FAMILY PLANNING

PROGRAM

ORIENTATION OF NDPs
 Family Planning Program
 A national mandated priority public health program to attain
the country’s national health development
 A health intervention program and an important tool for the
improvement of the health and welfare of mothers, children
and other members of the family
 Provides information and services for the couples of
reproductive age to plan their family according to their
beliefs and circumstances through legally and medically
acceptable family planning methods
FOUR BASIC PRINCIPLES OF FP

1.RESPECT FOR LIFE

2.RESPONSIBLE
PARENTHOOD
3.BIRTH SPACING
4.INFORMED CHOICE
 MDG 5- IMPROVE MATERNAL HEALTH
FAMILY PLANNING PROGRAM INDICATORS
1. CONTRACEPTIVE PREVALENCE RATE
INDICATOR :

DEFINITION
 MDG 5- IMPROVE MATERNAL HEALTH

CONTRACEPTIVE PREVALENCE RATE

INDICATOR : FORMULA

CU (end of the
month) /
Eligible Pop (
 MDG 5- IMPROVE MATERNAL HEALTH

FAMILY PLANNING PROGRAM TERMS

DEFINITION OF TERMS
 MDG 5- IMPROVE MATERNAL HEALTH

FAMILY PLANNING PROGRAM

DEFINITION OF TERMS
 MDG 5- IMPROVE MATERNAL HEALTH
FAMILY PLANNING PROGRAM INDICATORS
2. CURRENT USERS
DEFINITION
 MDG 5- IMPROVE MATERNAL HEALTH
FAMILY PLANNING PROGRAM INDICATORS
2. CURRENT USERS -FORMULA
FORMULA
 MDG 5- IMPROVE MATERNAL HEALTH
FAMILY PLANNING PROGRAM INDICATORS
3. NEW ACCEPTORS
DEFINITION
 MDG 5- IMPROVE MATERNAL HEALTH
FAMILY PLANNING PROGRAM INDICATORS
2. DROPOUTS
DEFINITION
MDG 5- IMPROVE MATERNAL HEALTH
MDG 5- IMPROVE MATERNAL HEALTH
MONTH Curren ACCEPTORS Drop Out Current Users New
t Users (present (End of the Accepto
(Beginn Month) Month) rs
ing New Other Present
Month) Accepto Accept Month
rs ors
(Previou (Prese
s Month) nt
Month
)
January 15 8 7 1 29 (15+8+7-1) 6

February 29 6 4 2 37 (29+6+4-2) 3

March 37 3 9 5 44(37+3+9-5) 4
 MDG 5- IMPROVE MATERNAL HEALTH
FP MONTHLY COMPUTATION –SAMPLE
COMPUTATION 1
Using the table below, compute for the CPR of Brgy. 1
for the month of March. Brgy. 1’s total population is
1055.
MONTH Current ACCEPTORS Drop Current Users (End of New
FORMULA: UsersCU/(TOTAL Pop * Out 12.325%)
the Month) Acceptors
(Beginni (prese Present
=44/ (1055*12.325%)
ng New
Acceptors
Other
Accepto
nt Month
Month) Mont
(Previous rs
=44/130 Month) (Present
h)
Month)
CPR=33.8%
January 15 8 7 1 29 (15+8+7-1) 6
February 29 6 4 2 37 (29+6+4-2) 3
March 37 3 9 5 44(37+3+9-5) 4
Strategies
 AO 2008-0029
Implementing Health Reforms for Rapid
Reduction of Maternal and Neonatal Mortality

DH Decelerate or
decline in
maternal and
neonatal
mortality
rates
 MNCHN Strategy

Every pregnancy is wanted, Every pregnancy is

planned and supported adequately managed

Intermediate
Goals
Every mother and newborn pair secures proper
Every delivery is facility- postpartum and postnatal care with smooth
based and managed by skilled transitions to the women’s health care
package for the mother and child survival
health professional package for the newborn.
Responsible Parenthood
and Reproductive Health
Republic Act 10354

 Responsible Parenthood
and Reproductive Health
Act of 2012 (RPRH Act)

 IRR signed March 15,

2013
 Responsible Parenthood (RP)

- the will and ability of a parent to respond to the needs and

aspirations of the family and children.
- a shared responsibility between parents to determine and
achieve the desired number of children, spacing and
timing of their children according to their own family
life aspirations, taking into account psychological
preparedness, health status, sociocultural and economic
concerns consistent with their religious convictions
 Reproductive Health (RH)

 the state of complete physical, mental and social well-being

and not merely the absence of disease or infirmity, in all
matters relating to the reproductive system and to its
functions and processes.

- This implies that people are able to have a responsible, safe,

consensual and satisfying sex life, that they have the
capability to reproduce and the freedom to decide if, when,
and how often to do so. This further implies that women and
men attain equal relationships in matters related to sexual
relations and reproduction.
 Access to Services

 All accredited public health facilities shall

provide a full range of modern FP methods
 Private health care facilities (to paying patients,
with option to grant free to indigents)
 48 hrs/year pro bono RH services -> PhilHealth
accreditation (except conscientious objectors)
 Benchmarks for measuring the adoption of
Family Planning practices, 2011-1016

Benchmark 2011 2016

Reduced Population Growth Rate (%) 2.12 1.9

Reduced total fertility rate (No. of 3.1 2.1

children that a woman could have
during her reproductive period)

Increased Contraceptive Prevalence 48.9 65

Rate (%)
Increased use of modern FP (%) 36.9 60.0
Reduced unmet FP needs (%) 19.3 50
Challenge #1. Increasing contact between non-users &
FP service providers

2003 NDHS 2008 NDHS

Percentage (MWRA) who were 11.5 9.6

visited by fieldworker

MWRA who visited a health 13.6 12.3

facility and discussed FP

(MWRA) Neither discussed 80.3 82.5

family planning with fieldworker
nor at a health facility
 Challenge #2. Reducing Unmet Needs for Family
Planning

FHS 2006 FHS 2011

Unmet Need 15.7% 19.3%
Spacing 8.4% 10.5%
Limiting 7.3% 8.8%
Three important factors that contribute to unmet need
Casterline, JB, Perez AE, Biddlecom, AE (1997). Factors underlying unmet need for family planning
in the Philippines

(1) strength of women’s reproductive preferences

(2) husband's fertility preferences
(3) perceived detrimental side effects of contraception
Anong Plano mo?
Challenge #3.Bridging the gap between
knowledge/ awareness of FP from demand
generation and actual service provision/FP
method acceptance

 Demand-generation activities are conducted; but

services are not immediately available to those
interested

 Commodities/Services are available at the

birthing home and other commercial sources; but
demand-generation activities are insufficient
Informed Choice and
Voluntarism
 DOH Administrative Order 2011-0005

A.O. 2011-005-Guidelines on Ensuring Quality

Standards in the Delivery of Family Planning
Program and Services through Compliance to
Informed Choice and Voluntarism
Coverage and Scope

 All DOH units

 DOH Attached agencies including POPCOM and PHIC

 NGOs

 Public and private health facilities providing

FP services
Definition of Terms
 Informed Choice
freely making one’s own decision based on accurate and
complete information on a broad range of available modern
FP methods
 Voluntarism
decision making on the choice of FP method based on
exercise of free choice and not obtained by any special
inducements or forms of coercion or misrepresentation
Specific Guidelines
 To ensure adherence to the principles of FP program:
 Service providers shall not be subjected to target/quota or
other numerical targets of total number of births, number of
FP acceptors or acceptors of a particular method

 No incentives, financial rewards, gratuities and bribes in

exchange of or to influence clients’ decision to accept a
method or to achieve service provider quota or target
Specific Guidelines
 Clients assured of availability, accessibility and affordability
of a broad range of FP methods to enable them to choose a
suitable method and to shift or switch when they decide to do
so

 No denial of any right or benefits including the right to

participate in any general welfare program or other health
services as consequence for not accepting FP services
Specific Guidelines

 Clients will be provided with correct, evidence-based and

comprehensible information on the benefits of chosen method
including contraindications and possible side effects

 Ensure proper referral system to meet the range of clients’ FP

needs

 Informed consent secured from potential acceptor of voluntary

sterilization prior to the procedure
 Program
Accomplishments
 2015
CPR TREND Target
CY 2012- 1st Q 2015 65%
Percentage

Year
 CONTRACEPTIVE PREVALANCE RATE 2015
Target
CY 2014 65%

CONTRACEPTIVE PREVALENCE RATE

BY PROVINCE AND HIGHLY URBANIZED CITY
WESTERN VISAYAS, CY 2014

100
90
80
Percentage

70
60 53.76 60.51 58.16 59.35
50 41.06 41.17 41.42 43.82
40
30
20 16.6
10
0
A N U E
PIZ A S
I L O E... I TY
I TY A S
L IQ AR C C Y
AK T CA I L O CID D O I SA
A N I M C L O I L V
O
GU S O I L O N
R O
B AC T ER
N EG ES
Provinces/HUCs W
 CONTRACEPTIVE PREVALANCE RATE 2015
Target
CY 2015 65%
Percentage

Provinces/HUCs
Data source: FP A1 and A2 November 2015
 Current Users Per method TOTAL CU
2014:
405, 296
CY 2014
Percentage

FP Methods
 Current Users Per method TOTAL CU
2014:
401,300
CY 2015
Percentage

FP Methods
 2015
NHTS WRA WITH UNMET NEEDS Target
50%
ON MFP Reduction

Dec 2014 vs November 2015

NHTS-PR SWRA WITH UNMET
NEEDS FOR MODERN FAMILY
PLANNING (MFP)
IDENTIFICATION AND SERVICE PROVISION
WHAT IS UNMET NEED ON
MODERN FP?

A CRITICAL GLIMPSE ON THE UNMET NEEDS ON MFP

Identifying and Estimating WRA with
Unmet Needs on MFP
WRA 1.37 per HH

Not SWRA SWRA 75%

Fecund Infecund

Wants to limit or
space having a
Currently Pregnant Wants a child soon
child in the next 2
years

30% Currently using a

MFP method
Not using any
MFP method 36%
 INITIAL DOH ESTIMATES OF POOR WRA, CURRENT USERS AND
UNMET NEEDS
PROVINCE NHTS POOR HH NO. OF WRA NO. OF NO. OF NO. OF THOSE WHO WANTS TO
    AMONG SWRA FECU SPACE CHILDREN AMONG
NHTS AMON ND FECUND SWRA
POOR HH G SWRA
  WRA AMON
  G
WRA
  ESTIMATED MFP ESTIMATED
USERS UNMET
AMONG NEEDS
FECUND AMONG
SWRA FECUND
SWRA

             
Aklan 39,924 51,204 36,260 30,999 10,815 12,980
Antique 38,155 52,887 37,284 31,544 10,983 13,326
Capiz 39,855 57,412 40,358 34,309 11,937 14,430

Guimaras 16,155 11,470 9,818

11,148 3,421 4,105

Iloilo 122,770
177,698 127,119 108,602
37,998 45,527
Negros Occidental 138,664 197,534 138,982 118,117 41,162 49,707

 REGION VI  390,516 552,890  391,473  333,389 116,316 140,075

 Specific Activities for DOH
deployed HRH

1. NDPs identify target NHTS SWRA w/ UNMFP

estimates
2. CHT Partners identify SWRA w/ unmet needs during
monthly HH visits
3. CHT partners submit consolidated list to
RHMs/NDPs
4. NDPs to compare submitted lists by CHT partners w/
target estimates
 Specific Activities for DOH
deployed HRH
5. NDPs together with RHMs mobilize resources and conduct
Usapan sessions on SWRA w/ unmet needs identified
6. NDPs accomplish enlistment of SWRA w/ UNMFP served
(SWRA form 1), provides data to PHA for consolidation of
municipal data, furnish copy the RHMs/PHN then submits to
KPPPs
7. PHAs to conduct post validation of SWRA w/ UNMFP availed
of FP services, confirms # of Usapan defaulters to NDPs for
follow-up (raid)

8. KP PPs consolidates reports from mun, submits report to

region using MFP tracking tool
Reporting Tools
 SWRA FORM 1
LIST OF SWRA WITH UNMET NEEDS
MUNICIPALITY OF
MONTH OF

Name of NDP Conducting Usapan: __________________________________

Name of RHM Partner: ____________________________ FPCBT 1 Trained? Yes No

FPCBT 2 Trained? Yes No

Had 1-on1
Currently
Type of Usapan Session with
Pregnant? Using MFP
Desired attended HW after
Method? Service/
Contact Method/Service Usapan? Date
Participant's Name Signature Age Address Commodity Remarks
Number Yes Yes indicated in Provided
Provided
(What Action Card Pwede Kuntento
AOG (in No No Yes No
LMP MFP Pa Na
weeks) Method
 SWRA FORM 2
LIST OF WOMEN WITH UNMET NEEDS
MUNICIPALITY OF
MONTH OF

Had 1-on1
Currently Using Type of Usapan
Pregnant? Session with
FP Method? attended
Desired HW after
Service/
Contact Yes Method/Service Date
Participant's Name Age Address Commodity Remarks
Number Yes indicated in Provided
Pwede Kuntent Provided
AOG (in No (What FP No Action Card Yes No
LMP Pa o Na
weeks) Method?)

1
2
3
4
5
6
7
8
9
10
 SWRA FORM 3
WOMEN WITH UNMET NEEDS ON MFP TRACKING TOOL
Municipality of

New Identified Remaining SWRA with SWRA with Unmet Reduction in Unmet
Total SWRA Total SWRA with Remaining SWRA
Month SWRA with Unmet Needs from Needs who became Needs (%) Remarks
Visited Unmet Needs with Unmet Needs
Unmet Needs Previous Month New Acceptors (G/F*100)
 Form 3 sample consolidated

WOMEN WITH UNMET NEEDS ON MFP TRACKING TOOL

Municipality of ABC

New
Remaining SWRA with
Identified Total Reduction in Remaining
Total SWRA with Unmet
SWRA SWRA with Unmet SWRA with
Month SWRA Unmet Needs Needs who Remarks
with Unmet Needs (%) Unmet
Visited from Previous became New
Unmet Needs (G/F*100) Needs
Month Acceptors
Needs

January 30 15 0 15 10 66.67 5  
February 34 21 5 26 15 57.69 11  
March 42 18 11 29 20 68.97 9  
                 
FP Form A1
REPORTING
FORM A-1
DEPARTMENT OF HEALTH
RHO: VI
For the Month of January 2015

PERFORMANCE INDICATORS [FORM A-1] NHTS

# of WRA who became new acceptors (First Time Users) # of WRA who are current users of Modern FP
# of
WR Modern Natrual Family Modern Natrual Family
Dep Planning Dep Planning
A
ot Bila ot Bila
Act wit No- No-
Med Intr tera Med Intr tera
Esti ual h Sca TOT Sca TOT
mat # of Un rox aut l Sub rox aut l Sub
lpel AL lpel AL
ypr erin Tub - ypr erin Tub -
BARANGA ed # WR met Con Vas (Ne Con Vas (Cu
oge e al der Pill oge e al der
Y of A in Nee Pills do ect w do ect rren
WR HH d ster Dev Lig mal SD BB CM ST LA TOT s ster Dev Lig mal SD BB CM ST LA TOT t
ms om Acc ms om
one ice atio Imp M T M M M AL one ice atio Imp M T M M M AL
A Visi for y ept y Use
Ace (IU n lant Ace (IU n lant
ted Mo (NS ors) (NS rs)
der tate D) (BT tate D) (BT
V) V)
n (DM L) (DM L)
PA) PA)
FP
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
TOTAL                                                              
 
 
 
*WRA = Women of Reproductive Age, 15-49 years old
**Reporting and Recording as per FHSIS guidelines
 FP Form A2
REPORTING
FORM A-2
DEPARTMENT OF HEALTH
RHO: VI
For the Month of January 2015

PERFORMANCE INDICATORS [FORM A-2] NON-NHTS

# of WRA who became new acceptors (First Time Users) # of WRA who are current users of Modern FP
Dep Modern Natrual Family Dep Modern Natrual Family
ot Planning ot Planning
Bila Bila
Med No- Med No-
Esti Intr tera Sub TOT Intr tera
rox Scal rox Scal Sub TOT
mat aute l - AL aute l
ypr pel ypr pel - AL
BARANGA ed # Con rine Tub der (Ne Con rine Tub
oge Vas oge Vas der (Cur
Y of Pills do Dev al mna w Pills do Dev al
ster ecto ster ecto mal SD CM ST LA TOT rent
WR ms ice Liga l SD BBT CM ST LA TOT Acc ms ice Liga
one my M M M M AL one my Impl M BBT M M M AL Use
A (IUD tion Impl ept (IUD tion
Ace (NS Ace (NS ant rs)
) (BT ant ors) ) (BT
tate V) tate V)
L) L)
(DM (DM
PA) PA)
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
TOTAL                                                          
 
 
 
*WRA = Women of Reproductive Age, 15-49 years old
**Reportin                                                          
g and
Recording
as per
FHSIS
guidelines
 TOTAL
Remarks:
AREA
Pills

Intrauterin Device (IUD)

*DMPA = Depot Medroxyprogesterone Acetate

DMPA / Injectables
FP Form B

Sub-dermal Implant

Condom

Cycle Beads
Stock Level on Hand

Digital Thermometers

Basal Body Temperature

(BBT) Charts

Cervical Mucus Method

(CMM) Charts

Sympto-thermal Method
(STM) Charts
RHO: VI

Pills
For the Month of

Intrauterin Device (IUD)

*Stock on hand should not include stocks with expiry dates of less than 6 months, or those which are damaged [by water, rodents, fire, etc] DMPA / Injectables
FP Commodity Stock Status

Sub-dermal Implant

Condom

Cycle Beads
Monthly Usage
INVENTORY OF LOGISTICS & EQUIPMENT [FORM B]

Digital Thermometers

Basal Body Temperature

(BBT) Charts

Cervical Mucus Method

(CMM) Charts

Sympto-thermal Method
(STM) Charts

Bilateral Tubal Ligation Kit

No-Scalpel Vasecotmy Kit

Drugs and Medicines for Sub-

dermal Implant Insertion
Functional FP Kits (in pcs)

Intrauterine Device Kit

 Determining Stock Out for Pills and
DMPA in Form B

*PILLS:
=NHTS NA + NHTS CU + 10% (NA + CU) x
3 cycles
*DMPA:
=NHTS NA + NHTS CU + 10% (NA + CU)
Note: Maternal Health NDP focal person is responsible to identify if there is
possible stock out of pills and DMPA in their municipality. If ever there is, he/she
should highlight the commodity in red in FORM B before submission to the KP PP
Determining Stock Out for Pills and DMPA
-SAMPLE COMPUTATION 1

1. FOR THE MONTH OF JANUARY, MUNICIPALITY A

HAS A TOTAL OF 700 NHTS CURRENT USERS AND
300 NHTS NEW ACCEPTORS FOR PILLS. THEIR
CURRENT STOCKS FOR PILLS IS 2500 CYCLES.
DETERMINE THE IDEAL NUMBER OF STOCKS AND
WETHER MUNICIPALITY A HAS A STOCK OUT FOR
SOL’N:
PILLS.
700+300=1000
1000*10%=100
1000+100=1100
1100*3=3300- IDEAL STOCK LEVEL
How to determine commodity stock out for
Pills and DMPA in Form B- SAMPLE
COMPUTATION 2
1. FOR THE MONTH OF FEB, MUNICIPALITY B HAS
A TOTAL OF 150 NHTS CURRENT USERS AND 20
NHTS NEW ACCEPTORS FOR DMPA. THERE ARE 157
REMAINING DMPA VIALS. DETERMINE THE IDEAL
NUMBER OF STOCKS AND WETHER MUNICIPALITY
A HAS A STOCK OUT FOR DMPA.
SOL’N:
150+20=170
170*10%=17
170+17=187 (IDEAL STOCK LEVEL)
 FP Form C
DEPARTMENT OF HEALTH
RHO: VI
For the Month of

INVENTORY OF HUMAN RESOURCES [FORM C]

HEALTH PERSONNEL
MODERN NATURAL FAMILY MINI-LAPAROTOMY UNDER
FP COMPETENCY BASED LEVEL 1 FP COMPETENCY BASED LEVEL 2 NO-SCALPEL VASECTOMY (NSV) POST-PARTUM IUD (PPIUD) SUB-DERMAL IMPLANT
PLANNING LOCAL ANESTHESIA [MLLA]
AREA TARGET TARGET TARGET TARGET TARGET TARGET TO
TARGET TO # of
# of TRAINED % TO BE # of TRAINED % TO BE % TO BE # of TRAINED % TO BE # of TRAINED % TO BE # of TRAINED % BE # of TRAINED %
BE TRAINED TRAINED
TRAINED TRAINED TRAINED TRAINED TRAINED TRAINED

TOTAL
Remarks:
PART IV. REPORTING SYSTEM AND TIMELINES

Activities Timeline
NDPs identify target NHTS SWRA w/ UNMFP Every 1st week of the month
estimates
CHT Partners identify SWRA w/ unmet needs
during monthly HH visits using SWRA form 1

CHT partners submit consolidated SWRA form Before the 2nd week of every month
1 to RHMs/NDPs
NDPs to compare submitted lists by CHT Every 2nd week of the month
partners w/ target estimates
NDPs mobilize resources and conduct Usapan Every 2nd-4th week of the month
sessions on SWRA w/ unmet needs identified

NDPs accomplish enlistment of SWRA w/ Every 7th day of the ff month

UNMFP served and submit FP A1, A2 and
SWRA form 2 and 3 to KP PPs
KP PPs consolidate reports from LGUs, submit Every 10th of the ff month
reports to region
THANK YOU!