The Support for International Family Planning and Health Organizations 2: Sustainable Networks (SIFPO2) is a USAID-funded program designed to strengthen family planning programs and other health services worldwide, with a focus on strengthening private sector channels including social franchise networks. The program was initiated in April 2014 and is effective until December 2019. USAID Missions in the following countries have partnered with SIFPO2 to deliver ‘field support’ programs in a broad range of health areas, typically with access to family planning at their heart.
• Benin • Democratic Republic of the Congo • eSwatini • Ghana • Liberia • Madagascar • Malawi • Mali • Mozambique • Somaliland • Zambia • Zimbabwe • Regional Latin American and Caribbean Programs • Dominican Republic • Guatemala • Cambodia
A wider range of countries have also partnered with SIFPO2 on ‘core funded’ activities, focused on the themes outlined below. As well as scaling-up and improving access to family planning products and services worldwide, we will direct our focus under SIFPO2 to improving the health of markets for sustained use. This requires increased effectiveness and better integration of the private sector into the health system in areas such as:
• Health financing mechanisms for the poor and vulnerable.
• Increased and improved quality assurance.
• Improved monitoring and reporting systems.
• Innovation in cost recovery enterprises. Under Result #1 of SIFPO2, we will partner with others to improve systems and processes for quality assurance of family planning products and services. This work will include:
• Participating in new or existing certification and whole-site accreditation programs and providing clinical staff, franchise providers and local partners with increased access to continuing medical education.
• Enhancing client record management and integrating private sector data into national level health management information systems. This integration will help maximize collaboration, coordination and effectiveness with national-level partners.
• Identifying and eliminating barriers to youth access to family planning at both the policy level and within our own networks.
Expanding the reach of our networks to include additional non-clinical, rural and community-level access points. SIFPO2 will also tackle the challenge of sustainability by analyzing the health financing landscape in a subset of priority countries, and will develop strategies to increase access for service delivery networks to public and private sector sources of financing. Specific networks referred to above include:
• Local Network Members: These country level private, not-for-profit organizations implement a range of health programs in 67 countries, 34 of which include family planning.
• Social franchise networks: In 26 countries, PSI network members operate social franchise networks that primarily consist of privately-owned clinics and hospitals. Approximately half of all our franchise networks also include branded service and product delivery points beyond the clinic setting, such as community health workers, mobile or outreach teams, pharmacies and drug shops.
• Social marketing networks: PSI network members have robust product distribution and social marketing networks that include pharmacies and drug shops. In addition, SIFPO2 will continually develop local staff as leaders and providers of South-to-South technical assistance, form new global learning partnerships and expand the use of successful public-private partnership and health services integration models that expand access to and uptake of family planning.
To implement the SIFPO2 activities successfully, we are partnering with:
- The International Center for Research on Women (ICRW) for youth and gender-focused research and technical assistance.
- Results for Development (R4D) for health financing analysis and strategy development to improve family planning sustainability, family planning innovation diffusion, and community-driven monitoring.
- PharmAccess for establishing links between quality assurance certified and accredited providers and health insurers and improving the business skills of social franchised providers and their access to capital.
- World Health Partners (WHP) for piloting rural health telemedicine.
- The Stanford Program for International Reproductive Education and Services (SPIRES) for clinical and technical skills-building.
- Shaping the Family Planning Market by Strengthening the Public Sector
PSI considers total market approaches to be critical for achieving universal health coverage, especially when it comes to contraception. This program brief presents cases, supported by several different donors, which take into consideration the total family planning market.
- From Innovation to Scale: Advancing the Sexual and Reproductive Health and Rights of Young People
This brief reviews components of the approach PSI recommends to reach young people (15-24 years old) with programs that ensure their improved sexual and reproductive health and rights.
- Expanding Access to Long-Acting Reversible Contraceptives and Permanent Methods through Task Sharing
PSI hosted a meeting with USAID and its partners, with the LARC and PM Community of Practice (CoP) to discuss current progress and future opportunities for task sharing.
- What Facilitates Uptake of Referrals for Family Planning? Results of a Study in Mozambique
As part of its commitment to the FP2020 initiative, PSI works with the Government of Mozambique to engage health agents and others in sharing information about family planning, and referring community members to sites that offer a wide range of family planning methods.
- An Effective Model for the Integration of Modern Family Planning Services into Community-Level HIV Programming for Female Sex Workers in Ethiopia
Despite significant improvements in access to and voluntary uptake of modern family planning (FP) methods in Ethiopia, certain marginalized groups, including female sex workers (FSWs), remain underserved. Integrating voluntary, modern FP services into ongoing HIV prevention programs that reach FSWs can be an appropriate and cost-effective means to address this important coverage gap.
- Understanding Couple Communication and Family Planning in Zambia: Formative Research Study Findings and Recommendations
This report summarizes the results of a formative research study on the role of couple communication in family planning within the context of child marriages in Zambia.
- Crisis in the Triangle: Addressing Adolescent Reproductive Health & Violence Prevention in El Salvador, Guatemala and Honduras
With the largest youth population in history, it is critical to bring together and evaluate the most promising practices from health, violence prevention, protection and education, to develop – in partnership with young people–programs, evidence based research and opportunities that will transform the Northern Triangle countries into safe and healthy places for young people to thrive.
- Streamlining Service Delivery to Expand Access: Innovations in IUD Insertion Technology
This report highlights key messages delivered by speakers at a meeting of the LARC and permanent methods community of practice. The objective of the meeting was to share information about two new IUD insertion technologies..
- Facilitator’s Guide: Training Health Providers in Youth-Friendly Health Services
Becoming a youth-friendly service provider not only ensures that young people get the care and support they need, but it means significantly increasing health impact. This guide is for trainers and facilitators who will be training health providers and PSI program staff in the provision of youth-friendly health services.