Transcript Bulding a Postpartum Family Planning

Building a PPFP Movement
AFP Partners Meeting
Nairobi, July 2016
Anne Pfitzer
WHY IS PPFP
IMPORTANT?
• Globally, nearly 65% of
postpartum women have an
unmet need for family planning
• PPFP saves lives, PPFP:
30% maternal deaths
10% infant deaths
21% child deaths, ages 1-4
IMAGE HERE
• PPFP is integration!
Photo by Dominic Chavez/FP2020
WHY IS THE POSTPARTUM PERIOD SO IMPORTANT?
Postpartum Women 0-23 Months
Other, 8%
Desire for
Spacing or
Limiting,
92%
Not
Using FP
Method,
61%
Using FP
Method,
31%
UNMET NEED IS HIGHEST DURING
THE POSTPARTUM PERIOD!
Slide Adapted from M. Kerrigan, presented at PPFP Global Meeting in Chiang Mai, Thailand
Data Source: Moore et al., 2015
Integration;
Operationalizing contact points
Prepregnancy
adolescents
ANC
visits
1-4+
Birth
PNC
visits
• home
• facility
• home
• facility
Immunization
visits
Measles
immuniz.
Pharmacy
/ drug
shop
visits
Introduction of
complementary foods,
return to fertility
Pregnancy
Neonatal
period
Post-neonatal → 2nd year
Family Planning… Every Girl/Woman, Every Time!
TOTAL ANNUAL BIRTHS
Across participating Chiang Mai and AFP countries
17.1
17.16
2015 Births (in Millions)
4.9
5
4.2
4
3.4
3
2.4
46,404,274 Total Annual Births
2.5
2.5
2
1.7
1.7
1.3
1.2
1
0.9
0.6
0.7
0.3
0.5
0.5
0
Data sources: UNDP World Population Estimates 2015
2015 Chiang Mai PPFP Global Meeting
Birthplace of a Movement
16 COUNTRIES
Donors & partners
ONGOING EFFORTS
• 16 Action Plans
• 12 PPFP Steering
Committee calls
• 3 webinars
• 2 Events
• A 2016 Steering
Committee workplan
• TAC partner survey
Where #ActionPPFP advocacy
might be needed (some examples)
• Incorporate PPFP refresher/
PPLARC training into costed
implementation plans and
GFF investment cases
• Task-sharing: ensuring
nurses and midwives
authorized to insert
immediate PP LARCs
• Proof of menses as barrier
to FP access, advocating for
use of pregnancy checklists
and providers overcoming
fear of providing
contraceptives to women
who are PP amenorrheic
• Advocate for resources to
ensure all health facilities
have staff trained in PPFP
counseling and service
provision and all recognized
CHWs counsel pregnant
and PP women on HTSP
and contraceptive options
• HMIS reform to better rack
PPFP service data and
analyze performance
TO DISCUSS
In your countries…
Has PPFP been added to national FP or RMNCAH
strategies?
Have those strategies and PPFP component been
costed?
What are the policy or regulatory barriers to scaling
up PPFP?
For more information and 16 Country Action Plans
View: www.familyplanning2020.org/ppfp
THANK YOU