By strengthening organizational capacity and sustainability of country-level programs, SIFPO contributes to reductions in fertility and maternal and child mortality. Through SIFPO, we work to significantly scale up delivery of high quality family planning products and services to address unmet need in a sustainable and targeted manner. By the end of 2015 we aim to achieve the following results:
- Strengthen organizational capacity to deliver quality family planning services to target groups.
- Quantify and disseminate internal quality assurance standards and results.
- Increase organizational sustainability of country-level programs, including South-to-South support and community-based family planning services.
- Strengthen gender-sensitive and youth friendly family planning services at the global level.
USAID‘s SIFPO project has scaled up delivery of high quality family planning products and services to address unmet need. Specifically, the project has achieved some of the following results:
- Expanded Method Choice: The number of our network members that distribute three or more modern methods of family planning, including at least one long-acting reversible method and permanent method, has increased from 20 to 29.
- Increased Scale: The number of countries where we support a family planning franchise has increased from 15 to 26.
- Expanded Access to Vulnerable Populations: Mobile units providing family planning counseling and services, including long-acting and reversible contraception insertion and removal, were launched in three districts in Togo.
- Improved Quality: In the past two years, 82 percent of our network members with a family planning service delivery program have received an independent quality assurance audit and 100 percent of our network members report on standardized family planning indicators.
- Increased Local Capacity: Ninety-four percent of our family planning country programs are managed by local staff. Since the start of the program, 65 of our host country national staff have completed a reproductive health leadership/professional development training program. Additionally, 47 host country national staff have been trained to conduct quality assurance audits in other PSI network member offices, completing 20 South-to-South audits.
- Increased Gender and Youth-Friendly Services: Nine of our network members now have family planning service delivery programs that formally provide gender and youth-friendly services. We’ve also created and disseminated a youth-friendly health services guide that provides recommendations for developing and strengthening sexual and reproductive health services, so that our staff and providers are better able to engage and retain young people in care.
- Increased Organizational Sustainability: In collaboration with Merck, the SIFPO team created and disseminated a “Social Franchise Business in a Box” that guides program staff through the process of adapting the business model to the local context, testing and refining it, and finally, expanding to new locations and health areas. Forty-one of our leading staff members from over 20 countries have been trained on the “Business in a Box” toolkit.
- Strengthened Capacity: We developed and launched a Social Franchising for Health eLearning Course on the USAID Global Health Learning website in coordination with Marie Stopes International. Additionally, we created a video training tool for intrauterine device complication management for country programs and co-implemented two regional workshops in Zambia and Burkina Faso to advance the integration of postpartum IUD services into maternal health services with USAID’s Maternal and Child Health Integrated Program.
- Increased Evidence Base: We have conducted several studies including the feasibility and acceptability of introducing non-scalpel vasectomy services in Benin, a quasi-experimental study in Kenya to evaluate population and provider components to franchising, and a pilot study of integrated family planning counseling and services into PSI/Ethiopia’s HIV combination prevention services.
In order to successfully complete SIFPO activities, we have partnered with:
IntraHealth International is a nonprofit organization dedicated to creating sustainable and accessible health care. Under SIFPO, IntraHealth supports our host country national staff capacity in quality assurance systems strengthening and monitoring, and youth and gender-sensitive programming and monitoring.
- The Stanford Program for International Reproductive Education and Services (SPIRES) is a unit within the Department of Obstetrics and Gynecology at Stanford University that develops and implements innovative approaches to reproductive health problems in the international arena. Under SIFPO, SPIRES provides support for the strengthening and management of our quality assurance systems, including country level quality assurance audits as well as staff capacity building.