Family Planning Saves Lives Save the Children at ICFP

Over 200 million women around the world have an unmet need for family planning. The ability to delay or space births at health intervals improves child and maternal health and survival, but too many women are unable to access family planning.

With a presence in 120 countries and family planning programs in more than 30 countries, Save the Children focuses on reaching the hardest to reach including postpartum women, adolescents and women and girls in humanitarian settings.

Schedule of Save the Children Events

Day 1: 12 November 2018

14:00-16:00 – Beyond the ABCs of FTPs: A Deep Dive into New Considerations for First-Time Parent Family Planning Program and Research Side Event - Room AD12

Day 2: 13 November 2018

8:00-11:00 – Poster Session 1 | Auditorium Terrace

  • Growing Up GREAT! Using Baseline Findings from the Global Early Adolescent Study to Inform a Gender-Transformative Social Norms Intervention for Very Young Adolescents on Sexual and Reproductive Health Outcomes – Pierrot Mbela
  • Intégration de la PF dans le paquet de soins dans le Post Partum: Expérience du projet USAID/Services de Santé à Grand Impact (SSGI) dans 4 régions sanitaires au Mali – Charles Amoussou G. Boni (Jhpiego)
  • Thinking Differently about the Complexity of Unmet Need for Family Planning: Why Understanding Your Body Matters – Sandra Nokafu Chipanta (IRH)

10:25-11:45 – Session: Entertainment, Games, and Family Planning | Room AD1

  • ‘Men and youth need to play these games too!’: Community Games about Family Planning – Gabrielle Nguyen

10:25-11:45 – Session: Family Planning and Postabortion Care Among Adolescents and Young People in Humanitarian Setting | Room AD12

  • Institutionalizing Family Planning, Postabortion Care and the MISP across Humanitarian Health Responses – Aileen Gleizer
  • Strengthening Community Strategy to Enhance Community Acceptance of Family Planning and Postabortion Care Services in Karkaar Region, Puntland Somalia – Sareda Mohamed Hassan
  • Promoting Sustainability of Family Planning and Postabortion Care Services in Eastern Democratic Republic of Congo – Michel Masudi

10:25-11:45 – Session: Planning For The Future | Room MH4

  • Recognizing the Diversity of Adolescents and Youth: Review of service delivery approaches to reach adolescents and youth – Grevasio Chamatambe
  • The Effectiveness of Linking Facility-Based Youth Corners and Youth Clubs at Community Level to Increase Use of Family Planning and Other Reproductive Health Services by Young People – Ndungutse Bikolimana

11:30-14:30 – Poster Session 2 | Auditorium Terrace

  • Can Couples Correctly Use a Family Planning Method Offered through a Group Counseling Session Facilitated by a Community Youth Volunteer? – Victoria Jennings (IRH)
  • Contribution of Mass Campaign and Service Delivery through Outreach to Increase Family Planning Uptake, Rwanda – Jean Modeste Harerimana
  • The Role of Male Partners on the Use of Family Planning and Maternal Health Services by First-Time Adolescent Mothers in Nigeria: Insights from Formative Research in Six States – Aderonke Are-Shodeinde

11:55-13:15 – Session: No Woman Denied—Prioritizing Family Planning During Acute Emergencies | Club 2

  • Expanding Family Planning Services in the Midst of Active Conflict in Yemen – Sarah Ashraf

11:55-13:15 – Session: What Resonates?: Finding The Key To ReachingYouth | Atrium 1

  • More than Fun and Games—Expansion of Community Games to Address Fertility Awareness, Family Planning, and Social Norms in Nepal – Sangita Khatri

14:35-15:55 – Session: Approaches of Integration and Evaluation of Family Planning Services in Humanitarian Settings | Room MH4

  • Integration of Family Planning Services with Mother-Baby Nutrition Areas in the Rohingya Camps in Cox’s Bazar, Bangladesh – Noyem Uddin
  • Assessing Clients’ Satisfaction and Using Feedback to Improve Quality of Contraception Services in Puntland, Somalia – Mohamed Abdi Arab

15:00-18:00 – Poster Session 3 | Auditorium Terrace

  • Pre-Marital Sex and Use of Condom among Indian Unmarried Men: Evidences from NFHS-III and NFHS-IV – Sabyasachi Behera
  • Facilitators and Barriers to Contraception Access in Puntland, Somalia – Abdikani Hirsi Shire
  • Barriers and Facilitators of Adolescent Sexual and Reproductive Health in Puntland, Somalia – Abdikani Hirsi Shire
  • Increasing Uptake of Family Planning Methods through an Integrated Service Approach within the Refugee Community in Egypt – Nancy Ibrahim

16:20-17:40 – Session: Postpartum and Postabortion Family Planning and Service Deliveries | Room AD12

  • Beyond Low Hanging Fruit: Extending Family Planning Reach in North Kivu, DRC – Julien Chabo

Day 3: 14 November 2018

8:00-10:00 – Poster Session 4 | Auditorium Terrace

  • Growing Up GREAT! in Kinshasa: Implementation Science to Adjust an Intervention to Change Gender and Social Norms for Very Young Adolescents and the Adults in Their Lives – Jennifer Gayles
  • Shouldn’t I Get a Say? - Intentionally Involving Youth in AYSRH Implementation and Evaluation – Susan Igras (IRH)

10:25-11:45 – Session: Choice Under any Circumstances: Improving Contraceptive use in Humanitarian Settings | Room MH2

  • Increasing Modern Contraceptive Use in North and South Kivu, Democratic Republic of the Congo – Meghan Gallagher
  • Integrating Postpartum IUDs into Contraceptive Programs in DRC and Somalia – Bibiche Malilo

11:30-14:30 – Poster Session 5 | Auditorium Terrace

  • School Governing Bodies (SGB) with Enhanced Understanding of Adolescent Sexual and Reproductive Health and Rights (ASRHR) are Able to Advocate for Comprehensive Sexuality Education (CSE) for Adolescent and Young People (AYP) in Schools – Sue Jones
  • Karamoja on the Move: Testing a Peer Learning and Community Theatre Model to Increase Family Planning Use in Agro-Pastoralist Ugandan Communities – Shannon Pryor
  • Sexual and Reproductive Health and Rights among Adolescents and Youth – Patrick Trye
  • Faith-Based Consideration in Comprehensive Sexuality Education (CSE) – Pitso Makhetha
  • Roving Auxiliary Nurses-Midwives (RANMs): A Community-Based Approach to Delivering Reproductive Health Services to Marginalized Populations in Nepal – Naramaya Subba Limbu

11:55-13:15 – Session: Contraceptive Discontinuation, Failure, and Their Determinants | Room MH4

  • Twelve-Month Contraceptive Continuation among Women Initiating Short and Long-Acting Reversible Contraceptives in North Kivu, Democratic Republic of the Congo – Sara Casey (Columbia University)

14:35-15:55 – Session: The Power of Advocacy Partnerships and Strengthening Policy Implementation in Africa | Room AD12

  • Assessment of Level of Dissemination and Understanding of National Level Policies and Existing Bye-Laws on Sexual Reproductive Health and Rights in Wakiso District, Uganda – Joachim Bibuli

15:00-18:00 – Poster Session 6 | Auditorium Terrace

  • Reasons for Discontinuation of LARC Methods among Women with Remaining Need in Sindh province, Pakistan – Aisha Fatima

16:20-17:40 – Session: Breaking Barriers and Increasing Access for Youth | Poolside Lounge

  • Increasing Postpartum FP Uptake among First-Time Young Parents through an Integrated RMNH Approach: Lessons from a Proof-of-Concept in Madagascar – Melanie Yahner

16:20-17:40 – Session: Community–Based Approaches | Room MH3

  • Task-Sharing through Blended Learning Strategy to Increase Access to LongActing Reversible Contraceptives and Postabortion Care in Conflict Settings – Virginie Jouanicot

16:20-17:40 – Session: New Approaches and Scale Up in Urban and Reproductive Health | Room AD9

  • Growing Up GREAT in the City: Lessons Learned from Adapting a Social Norms Transformation Intervention for Very Young Adolescents from a Rural to an Urban Setting – Jennifer Gayles

Day 4: 15 November 2018

10:25-11:45 – Session: Addressing Contraceptive Gaps for Marginalized Populations in Rwanda | Room MH 4

  • Increasing Access to Critical Family Planning and Reproductive Health Services for Burundian Refugees in Mahama II Camp, Rwanda – Deogratias Ndagijimana

10:25-11:45 – Session: Gender, Empowerment, Family Planning, and Sexual and Reproductive Health and Rights | Room AD12

  • Scaling up the REAL Fathers: Evaluating the Integration of Family Planning into an Effective Family Violence Prevention Intervention in Uganda – Rebecka Lundgren (IRH)

10:25-11:45 – Session: Meeting the Needs of New Parents: A Call for an Integrated FP/MNCH Approach | Room AD1

  • Factors Influencing Use of Health Services by First-Time/Young Parents: Findings from Formative Research in Madagascar and Nigeria – Melanie Yahner

10:25-11:45 – Session: No secrets in This House: Parental Support for Family Planning | Atrium 3

  • « Je l’encouragerai à opter pour une méthode contraceptive » : Les grandmères pragmatiques pour la santé sexuelle et reproductive des adolescents – Yahia Dicko

10:25-11:45 – Session: When Adolescents Are Mothers: Interventions to Improve Knowledge Among Married and Unmarried Young Mothers | Poolside Lounge

  • Our First Baby: A Gender-Transformative Approach to Increase Use of Maternal, Reproductive Health and Family Planning Services among FirstTime/Young Parents in Mozambique – Wendy Castro

11:55-13:15 – Session: Data for Targeted Decision Making | Room AD9

  • Integrated Family Planning and Immunization Outreach Clinics in Malawi: Data Quality Assessments as a Means to Improve Program Service Delivery – Misozi Kambanje

Working with the Refugee Community in Egypt

Family planning (FP) and post abortion care community health workers (CHWs) play a crucial role in raising FP awareness in the refugee population, residing in urban areas of Giza Governorate. Outreach activities conducted by trained CHWs is at the core of community mobilization approach adopted by FP-PAC project. CHWs represent the communities they serve; women with prevalent unmet need for reproductive health (RH) services, especially FP counselling and contraception, which enables them to acquire beneficiaries’ trust, access their homes and provide them with RH knowledge. The home visits conducted by CHWs are followed up by referral of potential clients to receive available FP services inside primary healthcare units (PHCUs), enhancing communication between clients and healthcare providers, and aiming to create health services responsive to needs of refugee populations in Egypt. The CHWs team consists of four women from Sudan, one woman from Eritrean, and one woman from Syria. The CHW are divided into three groups, each group is composed of two, conducting home visits to deliver simplified health messages addressing the reproductive health related topics.

The community health workers have been significant value in this project, as they helped in delivering the project’s message to the community in their own language. Women responded well when the message came from individuals they are familiar with, whom live in the same conditions and whom they can trust. One of the community health workers, Hanadi, is a mother of 8 children, she has personally seen how family planning is important and she took it as her responsibility to spread the message to her community and help them also benefit from the service, just like she did.

Hanadi has been working in the project for more than 3 years now and she transformed from a woman that has no background about FP, and not using any contraceptives to a woman who is advocating for FP.

Hanadi first came to Save the Children with her daughter for livelihood, and the livelihood team realized how charismatic and a good presenter she is, so they recommended her to FP-PAC. She took awareness sessions about family planning and she said that she wished she knew about family planning a long time ago. She now has a strong believe in the message that the project is delivering and she started spreading the message to her community. Now she is considered as a leader to her community, they have strong faith in her, they turn to her whenever they have any doubt or concerns and they always contact her for advice.

Hanadi’s perception about family planning has drastically changed since the project started, she strongly believes now in the importance of family planning, and she’s a guarantee of the sustainability of the project as we’re sure that she’ll keep spreading the message even after the project comes to an end.

Kenya ESHE Family Planning Program

Funded by UKAID, the ESHE Family Planning Program aims to achieve greater access to family planning (FP) for the poorest Kenyans and adolescent girls. ESHE is implemented in a consortium led by the Palladium Group, working with Exp Momentum Ltd (EXP), Population Services Kenya (PSK), Save the Children International (SCI), Cardno and Well Told Story (WTS)

Under the ESHE, Save the Children is working with the Ministry of Health, religious leaders and community members to address the barriers to contraception. The project has trained and integrated 20 female Islamic teachers who support open forums to discuss issues related to sexuality and HTSP among women.

The original design of the programme did not take into account the complexities of working in the two counties where the main challenge in uptake of FP services is a combination of sociocultural and religious issues. During the first phase of the program, FP promotion events led by health workers and traditional leaders did not get traction in the community as women and men shunned ESHE forums

Building on the lessons and feedback from the first phase of the program and the findings of an evaluation, the program strategy was revised with more emphasis being placed on engagement with religious scholars than health workers. Today religious scholars are taking the lead in challenging partrichial social norms and demystifying the use of contraceptive among the highly conservative rural married women and men in Mandrea and Wajir counties.

So far the project has recruited 30 female Islamic teachers and more than 600 male Islamic scholars as champions who engage fellow scholars on FP discourse and support open forums to discuss issues related to family planning and women health with men and women in the countryside

In 2017, 211,128 women of reproductive age and 168,095 men were reached in both counties with FP messages. Since the inception of the project 36,311 and 26,526 new FP users were registered in Wajir and Mandera respectively

Growing Up GREAT!

“Bien Grandir!” is a research project that seeks to demonstrate if an intervention for early adolescents that addresses gender norms, gender-based violence (GBV), and sexual and reproductive health (SRH) lead to more equitable gender roles, delayed sexual debut and pregnancy, and increased family planning use over the life course.

By working together with adolescents, parents, and teachers, we aim to improve inter-generational communication about puberty and sexuality, increase knowledge, and foster more equitable gender norms. As adolescents transition through the life course, this foundation will lead to improved SRH through reduced GBV, use of health services, and increased family planning use. We will also develop the capacity of local organizations to sustain and expand the intervention.

Growing Up GREAT! adapts elements of two tested models—Gender Roles, Equality, and Transformations (GREAT) from northern Uganda and GrowUp Smart from Rwanda—for an urban DRC setting. Growing up GREAT! Applies an ecological perspective addressing spheres of influence—individual, family, school, community—that most affect early adolescent life experiences. It consists of a toolkit of age-tailored, gender-transformative materials exploring SRH, GBV, and gender equality. Targeting four audiences, the intervention encourages reflection and dialogue through community group engagement to build more equitable gender norms that support adolescent development and well-being.

Rohingya Response and Family Planning

In late August, 2017, the Rohingya exodus brought in 883,785 Rohingya refugees to Cox’s Bazar district in Bangladesh. This influx increased the pressure on healthcare services in Bangladesh and women seeking reproductive health services are among the most vulnerable. UNFPA estimated that 300,000 of Rohingya refugees are women of reproductive age. 4.9% of these women are currently pregnant and 7% are breastfeeding mothers. Due to this large number of WRA, efforts taken by the government and international bodies are straining to match the family planning needs of the refugees. Our integrated approach is targeting these unmet needs, particularly in adolescent women and women in the postpartum period. Our intervention has integrated FP counselling and awareness into outpatient, vaccination, antenatal and postnatal services at the Save the Children health posts to reach the maximum number of Rohingya women and introduce them to family planning methods and increase the number of new family planning users.

We have seen an increase in the number of new FP acceptors based on the integrated referral system being practiced at the health posts. Our data shows that MBA/IYCF at the health posts refer more than 300 FP acceptors monthly basis which is 25% of total FP client in those facilities. Moreover, FP acceptors are referred back to MBA making this process mutually beneficial. This success is aided by placing the MBA area next to the FP room at the health posts. Future success will be based on increasing contraception use in adolescent and post-partum Rohingya women using this integrated approach.

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