COSTED IMPLEMENTATION PLANS (CIPs) FOR FAMILY PLANNING A BACKGROUND ATTAINING SUSTAINABLE FINANCING FOR FAMILY PLANNING IN SUB-SAHARAN AFRICA ACCRA, JANUARY 2018 Modibo Maiga 1
WHAT ARE CIPs? Concrete, specific plans for achieving the goals of a national family planning program over a set number of years Detail the program activities necessary to meet national goals Detail the costs associated with the activities Indicate the resources a country must raise domestically and from partners to achieve goals 2
WHAT IS THE PURPOSE OF THE CIP? The CIP for family planning serves as the strategy execution plan to achieve the country s family planning goals Fosters a unified country strategy for family planning Serves as a roadmap for implementation Estimates the impacts of interventions Includes a budget Indicates resource commitments Guides progress monitoring
AREAS COVERED BY A CIP Demand creation Service delivery and access Contraceptive security Policy and enabling environment Financing PHOTO BY DIANA MRAZIKOVA Supervision, monitoring, and coordination
PRODUCTS OF THE CIP PROCESS A national CIP document, including: A detailed list of activities to be implemented with a corresponding timeline Detailed activity-based budgets Impact estimates of demographic, health, and economic impacts Optional products include: A financial gap analysis Regionalization of activities and budgets Monitoring and evaluation (M&E) tools Marketing and communications materials (e.g., brochures) 5
CIP ACTIVITY MATRIX Activity Strategic Priority Sub-activity Details Inputs Timeline Output Indicators (per year identified in timeline) Person/ Organization Responsible DC 1.4 Implement communications strategy and monitor impact of communications messages 1, 2, 4, 6 DC 1.4.1 Disseminate communications strategy to stakeholders, FP coordinators, partner organizations, and frontline community workers Print communications strategy in English Printing: 300 copies of the 10- page key message document 100 copies of the 50- page strategy Dissemination meeting: 2017 Number of copies of communication strategy printed and disseminated (target: 300) HEU Engaging: USAID, PSI, BLM, FPAM At hotel in Lilongwe 50 people Transport allowance (25) Accommodation (25) Refreshments Lunch Per diems (25) 6
CIPs BY THE NUMBERS 69 FP2020 Focused Countries 41 Commitment Making Countries 38 Engaged in the CIP Process 3 Plan 6 Development 29 Execution 24 CIP 1.0 5 CIP 2.0 7
HOW MUCH MONEY IS NEEDED FOR FAMILY PLANNING? 140000000 Annual Cost of the CIP 120000000 100000000 80000000 60000000 40000000 20000000 0 8
EXISTING RESOURCES FOR CIP EXECUTION ARE INADEQUATE Source: Zlatunich, N. and T. Couture. 2015. 2015 Gap Analysis for Uganda Family Planning Costed Implementation Plan, 2015 2020. Washington, DC: Futures Group, Health Policy Project. 9
THE CIP IS NOT COMPLETE ONCE LAUNCHED Technical assistance is needed after the CIP launch Must have strong and reliable management systems The CIP should be disseminated Sub-national planning and implementation is vital, especially in decentralized countries
CIP EXECUTION: ACHIEVEING RESULTS MAPPING RELATIONSHIPS IN CIP
CIP DASHBOARD MEASURES PROGRESS IN EXECUTION
INDICATIONS OF STRONG RESOURCE MOBILIZATION FOR FAMILY PLANNING An active and dedicated resource mobilization effort is in place Mechanisms are in place to fill financing gaps on an annual basis Actual resource expenditures for government are tracked against resource requirements in the CIP Budget advocacy is conducted by implementing partners to secure the necessary resources to execute the CIP Budget advocacy is informed by resource and performance tracking efforts of the CIP 13
RESOURCE MOBILIZATION STRENGTHS AND OPPORTUNITIES Reported Strengths Reported Opportunities Partners coordinate with the government to align and harmonize resource allocation for CIP activities Decentralized budgets frequently do not have a line item for family planning Insufficient expenditure tracking and use of data to advocate for increased resources/policy change There is a line item in the national budget dedicated to family planning activities Government stakeholders do not coordinate internal financing priorities to align with family planning goals 14
SUMMARY CIPs are evidence-driven roadmaps for improving family planning programs and meeting national (or subnational) family planning goals, and contribute to achieving development objectives CIPs include annual figures for the resources required for the family planning program, broken down by activity Many CIPs are not being fully implemented due to inadequate resources; resource mobilization is critically needed Think of the last few slides are there best practices that are feasible in your country and that you will discuss implementing with your team? 15
DOMINIC CHAVEZ/WORKD BANK Modibo Maiga Regional Director Health Policy Plus, West Africa Accra, Ghana Modibo.Maiga@thepalladiumgroup.com Health Policy Plus (HP+) is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-15-00051, beginning August 28, 2015. HP+ is implemented by Palladium, in collaboration with Avenir Health, Futures Group Global Outreach, Plan International USA, Population Reference Bureau, RTI International, ThinkWell, and the White Ribbon Alliance for Safe Motherhood. This presentation was produced for review by the U.S. Agency for International Development. It was prepared by HP+. The information provided in this presentation is not official U.S. Government information and does not necessarily reflect the views or positions of the U.S. Agency for International Development or the U.S. Government. 16
NIGERIA CIP MAP Strategic Vision: Increase contraceptive prevalence rate from 15% in 2013 to 36% by 2018 BENEFICIARY VALUES Women of Reproductive Age S1. WRA are more knowledgeable about and act on informed fertility choice S2. WRA have improved access to affordable FP options S3. Youth are more knowledgeable about and act on informed fertility choice Youth S4. Youth have improved access to affordable FP options Men S5 Men are more knowledgeable about and are accepting of FP. which drive DEMAND GENERATION SERVICE DELIVERY SUPPLY CHAIN POLICY & ENVIRONMENT DIRECT BENEFICIARY- IMPACT PROCESSES Increase the number of Nigerians that are provided with accurate information on contraceptive methods and where to access them. Increase the number of religious and opinion leaders who support the use of Family Planning Increase the number of facilities providing high quality youth-friendly FP services Increase percentage of facilities (both public and private) which provide quality family planning services Strengthen forecasting, procurement, and logistics management capacity at all levels Ensure contraceptives are available at all service delivery points, including private sector, at all times Increase the number of states that are implementing relevant FP/RH policies and guidelines, including FP CIPs Increase the number of policy makers and opinion leaders who realize the importance of FP that deliver Health facilities have adequate # and category of trained staff according to national guidelines to provide LARC services SUPERVISION, MONITORING & COORDINATION Build capacity at all levels for FP programming and coordination Improve collection, collation, reporting, and use of data at all levels of the healthcare delivery Ensure State and Federal level FP policies are in place and consistent that supports FINANCING Mobilize new FP resources through innovative mechanisms including private sector Increase funding for FP, and ensure timely release of funds from federal and state budgets Increased domestic resources for FP, both at federal and state government levels ENABLING BODIES State & Federal Government Private Sector Donors Community/Traditional Leaders Providers Implementing Partners