Expanding Choice & Building Capacity: Scaling Up Implant Services through Dedicated Providers Maxine Eber, MPA Deputy Director, SIFPO Project

14 November 2013

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Dedicated FP Providers

 PSI-employed midwives  Seconded to busy public facilities strategically selected to reach women with unmet need for FP  Combine demand creation w/ service delivery

Mali Context

     2006 CPR: 6.2% Implants: 0.1% TFR 6.6% Unmet Need: 33% Youth Ever pregnant: 37.2% 60% 50% 40% 30% 20% 10% 0%

Child Vaccinations in Mali (DHS 2006)

100% 90% 80% 70% Urban Rural BCG DPT 1 Polio 1

Vaccine

Measles

Urban Outreach in Mali

     FP provided during regular immunization days Interactive education sessions: 20-30 minutes, discuss all methods Private/personal counseling and eligibility screening is offered to interested individuals Co-located, same day services Increase access and availability PAGE 4

page 5

Zambia Context

      CPR: 24.5% IUD: 0.4% Implant: n/a Knowledge OCs: 91.5% Knowledge IUDs: 35.8% Knowledge Implants: 43.3% PAGE 6

LARC Services Provided: Mali

25000 20000 15000 10000

2 Midwives

5000 0 2006 (DHS) 2009

5 Midwives

2010 2011

15 Midwives

2012 2013 (June) Total LARC

Measurable Impact

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LARC Services: Zambia

60000 50000

18 Midwives

40000

10 Midwives

30000 20000 10000 0 2009 2010 2011

32 Midwives

2012 41 Midwives 2013 (June) Total LARC

Who are we reaching with implants?

     

Mali

30% no education 42% primary education 27% < 20 years old 16% have no children 9% have >6 children 50% new FP users* **(includes social franchise clients)      

Zambia

2% no education 42% primary education 10% < 20 years old 1% have no children 10% have >6 children 43% new FP users PSI Client Service Data 2009-2012 PSI Client Service Data 2010-2013 page 12

Dedicated Providers

      Resource-effective Allows for rapid scale up to address high unmet need Works in partnership with MOH Demonstrates feasibility and viability of LARC Opportunity for capacity-building Continuity of care

PSI

Questions?

PSI Mali

Boureima Maiga ([email protected]) Nene Fofana ([email protected])

SFH Zambia

Jully Chilambwe ([email protected])

PSI Washington

Maxine Eber ([email protected]) 1 1 2 0 1 9 T H S T R E E T , N W | S U I T E 6 0 0 W A S H I N G T O N , D C 2 0 0 3 6 P S I . O R G | T W I T T E R : @ P S I IMPACT | B L O G .P S I IMPACT. C O M