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May 12, 2011 Zambia Family Planning Integration Project:  Integrating FP into MCH Programs  Sadia D. Parveen CORE Spring Meeting, Baltimore, MD
Some Key RH Indicators in Zambia  Data Source: (a) CIA, 2007; (b) UNICEF 2007; (c) WHO, 2006; and  (d) Zambia DHS, 2007 45 Children with moderate to severe stunting 15 Underweight children (%) 52 Child mortality (per 1000 live births) 119   Under-5 mortality (per 1000 live births) 70 Infant mortality [under age 1]  (per 1,000 live births) 34 Neonatal mortality [under 30 days] 5.39  a, d  – 5.5. c Children born per woman (total fertility rate) 43  b, d Percent of births with skilled attendance 591 Maternal mortality ratio (per 100,000 live births) 41 Contraceptive Prevalence Rate (%) 7 HIV/AIDS prevalence: age 15-24 14.3  HIV/AIDS prevalence: total Statistic (data source) Indicator
Background of Program Area  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Program Overview ,[object Object],[object Object],[object Object],[object Object],Goal:  To increase voluntary and informed use of FP-RH services and also improve access and availability
Program Structure:  Integration Framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Service Delivery System Support Systems in Place:  Needs Assessment & Planning, Implementation & Management, M & E, Training, Logistics, Quality Assurance, Community Participation, Human Resource Management, Financial Resource Mobilization (e.g. Involvement of Child Fund Alliance), Marketing & Communication, Development of ASPs, CSPs, PDDs  Environment:   i.  IO and RO support and participation, including The Board and Senior Leaders;  ii.  MOH and DHMT Coordination, Support and Liaisons
Program Structure:  Integration Framework  (cont’d)
FP Integration Entry Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FP Integration Entry Points ,[object Object],[object Object],[object Object],[object Object]
FP Integration Entry Points  (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Services in which integration occurred ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Additional Information: Guatemala  Existing MNH Project:  Strategy focuses on high quality maternal and newborn health service delivery at the health facility and community levels.  Therefore integrating FP increases the efficiency of the program, as it supports improved maternal and newborn health by helping women delay pregnancy.  ,[object Object],[object Object],[object Object],[object Object]
Additional Information: Guatemala  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Practical FP Integration_Parveen_5.12.11

  • 1. May 12, 2011 Zambia Family Planning Integration Project: Integrating FP into MCH Programs Sadia D. Parveen CORE Spring Meeting, Baltimore, MD
  • 2. Some Key RH Indicators in Zambia Data Source: (a) CIA, 2007; (b) UNICEF 2007; (c) WHO, 2006; and (d) Zambia DHS, 2007 45 Children with moderate to severe stunting 15 Underweight children (%) 52 Child mortality (per 1000 live births) 119 Under-5 mortality (per 1000 live births) 70 Infant mortality [under age 1] (per 1,000 live births) 34 Neonatal mortality [under 30 days] 5.39 a, d – 5.5. c Children born per woman (total fertility rate) 43 b, d Percent of births with skilled attendance 591 Maternal mortality ratio (per 100,000 live births) 41 Contraceptive Prevalence Rate (%) 7 HIV/AIDS prevalence: age 15-24 14.3 HIV/AIDS prevalence: total Statistic (data source) Indicator
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  • 6. Program Structure: Integration Framework (cont’d)
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