Revitalization of FP/BS using HTSP in Pakistan

FP-MNCH Best Practices in the Asia and the Middle East (AME)

Bangkok 7-11 March, 2010

March 9, 2010

Government of Pakistan

Government of Pakistan

POTENTIAL IMPACT OF ADOPTING HTSP GUIDELINES IN PAKISTAN

Government of Pakistan

Clear evidence that longer Birth Intervals Reduce Infant and Neonatal Mortality

Infant/child Mortality can be reduced by as much as 50% 1990-91 and 2006-07 PDHS

Government of Pakistan

Higher Neonatal and Post-Neonatal Mortality for Teenaged Mothers

85

51 45 39

32

2122

16

<20 20-29 30-39 40-49

Neonatal Postneonatal

1990-91 and 2006-07 PDHS

Infant/Child mortality can be reduced by nearly 40% by delaying age at child birth

Government of Pakistan

Maternal Mortality Ratio by Age

242 210267 246

637

855

15-19 20-24 25-29 30-34 35-39 40-44

Source: Pakistan Demographic and Health Surveys, 1990-91 and 2006-07

Maternal Mortality can drop dramatically by reducing number of pregnancies after 35

Government of Pakistan

What Has been Accomplished so far

Government of Pakistan

Progress to date

HTSP guidelines and targets established as program objectives under the draft national population policy of GoP-2010

The National Standards for Family Planning Services Manual Revised by the MOPW to include HTSP guidelines

A compendium of Quranic verses, Hadith and Fatawa developed to promote accurate knowledge about Islam regarding birth spacing among Religious Leaders

Government of Pakistan

Progress to date

HTSP included in the training curriculum by FALAH for public and private sector health providers

HTSP included in the teaching curriculum of medical colleges and nursing and midwifery schools

Government of Pakistan

Progress to date HTSP approach and guidelines adopted Communications themes and messages

developed and finalized in consensus with partners – MOH, MOPW, PAIMAN, UNICEF, UNFPA and after extensive pre testing

Partners agreed to coordinate their messages IEC materials produced on HTSP for community

mobilization Mass media TV and Radio commercials

developed and being aired

Government of Pakistan

Key communication objectives

In addition to HTSP - Promote Male Responsibility and Inter spousal

communication Involve RL and other Influencers Educate providers on effective management of

side effects Encourage providers to be proactive advocates of

birth spacing

Government of Pakistan

Expanding Contraceptive Choice in Pakistan Seminar conducted by GWU to introduce and promote

Standard Days Method (SDM) and Lactational Amenorrhea Method (LAM) with the partners

SDM, LAM and Emergency Contraceptives included in the Trainers and Participants manuals on CCA and CCFPS by FALAH

Over 7,000 health providers trained on SDM and LAM in FALAH districts

A pilot study on ECP underway to assess acceptance and compliance through LHWs in four FALAH districts in collaboration with UNFPA

A pilot study underway on SDM using cycle beads in five FALAH Union Councils

Government of Pakistan

HTSP VIDEO FOR THE RL

Government of Pakistan

Thank You!