The Added Value of a
Multi-Sectorial Family
Planning Coalition in a
Post-Conflict Environment
in DRC:
The Permanent, Technical, Multi-Sectoral
Committee for Family Planning
(CTMP/FP)
Dr. Raoza Vololona Rafanoharana
CARE | Democratic Republic of Congo
Dakar, Senegal | March 2016
SRH-E Global
Learning
Event,
Atlanta,
Co-Author:
Erin Files
Dumas,
CARE
| USA October 14-16, 2014
Context and Timing
2004 &
2009:
1st & 2nd
National FP
Conferences
1
2010:
Formation
of NationalLevel FP
Committee
for
Advocacy &
Policy
2013:
Government
commitment
to FP at ICFP
in Addis
Ababa,
Ethiopia
2014:
3rd national
FP
Conference
2015:
(March)
Decree for
provinciallevel
working
groups
(June)
Official
installation
of
CTMP/FP
in
North Kivu
mCPR Prevalance in DRC
According to
FP2020,
substantial gains
are being made
in DRC’s
prevalence of
modern
contraception.
10.00%
CTMP/PF
contributes to
accelerating
these gains.
8.00%
6.00%
4.00%
2.00%
0.00%
2012
2013
2014
2015
Source: Data Visualization of FP2020 Core Indicators. k4Health. https://www.k4health.org/resources/understanding-fp2020s-core-indicators
2
CTMP/FP Goals
To help realize the FP2020 goal of enabling 120 million
more women and girls to use contraceptives by 2020,
CTMP/FP seeks to:
1)Expand FP coverage – (e.g. partner map partners,
identify gaps, coordinate response)
2)Advocate for increases in North Kivu’s FP budget
allocation.
3)Lead the North Kivu Governor to declare a commitment
to prioritize FP in the province.
3
A Variety of Stakeholders
• Ministries
• Donors
• National NGOs and civil society
• International NGOs
• Universities
• Religious organizations and representatives
4
© 2007 Jessica Scranton, Courtesy
of Photoshare
5
CTMP/FP North Kivu
CTMP/FP Accomplishments
 Increase recognition/accountability PNSR as provincial
lead for FP
 Socialize little known policies:
(e.g. husband authorization not necessary)
 Identify and address barriers to policy implementation:
(e.g. case of providers harassment of women and a providers)
 Increased visibility for the need for FP
6
Strategies for Success I
• Don’t Wait!
• CTMP/FP North Kivu was the first provincial-level working group to be
established after the decree was issued, resulting in its immediate recognition
by the Minister of Health
• Maintain a Variety of Actors in Leadership Positions
•
•
•
•
Head coordinator: CARE International
Vice coordinator: UNFPA
Secretary: National Reproductive Health Program
Vice-secretary: Division of Gender, Women, Families, and Infants
• Make an Organizational Commitment
• An official signature by CARE and other actors established commitment for the
sustainability of the working group
• CARE’s participation at the national level allowed for leadership at the provincial level
7
Strategies for Success II
CARE used successes to
bolster credibility:
• Built Regional SRH Training Center in
collaboration with other organizations.
• Continuing training of providers on
FP/PAC
• 29,065 new FP users
• 1,827 PAC clients served
8
CARE Demonstrated Rapid Uptake of FP
DRC - New FP Users by Month 2013-2015
1400
1200
1000
800
600
400
200
0
9
Challenges and Future Directions
• Increasing mCPR by 1.5% per year to reach 19% prevalence in 2020:
A lofty goal!
• Advocate for the development and implementation of a national
reproductive health law
• Advocate for increased budget for contraceptive products
• Maintain momentum among coalition members
• Advocate for elimination of taxes on imported contraceptives
• Continuously map and track all FP programs in the district
10
Key Take-Aways
The North Kivu CTMP/P is:
o is an effective mechanism to convene FP stakeholders.
o has positioned itself as the leading force to direct FP
efforts in the district/province
This model may be used to compliment national
initiatives in other post-conflict settings.
11
Thank you!
Merci!
12