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FP2020

HP+ More recent FP2020 publications are available.

  • The Uganda Family Planning Costed Implementation Plan, 2015–2020, published by the Ministry of Health, was launched by the government in November 2014. Its objective is to reduce unmet need for family planning to 10 percent and to increase the modern contraceptive prevalence rate among married women to 50 percent by 2020. The plan includes strategies to improve demand creation; service delivery and access; contraceptive security; policy and enabling environment; financing; and stewardship, management, and accountability. The cost of the total plan is $235 million USD between 2015 and 2020, which will increase the number of women in Uganda currently using modern contraception from approximately 1.7 million users currently in 2014 to 3.7 million in 2020.

    Uganda's gap analysis found a total financial gap of about $113 million for all six years of the FP-CIP. As the total cost for the FP-CIP is $235.8 million, less than half of the activity costs in the CIP are covered by currently planned funding between 2015 and 2020. The size of the gap in Uganda differs by year; the largest gap is in 2019, with a gap of $21.8 million. The larger gaps in the later years are due to a steady increase in reach of activities within Uganda in line with projected scale-up of demand and services for FP in line with the country’s goal to reach a 50% modern contraceptive prevalence rate among married women by 2020. In addition, government and development and implementing partners often have insufficient knowledge of what would be funded past the initial first few years of the FP-CIP due to funding cycles and programme timelines.

    The gap analysis provides clear evidence that the Ugandan government and in-country development partners are focusing significant effort on financing the purchase of contraceptives. However, evidence has shown that for family planning interventions to be effective, financial support and efforts need to be dedicated to providing a holistic rights-based FP programme that includes demand generation efforts, improvement in the quality of service provision, supply chain improvements, strong policies and financing, and coordinated planning, management and supervision at national and decentralized levels.

  • The Millennium Development Goals (MDGs)—a set of eight important, time-bound goals ranging from reducing poverty in developing countries to providing universal primary education—represent a blueprint for global development agreed to by member states of the United Nations and international development institutions. Uganda has made significant progress in reducing maternal and child mortality, but areas such as improved sanitation coverage, malaria, and universal primary education have seen less improvement. This analysis by the USAID-funded Health Policy Project shows how one strategy— reducing the unmet need for family planning (FP) in line with Family Planning 2020 (FP2020) goals—can make achieving and sustaining the MDGs more affordable in Uganda, and directly contribute to further reducing child mortality and improving maternal health.

  • Costed Implementation Plans (CIPs) are concrete, detailed plans for achieving the goals of a national family planning program over a set number of years. A CIP details the program activities necessary to meet the goals and the costs associated with those activities, thereby providing clear program-level information on the resources a country must raise both domestically and from donors. The Health Policy Project, with various partners, has developed a collaborative, 10-step approach to creating a CIP that aligns with ongoing government planning and coordination efforts. This brief outlines these 10 steps, which when implemented, should result in a consensus-driven strategy, roadmap, and budget for achieving family planning targets under the Ouagadougou Partnership, FP2020, and/or other national programs. To date, the following countries have completed CIPs for family planning: Senegal, Burkina Faso, Niger, Togo, Mauritania, Guinea, and Zambia.

  • Costed Implementation Plans (CIPs) for family planning are concrete, detailed plans for achieving the goals of a national family planning program over a set number of years. A CIP details the program activities necessary to meet stated goals and the costs associated with those activities, thereby providing clear program-level information on the resources a country must raise both domestically and from donors to achieve their goals. The CIP addresses and budgets for all components of a family planning program—demand, service delivery and access, procurement and supply chain, policy and enabling environment, financing, supervision, and monitoring and evaluation. The USAID-funded Health Policy Project’s 10-step approach creates a CIP aligned with ongoing government planning and coordination efforts. By including processes to ensure inclusion of often-marginalized populations and civil society groups, this approach ensures that the national CIP is collaborative, country-owned, and country-driven from inception. The 10-step approach also utilizes custom tools to develop detailed cost estimates, to identify financing gaps, and to estimate the demographic, health, and economic impacts of successful CIP implementation (e.g., number of women’s and children’s lives saved, healthcare costs saved, etc.). The CIP process culminates in a consensus-driven strategy, as well as a detailed activity roadmap and budget to make the strategy actionable. The 10-step approach results in strategies that promote people-centered health systems that improve healthcare outcomes through respecting rights, addressing social exclusion and inequities (with a focus on gender, adolescents, and people living in rural and underserved areas). This presentation is relevant to a wide cross-section of the Symposium’s diverse target audiences, particularly policy-makers, managers, and civil society participants, who would benefit from learning about the experiences of various countries in developing costed health strategies that are participatory and inclusive.

  • Newer CIP resources are available from the HP+ CIP toolkit.

    This guide distills the experience of technical experts, governments, and donors in developing costed implementation plans (CIPs) for family planning  into a 10-step process, implemented in three phases: planning, development, and execution.

    This tool provides an overview of the complete CIP process, including details on each of the 10 steps and sub-steps, and illustrates how and when specific tools and approaches can be applied. This guide is the foundational document of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • Newer CIP resources are available from the HP+ CIP toolkit.

    Countries have developed costed implementation plans (CIPs) for family planning (FP) using a variety of approaches and tools. As CIPs become a more common tool for planning and mobilizing resources, standardization of their format and development process can help promote accountability and ensure that all key components are considered.

    This checklist presents recommended thematic areas and standards to guide overall CIP development. These areas include demand creation; service delivery and access; contraceptive security; policy and enabling environment; financing; and stewardship, management, and accountability. This resource is part of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • Newer CIP resources are available from the HP+ CIP toolkit.

    This document provides background information on costed implementation plans (CIPs) for family planning, including information on what the plans typically include and how CIPs can help governments translate their FP commitments and goals into concrete programs and policies.

    This resource is part of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • Newer CIP resources are available from the HP+ CIP toolkit.

    Effective development of a costed implementation plan (CIP) requires a country-led, systematic, and highly participatory process, involving a range of stakeholders and technical experts led by the Ministry of Health. While the CIP team’s exact make-up, responsibilities, and relationships should be tailored to the country’s context, this document presents the key recommended groups and positions needed for CIP development, along with proposed scopes of work. Responsibilities for plan implementation and monitoring are assigned and documented in the CIP technical strategy.

    Additional guidance on developing a CIP can be found in the document "Costed Implementation Plans for Family Planning: 10-Step Process for CIP Planning, Development, and Execution," which is part of the CIP Resource Kit, and can be accessed at http://www.familyplanning2020.org/cip.

  • This is a copy of the presentation made when Uganda launched its Costed Implementation Plan (CIP) for Family Planning. Users can review this presentation as an example of the kind of information to present to stakeholders at the plan launch.

    This resource is part of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • These evidence-based advocacy materials, based on Spectrum projections, were produced under the USAID-funded Health Policy Project by the White Ribbon Alliance Nigeria to support national- and state-level advocacy efforts aimed at increasing access to family planning.

  • A newer version of this product is available on the HP+ website.

    The Family Planning CIP Costing Tool helps countries understand the costs associated with implementing the detailed roadmap of FP activities outlined in their family planning costed implementation plan (CIPs). This tool was developed to both standardize the CIP costing approach across countries and streamline a sometimes complex process to make it easier for countries to revise inputs as commitments and implementation strategies are updated. The tool is Excel-based and includes pre-loaded equations, making it easier and quicker for new users to generate data.

    The tool can be used at the national level—and at subnational levels where lower-level CIPs have been developed—to help policymakers, decisionmakers, partners, and donors better plan and advocate for an effective FP strategy. 

    The Family Planning CIP Costing Tool was developed as part of the CIP Resource Kit, and is meant to be used in conjunction with the The Family Planning CIP Gap Analysis Tool. The CIP Resource Kit can be accessed at http://www.familyplanning2020.org/cip. The CIP Costing Tool User Guide provides step-by-step instructions for applying the tool.

  • A newer version of this product has been integrated with the CIP Costing Tool available on the HP+ website.

    The Family Planning CIP Gap Analysis Tool is an Excel-based tool that helps countries estimate the financial gap between the costs associated with implementing detailed costed implementation plan (CIP) activities and the annual funding commitment by government and donors for supporting the plan’s implementation. The gap analysis tool is designed to be used in conjunction with the Family Planning CIP Costing Tool (also part of the CIP Resource Kit), but allows the user to input cost data from any source (for instance, if the original CIP was costed using a different methodology). The tool can be used at the national level—or subnational levels—to help policymakers, decisionmakers, partners, and donors better plan and advocate for an effective FP strategy and is most effective as part of the initial CIP development or an annual CIP review process. The CIP Gap Analysis Tool User Guide provides step-by-step instructions for applying the tool. 

    The Family Planning CIP Gap Analysis Tool is designed for use in developing a comprehensive plan that meets the standard level of costing and gap analysis detail recommended for CIPs, which includes costs associated with specific activities within each CIP thematic area. For countries that wish to apply the CIP Gap Analysis Tool in support of an existing CIP or strategic plan that does not include activity-level costs, the Simplified CIP Gap Analysis Tool may be more appropriate.

    This resource is part of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • The USAID-funded Health Policy Project supported partners at Gondar University to use the FamPlan model to analyze the demographic and family planning program implications of meeting Ethiopia’s Family Planning 2020 (FP2020) targets. The projections show that, if Ethiopia achieves a contraceptive prevalence rate of 73.3 percent by 2020 (the target set by the Federal Ministry of Health), the total fertility rate would fall to less than two children per woman in 2020 and the annual population growth rate would slow to less than 1 percent by 2020. In addition, under-five and infant mortality rates would drop significantly due to increased use of family planning. The model projection also estimated the number of contraceptive commodities required to achieve the target, which can be used to ensure contraceptive security.  

  • Performance monitoring lessons learned available in the HP+ brief.

    A CIP is a multi-year roadmap that identifies evidence-based strategies and approaches to improve FP programs, and estimates the cost of implementing those strategies. All components of an FP program—demand, service delivery and access, procurement and supply chain, policy and enabling environment, financing and resource mobilization, supervision, and monitoring and evaluation—are addressed and budgeted in the CIP. The approach to developing and executing CIPs varies across countries, as the plans align with ongoing initiatives and systems and address each country’s unique context. Each new CIP provides an opportunity to tailor technical assistance and tools to help countries achieve their goals, apply lessons learned, strengthen the CIP development process, and enhance the potential impact of the plans when executed.

    The learnings and examples presented in this brief have been informed by the combined experience of the USAID-funded Health Policy Project (HPP) and Futures Group in supporting sixteen countries to develop and implement CIPs; and by the experiences of other technical assistance providers, donors, and governments who have shared their learnings through a variety of CIP expert consultations, interviews, and public events.

  • This Excel workbook is a customizable file associated with the document,"Costed Implementation Plans for Family Planning: 10-Step Process for CIP Planning, Development, and Execution." The file presents an illustrative activity roadmap and sequencing for completing a CIP process. Users can customize this template by changing the schedule dates, editing or adding actions, and changing due dates.

    This resource is part of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • ImpactNow is an Excel-based model that estimates the health and economic impacts of family planning (FP) in the near term. It is designed to model the impacts of different policy scenarios, and to compare the results of those scenarios in advocacy materials. It can help to estimate the impacts of many “what if” questions about policy options. ImpactNow is designed to analyze impacts in the two- to seven-year time horizon; for example, it could be used to estimate the impacts of meeting Family Planning 2020 (FP2020) commitments. The outcomes are focused on reproductive health metrics, as well as economic metrics, such as cost-benefit ratios and incremental cost-effectiveness ratios (ICER).

    ImpactNow was adapted from Marie Stopes International’s (MSI) Impact 2 as a collaboration between MSI and the Health Policy Project (HPP), with support from USAID. The ImpactNow Manual: Estimating the Health and Economic Impacts of Family Planning Use is also available to help health analysts use the ImpactNow model to estimate the health and economic impacts of FP programs.

  • The USAID-funded Health Policy Project applied its new ImpactNow model to estimate the near-term health and economic benefits of achieving family planning goals in the Amhara region of Ethiopia. This report presents the proceedings of the preliminary results dissemination meeting, held in Bahir Dar in May 2014, attended by the Amhara Regional Health Bureau and representatives from the Federal Ministry of Health. Following presentation of the draft results, attendees' discussions and recommendations were recorded to inform the final ImpactNow analysis, to be completed in late 2014.

  • Newer CIP resources are available from the HP+ CIP toolkit.

    Obtaining early buy-in from key decisionmakers is critical for securing the human and financial resources required to develop a family planning costed implementation plan (CIP). Many stakeholders may be unfamiliar with CIPs, how they support the achievement of family planning goals, and what the process requires. An initial effort to educate key stakeholders on these topics can help instill a sense of ownership and accountability that translates into sustained support and commitment for robust participation throughout the CIP process.

    This presentation can be customized to obtain buy-in and approval to engage in the CIP process. This resource is part of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • This checklist, developed by the USAID-funded Health Policy Project, draws from lessons learned and best practices moving from policy to action. It is meant to provide guidance to stakeholders on how to contribute to a policy environment that supports countries to fulfill their FP2020 commitments. The tool allows users to compare current policies with the best practices discussed in this document, to assess whether current policies need to be revised or better implemented, and whether new policies should be developed. 

  • In order to assess the pricing policies of family planning (FP) products and understand the impact of these policies on the accessibility of family planning services, the USAID-funded Health Policy Project (HPP), collaborated with the USAID | DELIVER Burkina Faso, Mauritania, Niger and Togo to formulate regional and national recommendations for improving contraceptive pricing policies to ensure the availability and sustainability of FP programs in West Africa.

  • The United Nations Population Fund and the USAID-funded Health Policy Project used the Gather, Analyze, and Plan (GAP) Tool to analyze data on Zimbabwe’s demographic patterns and family planning (FP) costs. The analysis is intended to give decisionmakers in Zimbabwe a picture of the additional investment in FP that will be needed to achieve the country’s FP2020 goals.

  • The right to freely and responsibly decide if, when, and how many children to have has been enshrined in numerous international treaties, conventions, and political consensus documents. Governments are obligated to manifest their international commitments to family planning and reproductive health and rights through their policies and funded programs, at the national, state/province, and local level. Yet the reality on the ground is that for most countries worldwide, from the least to the most developed countries, governments fail in many respects to operationalize these international commitments.

    In recent years, the international development community has turned its attention to the role of accountability in achieving greater impact of development interventions.Social accountability is characterized primarily by the active involvement of citizens engaging with government decision-making processes to ensure government fulfills its commitments and implements policies and programs appropriately. While the FP/RH community has a long-standing commitment to advocacy and social mobilization to advance reproductive rights, some social accountability concepts and interventions are relatively new to the FP/RH community. This guidance document is a primer for CSOs working in health that are looking to initiate or expand activities aimed to hold government entities accountable for delivering on their national and international commitments related to family planning/reproductive health and rights.

    This document provides:

    • An overview of current concepts of social accountability.

    • A synopsis of common methodologies and tools used by civil society to engage in social accountability.

    • Ideas and examples on how social accountability can be used to further FP/RH within a country.

    • Suggestions on what elements CSOs might take into consideration when deciding to implement a particular methodology

    • A selection of documents and resources that may be helpful in implementing social accountability activities.

  • Ministries of health are largely responsible for achieving the commitments that their national governments have made as part of the FP2020 initiative. As stewards, ministries of health are responsible for fostering effective policy implementation. Yet, putting policies into practice is challenging, and all too often policy implementation is weak. This brief identifies three ways for ministries of health to address barriers to policy implementation and strengthen their role as stewards of national FP2020 efforts. It is part of a series of three briefs produced by the USAID-funded Health Policy Project to provide guidance to MOH officials and members of parliament (MPs) on three different approaches to strengthen MOHs’ stewardship functions for FP2020. The other briefs in the series are Stewardship for FP2020 Goals: The Role of Parliamentarians, and Stewardship for FP2020 Goals: Working with the Private Sector.

  • Ministries of health (MOHs) are largely responsible for achieving the commitments that their national governments have made as part of the FP2020 initiative, which aims to enable 120 million more women and girls to use contraceptives by 2020. However, MOHs’ ability to meet FP2020 goals depends on the strength of their stewardship functions, including the support they generate from and collaboration with other actors and sectors.This brief describes four skills that parliamentarians can develop and strengthen to become more effective at lobbying for, demanding, and securing additional funding for FP. It is part of a series of three briefs produced by the USAID-funded Health Policy Project to provide guidance to MOH officials and members of parliament (MPs) on three different approaches to strengthen MOHs’ stewardship functions for FP2020. The other briefs in the series are Stewardship for FP2020 Goals: Working with the Private Sector, and Stewardship for FP2020 Goals: MOH Role in Improving FP Policy Implementation.

  • Ministries of health (MOHs) are largely responsible for achieving the commitments that their national governments have made as part of the FP2020 initiative, which aims to enable 120 million more women and girls to use contraceptives by 2020. The ministries' ability to meet FP2020 goals depends on the strength of their stewardship functions, including collaboration with and support they generate from other actors and sectors. This brief describes how ministries of health can strengthen linkages with the private sector to achieve FP2020 goals. It is part of a series of three briefs produced by the USAID-funded Health Policy Project to provide guidance to MOH officials and members of parliament (MPs) on three different approaches to strengthen MOHs’ stewardship functions for FP2020. The other briefs in the series are Stewardship for FP2020 Goals: The Role of Parliamentarians, and Stewardship for FP2020 Goals: MOH Role in Improving FP Policy Implementation.

  • At the Ouagadougou Partnership and Family Planning 2020 (FP2020) meetings, governments committed to improving access to family planning services and information. Costed Implementation Plans (CIPs) for family planning services and information provide a framework and tools for governments to achieve their international family planning commitments. This booklet, prepared by the Health Policy Project, highlights the methodology behind CIPs, walks through 10 steps for designing and implementing a national CIP for family planning, and shares experiences from seven African countries that have developed national CIPs for family planning to inform their decision making. It is estimated that implementation of the CIPs will accelerate each country's progress toward both achieving its target contraceptive prevalence rate and reducing maternal and child mortality.  

  • This manual provides the user with step-by-step instructions to apply the GAP Tool (Gather, Analyze, and Plan). The GAP Tool is a simple Excel-based tool to help policymakers, ministry officials, health officials, and advocates understand and plan for the costs associated with expanding family planning to achieve their country's contraceptive prevalence or fertility goals. The two main outputs produced by the tool are the country’s funding gaps for a national family planning program and for family planning commodities. 

    The U.S. Agency for International Development (USAID) supported development of the GAP Tool through the USAID | Health Policy Initiative, Task Order 1, and continues to support work on the tool, as well as this manual, through the Health Policy Project. 

  • Using the ImpactNow model, the USAID-funded Health Policy Project collaborated with the Amhara Regional Health Bureau (RHB) to estimate the near-term benefits of achieving Ethiopia’s ambitious family planning goals in the region. This brief summarizes key health and economic benefits associated with achieving these goals and offers recommendations for the Regional Health Bureau to increase investment in and improve family planning services. The analysis found that if the contraceptive prevalence rate (CPR) in the Amhara Region increases from 46 percent in 2014 to 73 percent in 2020 and if women adopt more long-acting and permanent methods (LAPMs), family planning would save the lives of 13,000 mothers and 112,000 children over that time period. Moreover, compared to current trends in the CPR, the Amhara Region would save an additional US$19 million in maternal and child healthcare costs. Using these results, the RHB promotes data-driven FP policy development and can advocate for increased access to family planning and LAPMs to achieve national FP goals in the region. 

  • The USAID-funded Health Policy Project applied its new ImpactNow model to estimate the near-term benefits of achieving the FP2020 goals in Zimbabwe. This brief describes some key benefits associated with achieving these goals, and offers recommendations for the government of Zimbabwe and development partners to increase investment in and improve family planning services in the country.

  • This booklet presents an analysis of family planning (FP) in Zimbabwe and explains how FP saves the lives of women and children, promotes economic development, and saves money in other areas of development. It also examines the funding gap that Zimbabwe must address to achieve its FP2020 objectives.

    The analysis was conducted by a group of partners from the Zimbabwe Ministry of Health and Child Care, the Zimbabwe National Family Planning Council, the United Nations Population Fund Zimbabwe (with pooled funding from the United Kingdom Department for International Development, the Government of Sweden, and Irish Aid), and the Health Policy Project (funded by the United States Agency for International Development).