Expanding Choice & Building Capacity: Scaling
Up Implant Services through Dedicated
Providers
Maxine Eber, MPA
Deputy Director, SIFPO
Project
14 November 2013
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
2
Mali Context
2006 CPR: 6.2%
Implants: 0.1%
TFR 6.6%
Unmet Need: 33%
Youth Everpregnant: 37.2%
100%
90%
80%
% of children recieved





Child Vaccinations in Mali
(DHS 2006)
70%
60%
50%
Urban
40%
Rural
30%
20%
10%
0%
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
15 Midwives
25000
5 Midwives
20000
2 Midwives
15000
Total LARC
10000
5000
0
2006 (DHS) 2009
2010
2011
2012 2013 (June)
Measurable Impact
page 10
LARC Services: Zambia
60000
32 Midwives
50000
40000
18 Midwives
41 Midwives
10 Midwives
30000
Total LARC
20000
10000
0
2009
2010
2011
2012
2013
(June)
Who are we reaching with implants?
Mali
 30% no education
Zambia
 2% no education
 42% primary education
 42% primary education
 27% < 20 years old
 10% < 20 years old
 16% have no children
 1% have no children
 9% have >6 children
 10% have >6 children
 50% new FP users*
 43% new FP users
**(includes social franchise
clients)
PSI Client Service Data 2010-2013
page 12
PSI Client Service Data 2009-2012
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
Questions?
PSI Mali
Boureima Maiga ([email protected])
Nene Fofana ([email protected])
SFH Zambia
Jully Chilambwe ([email protected])
PSI Washington
Maxine Eber ([email protected])
PSI
1120
19TH STREET, NW
|
SUITE 600
WASHINGTON, DC 20036
PSI.ORG
|
T W I T T E R : @ P S I IMPACT |
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