Policy Brief: Family Planning High Impact Practices Can Improve Outcomes For Population, Health, and Environment Programs

Experts in the family planning sector have developed a set of evidence-based practices—known as Family Planning High Impact Practices (HIPs)—that improve family planning and reproductive health program outcomes (see Box 1). HIPs can also be applied in development programs that integrate multiple sectors at the community level, including family planning. A promising opportunity exists to expand the use of HIPs within population, health, and environment (PHE) projects.

PHE projects are integrated community-based projects that reach populations in ecologically rich areas with activities that improve reproductive and other health services and support the sustainable use of natural resources. They are typically located in remote communities where unmet need for family planning is often high.

When PHE projects use HIPs in their work, they can direct their family planning resources more effectively to achieve greater impact. Strengthening the awareness of and knowledge base between HIPs and PHE projects allows for the sharing of family planning best practices. Using HIPs in remote areas also feeds information back to the HIPs evidence base to show how PHE projects help serve the family planning needs of rural communities.

This brief illustrates how more robust and purposeful use of HIPs can lead to better family planning outcomes for PHE projects, and how PHE projects’ use of specific HIPs provides a valuable opportunity to enhance the HIP knowledge base.

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Rights-Based Family Planning Strategy – Indonesia

The Family Planning program in Indonesia has been promoted as a success story. Prior to the introduction of the family planning programme in the 1970s, the total fertility rate (TFR) was 5.6. Over the subsequent period, the adoption of family planning services and changes in people’s perceptions regarding the ideal number of children and ideal age for marriage caused a dramatic decline in fertility levels. During this period, the contraceptive prevalence increased to 61.9 percent. However, progress has stalled over the last two decades.

The London Summit on Family Planning was held in 2012 to revitalize family planning commitments by countries to addressing unmet need for contraception. As a follow up of FP2020 Summit and its commitment, an FP2020 Country Committee was established in Indonesia. The Committee is co-chaired by BKKBN, UNFPA and formerly USAID, which has been more recently replaced by Canada. A working group on Rights-Based Family Planning Strategy and a working group on Rights and Empowerment were established to develop the rights based family planning strategy.

The strategy provides a rights based programming framework and an operational Pembangunan Nasional Jangka Menengah/RPJMN). It should serve as an operational guide for all stakeholders in Indonesia for implementation of the family planning programme.

The effort to develop the strategy was led by the National Planning Agency, involving the National Population and Family Planning Agency (BKKBN) and Ministry of Health, as well as various other related institutions.

The family planning programme efforts under the RPJMN are linked to government strategic directions, in which the Ministry of Health and BKKBN are the two main lead institutions. These efforts are based on the following principles: access to quality services, equity in access that ensures the needs of vulnerable population are met, transparency and accountability, and gender and cultural sensitivity.

This strategy document aims to comprehensively address the various facets and determinants of the family planning programme, and provides details of the priorities and steps involved for timely and effective implementation of the programme to achieve its goals.

The document outlines four strategic areas of focus: sustaining equitable and high-quality family planning service delivery in public and private sectors; increasing demand for modern methods of contraception; enhancing stewardship at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming, and supporting innovations and operations research for improving efficiency and effectiveness of programmes through South-South Cooperation. The rights-based approach used in this strategy means that the strategic steps described in the document aim to ensure that human rights principles are met; thus providing the necessary access to family planning and reproductive health services and information for a healthy and safe reproductive life.

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