Family Planning

LAC SOTA
Miami, FL
March 15, 2001
 Emergency Contraception (EC)

Yes, you can.

Discussing EC does not violate Mexico City
Policy
EC is not an abortifacient
New WHO data
Levonorgestrel - better efficacy and fewer
side effects
 Why bother? EC is the ONLY post-
coital contraception available.
High unintended pregnancy/unsafe
abortion rates
Increase in focus on dual protection and
condom promotion
Increase in services for victims of sexual
assault
You dont need a dedicated product.
 Post Abortion Care (PAC)

PAC is a service delivery strategy built

around three elements
emergency treatment of complications of
spontaneous or induced abortion
post abortion family planning couseling,
referral and services
linkages to other reproductive health
services
 You may not need MVA.
If SC and D&C are available , MVA not
necessarily required.
Need to weigh the few advantages against
the introduction costs.
Its easier and more effective to
introduce PAC when there are viable
post-partum contraception programs.
Contraception may be provided directly or
through referrals.
 Involve men.
They want to participate.
Their participation increases the likelihood
of positive outcomes.
PAC should be decentralized and
extended to outpatient services in
health centers and posts.
MVA is needed for this.
 Gender

What is gender?
The economic, social, political and cultural
attributes and opportunities associated with
being male or female.
The social definitions of what it means to
be male or female vary among cultures
and change over time.
 Taking gender into consideration
maximizes reproductive health
outcomes.
USAID directives
ADS 200 & 300 series require integration
of gender in RFAs and RFPs
The Interagency Gender Working
Group
What it is and how it can help you
 Contraceptive Security

No product, no program
Four elements
Estimation
Resources
Procurement
Delivery
 LAC Issues
Role of the private sector
Lead time
Leveraging resources for increased
program impact