term hormonal contraception, barrier methods, long-acting reversible contraception and permanent methods.
In its quest to put users at the center of health care and bring to scale innovative service delivery approaches to reach more women and girls with high-quality contraception, PSI is transforming the family planning landscape.
PSI is working with manufacturers to deliver a one-pill emergency contraception solution under one global brand, Pronta1. Having a globally procured product with a consistent formulation and brand name will enable PSI to maximize procurement and marketing efficiencies across network members.
List of Methods:
- Transform/PHARE Project Fact Sheet
Project fact sheet for Transform/PHARE
- HCD Religious Leaders, Volumes I, II and III
Summary of Human Centered Design (HCD) process, to engage Religious Leaders in the Zinder region of Niger
- Strengthening Mozambique’s Family Planning Market: A Way Forward
Total Market Approach report on family planning
- IVR Pretesting
Interactive Voice Response (IVR) used to pre-test and iterate messages to increase demand for FP.
- National Demand Analysis – Quantitative Study and Target Group Segmentation
Randomized, nationwide representative study of FP needs and analysis of behaviors and attitudes of women.
- National Demand Analysis – Qualitative Assessment
Qualitative analysis of family planning needs in Cote d’Ivoire to inform quantitative research leading to behavioral/attitudinal segmentation.
- Male Engagement Heat Map
A landscaping of family planning interventions targeting men in Burkina Faso
- Burkinabe Men’s Engagement in Family Planning
Summary state of family planning in Burkina Faso as well as the role of men and potential areas for intervention.
- HCD Young Women Benin
The report summarizes the HCD process, describing insights gained from interaction with the target group and opportunity areas, that translated into protoyping ideas.
- Helping Postpartum Women in Mali Achieve their Fertility Intentions: Perspectives from the Dedicated PPIUD Inserter Pilot Program
Mali has one of the world’s highest fertility rates and one of the lowest rates of modern contraceptive prevalence (mCPR). In Mali, more than 1 in 4 women have an unmet need for family planning (FP). This gap between method demand and access is particularly acute for postpartum women, with nearly 70% reporting an unmet need. In 2016, PSI-Mali piloted a new healthcare device to help address this gap- the dedicated postpartum (PP) intrauterine device (IUD) inserter.
- Zainab Sankoh
- Adaeze Okeke
- Khallol Mukherji
- Sarah Thurston
- Emily Borland
- Kristely Bastien
- Andrea Mooney
- Rebecca Husband
- Taylor Schaffter
- Ashley Sorgi
- Molly Siwula
- Jamee Kuznicki
- Amanda Kalamar
- Anna Gerrard
- Faustina Fynn-Nyame
- Manya Dotson
- Nicki Ashcroft
- Cat Normile
- Alexandra Angel
- Laura Glish
- Temple Cooley
- Rena Greifinger
- Pierre Moon
- Paul Blumenthal
- Mary Warsh
- Mariah Preston
- James Ayers
- Heather White
- Christine Bixiones
- Ashley Jackson
- Amanda Huber
- Jennifer Pope