Integrating Family Planning_Borwankar
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FANTA analyzed over 100 programs integrating family planning and nutrition/food security. Most were multisectoral programs in Africa and Asia run by NGOs with USAID funding. Common models included family planning education, counseling, and contraceptive provision integrated at various contact points like antenatal care. Challenges included weak documentation and measuring integration's effectiveness. Promising practices included targeting the first 1,000 days of life, consistent messaging, and engaging men and empowering women. FANTA recommends defining integration success, standardizing indicators, and research on model effectiveness.
Integrating Family Planning_Borwankar
- 1. Food and Nutrition Technical Assistance III Project (FANTA) FHI 360 1825 Connecticut Ave., NW Washington, DC 20009 Tel: 202-884-8000 Fax: 202-884-8432 Email: fantamail@fhi360.org Website: www.fantaproject.org How are Programs Integrating Family Planning with Nutrition and Food Security? Reena Borwankar CORE Group Spring Conference April 14, 2015
- 2. FANTA Desk Review • Synthesis of programmatic experiences, lessons learned and promising practices o Models of integration o Entry points o Facilitators and barriers o Case studies • Grey and published literature • Primarily USAID-funded development programs (2003-2013) Overview 2
- 3. Operational Definitions Family planning interventions: Could include education, counseling, provision of contraceptive commodities, or referral. Food security and/or nutrition program: Measures at least one food security and/or nutrition outcome as part of program monitoring and evaluation activities. Integrated program: Both interventions delivered either (a) at the same contact/entry point or (b) by the same provider. Overview 3
- 4. Methods Multiple Sources USAID Targeted Funding Streams Call for Programs/ Survey Monkey Electronic Database Searches (Popline and Global Health) Total Number of Programs Considered 518 Total Programs Included 102 Program Document Examples Annual Reports, DIPs, Evaluation Reports, Technical Briefs Overview 4 Case Studies 3
- 5. Integration Occurs in Both Health Sector and Multisectoral Programs Types of Programs • Child survival • Maternal and child health • Bilateral • Globally funded • Development food assistance • Population, health and environment • Feed the Future • Agriculture 45%55% Multisectoral Health Sector Family planning and nutrition/ food security integration Family planning and nutrition integration 5
- 6. Geographic FocusLocation of Programs 49% 24% 21% 4% 2% Africa Asia LAC Middle East Europe/Eurasia 6
- 7. Child Survival Program in Kyrgyzstan 30% 25%10% 10% 10% 10% 5% Maternal and Newborn Care Diarrhea Pneumonia STD Immunization NutritionChild Spacing Integrated Programs are Complex 7
- 8. Development Food Assistance Program in Haiti Integrated Programs are Complex Goal: Reduce food insecurity and increased resiliency of vulnerable and extremely vulnerable rural households SO1: Improved Nutritional and Health Status of Targeted Vulnerable Groups •IR1.1: Improved nutritional and health practices of targeted vulnerable populations •IR1.2: Improved quality of and access to health services •IR1.3: Decreased risks of communicable diseases among targeted communities SO2: Improved Productive and Profitable Livelihoods •IR2.1: Increased food production and household assets •IR2.2: Enhanced market-based livelihoods •IR2.3: Rehabilitated natural resources resiliency and local response capacity •IR2.4: Enhanced program flexibility and community response capacity to acute needs. 8
- 9. Integrated Service DeliveryRange of Platforms Lifecycle Contact Points Platforms Providers Antenatal Birth Postnatal Childhood Source: World Vision/Haiti 9
- 10. Model 1: Family Planning Education Model 2: Family Planning Education and Counseling Model 3: Family Planning Education, Counseling and Commodity Provision 63.7% 17.7% 18.6% * All Models Could Include Referrals Level of FP Services Varies Integration Models 10
- 11. Source: Pathfinder International and John Snow, Inc. 2013, pp. 1, 16 Nutrition Family Planning Malaria Integration in Action Integrated Family Health Bilateral Program in Ethiopia 11
- 12. Integration in Action Sak Plen REP Development Food Assistance Program in Haiti 12
- 13. Limitations • Weak documentation on integration process • Information on referral process is limited • Significant variation in measurement • Evidence gap on effectiveness of integration models • Reporting on monitoring compliance with USAID family planning requirements can be strengthened Gaps in Program Documentation 13
- 14. Promising Practices • Building on existing platforms • Targeting the first 1,000 days • Including home visits • Ensuring consistent messaging at multiple contacts • Engaging men and empowering women • Responding to community needs Promising Practices for Programming 14
- 15. • Define success for integration: o Family planning and nutrition o Family planning and food security • Agree on a limited set of harmonized indicators • Harmonize reporting requirements Recommendations Moving Forward… 15
- 16. • Conduct research focused on effectiveness of integration models • Provide guidance and technical assistance • Promote dialogue and cross-learning across sectors Moving Forward (2) 16 Recommendations
- 17. This presentation is made possible by the generous support of the American people through the support of the Office of Health, Infectious Diseases and Nutrition, and the Office of Population and Reproductive Health, Bureau for Global Health, U.S. Agency for International Development (USAID), under terms of Cooperative Agreement No. AID-OAA-A-12-00005, through the Food and Nutrition Technical Assistance III Project (FANTA), managed by FHI 360. The contents are the responsibility of FHI 360 and do not necessarily reflect the views of USAID or the United States Government. 17