Post on 01-Jan-2016
description
Expanding Choice & Building Capacity: Scaling Up Implant Services through Dedicated Providers
Maxine Eber, MPADeputy Director, SIFPO Project
14 November 2013
PSI-employed midwives
Seconded to busy public facilities strategically selected to reach women with unmet need for FP
Combine demand creation w/ service delivery
Dedicated FP Providers
2
BCG DPT 1 Polio 1 Measles 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Child Vaccinations in Mali (DHS 2006)
Urban
Rural
Vaccine
% o
f ch
ild
ren
rec
ieve
d
Mali Context
2006 CPR: 6.2% Implants: 0.1% TFR 6.6% Unmet Need: 33% Youth Ever-
pregnant: 37.2%
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
Urban Outreach in Mali
PAGE 4
page 5
CPR: 24.5% IUD: 0.4% Implant: n/a Knowledge OCs: 91.5% Knowledge IUDs: 35.8% Knowledge Implants: 43.3%
Zambia Context
PAGE 6
LARC Services Provided: Mali
2006 (DHS)
2009 2010 2011 2012 2013 (June)
0
5000
10000
15000
20000
25000
Total LARC
2 Midwives
5 Midwives
15 Mid-wives
Measurable Impact
page 10
LARC Services: Zambia
2009 2010 2011 2012 2013 (June)
0
10000
20000
30000
40000
50000
60000
Total LARC
18 Mid-wives
32 Mid-wives
41 Midwives10 Midwives
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)
PSI Client Service Data 2010-2013
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
Who are we reaching with implants?
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
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
Questions?
PSI MaliBoureima Maiga (bmaiga@psimali.org)Nene Fofana (nfofana@psi.org)SFH ZambiaJully Chilambwe (jully@sfh.org)PSI WashingtonMaxine Eber (meber@psi.org)
PSI