policy Strategic Budgeting Process for Scale-Up of Family Planning Costed Implementation Plans (CIPs) for Family Planning

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1 Strategic Budgetig Process for Scale-Up of Family Plaig Costed Implemetatio Plas (CIPs) for Family Plaig Aie Che Nichole Zlatuich Modibo Maiga Doald Dickerso policy November

2 Ackowledgmets Doors who have supported the Costed Implemetatio Pla (CIP) process iclude: Ouagadougou Partership Bill & Melida Gates Foudatio Uited States Agecy for Iteratioal Developmet (USAID) Techical parters who have supported the process iclude: Health Policy Project (HPP), Futures Group Futures Istitute FHI 360 Clito Health Access Iitiative (CHAI) Advace Family Plaig (AFP) This booklet was prepared by the Health Policy Project. The Health Policy Project is a five-year cooperative agreemet fuded by the Uited States Agecy for Iteratioal Developmet (USAID) uder Cooperative Agreemet No. AID-OAA-A , begiig September 30, It is implemeted by Futures Group, i collaboratio with CEDPA (part of Pla Iteratioal USA), Futures Istitute, Parters i Populatio ad Developmet Africa Regioal Office (PPD ARO), Populatio Referece Bureau (PRB), RTI Iteratioal, ad the White Ribbo Alliace for Safe Motherhood (WRA). 2

3 At the Ouagadougou Partership ad Family Plaig 2020 (FP2020) meetigs, govermets committed to improvig access to family plaig (FP) services ad iformatio. Natioal Costed Implemetatio Plas (CIPs) for family plaig provide a framework ad tools for govermets to achieve these iteratioal family plaig commitmets. Foreword This booklet: Itroduces the methodology ad tools behid atioal Costed Implemetatio Plas for family plaig Walks through te steps for desigig ad implemetig a atioal CIP for family plaig Shares experieces from Africa coutries that have developed a atioal CIP for family plaig to iform their decisio makig 3

4 Cotext The Ouagadougou Partership & FP2020 Coutries The Ouagadougou Partership ad FP2020 meetigs geerated global commitmets from coutries to make highquality, volutary family plaig services, iformatio, ad supplies more available, acceptable, ad affordable Coutries that are part of: Ouagadougou Partership FP2020 Both Core goals of these commitmets are coutry-drive plaig ad accoutability for atioal family plaig programs Doors committed to support fudig, techical assistace for implemetatio, ad moitorig 4

5 Usig CIP tools ad methodologies, coutries ca develop a targeted atioal pla to address priority family plaig eeds. Issue: Meetig Ouagadougou Partership ad FP2020 commitmets without a systematic, atioal actio pla for family plaig is challegig. Cotext Solutio: Coutries aalyze family plaig eeds, develop atioal strategies, ad determie approaches to attai the ambitious commitmets made i the Ouagadougou process ad at the Lodo FP Summit to be implemeted through FP

6 Cotext Beefits of Costed Implemetatio Plas for family plaig iclude that they: Clarify coutry strategies CIPs articulate the coutry s cosesus-drive priorities for family plaig Detail activities ad a implemetatio roadmap Esure that all ecessary activities are icluded with defied targets Determie impact Develop estimates of the demographic, health, ad ecoomic impacts of the atioal family plaig program Defie a budget Determie detailed costs associated with the atioal family plaig program Secure commitmet Determie ad secure curret door ad atioal govermet commitmets, idetify fudig gaps, ad develop a advocacy pla to esure adequate fudig is raised Moitor progress Measure activity implemetatio to help esure coutry objectives are met 6

7 Buildig i coutry owership from the start is essetial to the developmet of CIPs Good coordiatio amog the miistries, civil society, ad implemetig parters is critical The CIP process esures that existig coordiatig mechaisms, ogoig efforts, ad techical ad fiacial parters i the specific coutry are ivolved Each CIP is uique because it addresses the specific coutry cotext ad strategic priorities for family plaig, ad leverages existig local resources ad expertise Cotext 7

8 Methodology 10-step methodology to develop coutry-owed atioal Costed Implemetatio Plas for family plaig 1 Govermet requests a Costed Implemetatio Pla 2 Develop a Techical Support Team Coduct a ladscape aalysis for FP Prioritize key FP itervetios Refie the Natioal Actio Pla for FP Estimate the demographic, health, ad ecoomic impacts Fialize the Natioal Actio Pla for family plaig Estimate costs ad fiacig gaps Performace maagemet Natioal Advocacy Day 8

9 Costed Implemetatio Plas iclude: 1 A Natioal Actio Pla for family plaig A detailed list of activities to be implemeted with a correspodig timelie Detailed activity-based budgets A estimate of costs for the Natioal Actio Pla with fiacial gap aalysis Optioal elemets that coutries may select iclude: Tools Impact estimates of demographic, health, ad ecoomic impacts A atioal ladscape aalysis for family plaig Moitorig ad evaluatio (M&E) tools Regioalizatio of activities ad budgets Marketig ad commuicatios materials 1 Zlatuich, N Costed Implemetatio Plas for Family Plaig, Washigto, DC: Futures Group, Health Policy Project. 9

10 10 Lessos Leared from Africa Coutries

11 Lessos leared from implemetig CIPs for family plaig i the followig coutries: Lessos Leared Burkia Faso Guiea Mauritaia Niger Togo Seegal Zambia 11

12 Burkia Faso At the Ouagadougou Partership meetig, Burkia Faso set a ambitious target to icrease its cotraceptive prevalece rate (CPR) to 25 percet by 2015, which will require a additioal 332,000 ew moder cotraceptive users. Moder Cotraceptive Usage Married wome years old +332, , , Target 2015

13 To achieve its iteratioal commitmets, Burkia Faso decided to develop a Costed Implemetatio Pla for family plaig. The CIP process i Burkia Faso icluded: Coveig the govermet of Burkia Faso, doors, civil society, ad represetatives from the commuity to prioritize key family plaig eeds Usig data ad iterviews o family plaig policies, programs, ad fiacig to iform the Natioal Actio Pla o family plaig ad impact measures Projectig future family plaig eeds based o existig demography ad FP services Burkia Faso 13

14 Burkia Faso 14 As a result of implemetig a CIP for family plaig, by 2015 a additioal 399,000 wome will have access to moder cotraceptive methods i Burkia Faso. Regios Additioal wome usig moder cotraceptives, (i thousads) Cetre 101 Boucle du Mouhou 46 Hauts Bassis Cetre-Ouest Cetre-Est Est Nord Cetre-Nord Total 399,000 Sahel Cetre-Sud Plateau Cetral Cascades Sud-Ouest

15 At the Ouagadougou Partership meetig, Guiea set the ambitious target of icreasig its cotraceptive prevalece rate to 22.1 percet by 2018, requirig a additioal 521,000 ew users of moder cotraceptives for a total of 772,000. Moder Cotraceptive Usage Married wome years old Wome ot usig moder cotraceptio Wome usig moder cotraceptio ,665 2,707 2,691 2,642 Guiea 2250 Thousads CPR 7% 8% 13.6% 22.1% 15

16 Guiea To achieve the iteratioal commitmets it made at FP2020, Guiea developed a atioal CIP for family plaig. Implemetig Guiea s atioal CIP for family plaig would avert 16,500 ifat deaths ad 2,000 materal deaths by Ifat Mortality Rate Implemetatio of CIPs, Without actio pla With actio pla Thousads

17 Mauritaia set the ambitious goal of icreasig its cotraceptive prevalece rate to 18.5 percet by 2018, requirig 55,000 ew users ad a total of 115,000 wome usig moder cotraceptives. Moder Cotraceptive Usage Married wome years old Mauritaia , ,353 Wome ot usig moder cotraceptio Wome usig moder cotraceptio 741, , Thousads CPR 10% 11% 14.6% 18.5% 17

18 Mauritaia To achieve the iteratioal commitmets it made at FP2020, Mauritaia decided to develop a Costed Implemetatio Pla for family plaig. Implemetatio of the CIP from would give 55,000 more wome i Mauritaia access to moder cotraceptives. The CIP process i Mauritaia icluded: Coveig the govermet of Mauritaia, doors, civil society, ad represetatives from the commuity to develop a detailed pla that addresses family plaig holistically by focusig o icreasig the demad ad supply of family plaig services ad commodities, creatig a eablig eviromet for family plaig, ad improvig moitorig ad coordiatio Usig data o family plaig policies, programs, ad fiacig to iform the Natioal Actio Pla o family plaig ad to project future fiacial gaps Lauchig a Advocacy Day to dissemiate the CIP ad advocate for iteratioal doors to parter with Mauritaia to implemet its Natioal Actio Pla 18

19 Niger set the ambitious target of icreasig its cotraceptive prevalece rate to 25 percet by 2015, ad to 50 percet by 2020, requirig 450,000 ew moder cotraceptive users by Thousads Moder Cotraceptive Usage Married wome years old 3,108 2,701 Wome ot usig moder cotraceptio Wome usig moder cotraceptio 3,207 3,307 3,407 2,555 3,507 3,607 3,708 3,808 3,908 1,954 Niger , CPR 25% 50% 19

20 Niger To achieve its iteratioal commitmets, the govermet of Niger developed a CIP for family plaig. Implemetatio of the CIP would give 499,000 more wome access to moder cotraceptives by Regio Aual target CPR Additioal wome who have access to moder cotraceptives Niamey +6.0% +76,000 Agadez +3.3% +14,000 Dosso +4.0% +59,000 Tahoua +4.0% +78,000 Tillabéri +5.0% +85,000 Zider +5.0% +96,000 Maradi +3.0% +85,000 Diffa +1.5% +5,000 Total +4.5% +499,000 20

21 At the Ouagadougou Partership ad FP2020 meetigs, Seegal set a ambitious goal of icreasig its cotraceptive prevalece rate to 27 percet by 2015 ad to 45 percet by 2020, requirig the additio of 360,000 ew moder cotraceptive users by Seegal Moder Cotraceptive Usage Married wome years old +350, , , Target 2015 CPR 12% 27% 21

22 Seegal To achieve the iteratioal commitmets it made at the Ouagadougou Partership ad FP2020 meetigs, the Republic of Seegal developed a CIP for family plaig. The CIP process i Seegal icluded: Three Techical Committee meetigs ad workshops to esure the process was coutry-owed ad coutry-drive from iceptio A ladscape aalysis of family plaig policies, programs, ad fiacig Meetigs with Chief Medical Officers i two regios, the Miister of Health ad Social Welfare, ad the Cabiet to approve the Natioal Actio Pla for family plaig Establishmet of workig groups to defie strategic actios i Seegal A caledar for implemetatio Developmet of performace measures A atioal Advocacy Day 22

23 Implemetatio of Seegal s CIP icludes plas to icrease ivestmet i commuicatio ad advocacy, ad i the availability of FP services ad commodities. The real impact of implemetig the CIP i Seegal would mea a additioal 360,000 wome will have access to moder family plaig methods by Seegal 23

24 Togo At the Ouagadougou Partership meetig, Togo set the ambitious target of icreasig its cotraceptive prevalece rate to 20.6 percet by 2015, requirig a additioal 211,683 ew moder cotraceptive users. Moder Cotraceptive Usage Married wome years old 1500 Wome ot usig moder cotraceptio Wome usig moder cotraceptio 1,343,301 1,375,119 1,389,164 1,404, Thousads CPR 13.2% 15.2% 20.6% 24.3%

25 To achieve the iteratioal commitmets it made at the Ouagadougou Partership meetig, Togo decided to develop a Costed Implemetatio Pla for family plaig. The CIP process i Togo icluded: Developig a ladscape aalysis of family plaig i Togo which guided the developmet of atioal strategies that build o existig commuity-based efforts to improve family plaig Usig data ad iterviews o family plaig policies, programs, ad fiacig to idetify fiace gaps ad opportuities Developig seve mechaisms to moitor, evaluate, ad coordiate family plaig efforts at all levels Togo 25

26 Togo The real impact of implemetig Togo s Costed Implemetatio Pla for family plaig would avert 369,000 ifat deaths ad 17,500 materal deaths by By 2050, the CIP would also save a total of USD$185 millio (90 billio F CFA). F CFA (i billios) Without Actio Pla With Actio Pla billio F CFA saved

27 At the FP2020 meetig, the govermet of Zambia pledged to icrease the cotraceptive prevalece rate from 33 percet i 2007 to 58 percet by The govermet decided to develop a CIP to esure that curret gaps i family plaig i Zambia will be adequately addressed. Strategic priorities i Zambia iclude: FP demad geeratio ad behavior chage commuicatio Adolescets ad youth Staff ad traiig Access to FP services for rural ad uderserved populatios Stockouts at service delivery poits FP goverace structure ad FP policy moitorig ad coordiatio Zambia 27

28 Zambia Implemetatio of Zambia s CIP from would: Avert 3.5 millio uiteded pregacies Avert 104,177 child deaths ad 9,926 materal deaths Save 1,492 millio Zambia kwacha (ZMW) 300 Savigs due to implemetatio of the CIP 28 ZMW (i millios)

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31 Frot cover photo: Pierre Holtz, UNICEF, Humaitaria ad Developmet Partership Team Page 1 photo: Adre Thiel Page 3 photo: Uited Natios Page 21 photo: Ami Vitale, The World Bak Back cover photo: Pierre Holtz, UNICEF, Humaitaria ad Developmet Partership Team 31

32 The MCDMCH would like to ecourage all stakeholders to commit to this importat scale-up pla to reach our family plaig goal for 2020, so that we ca cotiue to save lives, ad wome ad families ca cotiue to fully ejoy the beefits of family plaig. Ho. Dr. Joseph Katema, MP, Zambia Health Policy Project (HPP) Futures Group Oe Thomas Circle, NW, Suite 200 Washigto, DC Tel: (202) Fax: (202)