Postpartum/Post-abortion Family Planning

Photo Credit:
Aji Styawan
Photo Credit:
Aji Styawan
Accelerating the Global Movement

COVID-19 & PPFP/PAFP

爱博体育分析Each day as the COVID-19 pandemic spreads, new lessons, information, and resources become available. The FP2020 Secretariat is working with partners around the globe including the Global PPFP/PAFP Steering Committee to understand and share how this pandemic is affecting family planning and maternal and child health integration. In this section, we will offer a selection of articles, guidance, statements and other resources.

Blogs & Articles
The negative impact of COVID‐19 on contraception and sexual and reproductive health:...
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Reports & Briefs
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Statements
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Strategies & Checklists
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Websites & Online Portals
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Webinars
Impact of COVID-19 on PAC Services in Guinea June 2020 Presentation, JHPIEGO Contribuer à...
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About PPFP/PAFP

Overview

The first 12 months after giving birth are one of the most vulnerable times in a woman’s life. It’s when her need for family planning is greatest—her health and her children’s health depend on it[1]—but it’s also when that need is least likely to be met. The numbers are startling: More than 90% of postpartum women want to delay or avoid another pregnancy, yet two-thirds aren’t using contraception.[2] “In short, 60% of postpartum women who want to space their pregnancy have an unmet need,”

“After a miscarriage or induced abortion, the recommended minimum interval to next pregnancy from WHO is at least six months in order to reduce risks of adverse maternal and perinatal outcome,” yet, three out of four post-abortion women leave the facility without a contraceptive method. This puts them at increased risk of an unwanted pregnancy and possibly an abortion. Postpartum and post-abortion family planning (PPFP and PAFP) are proven, high impact practices that can protect and empower women at a crucial time in their lives. And the time has never been better for countries to invest in expanding PPFP/PAFP:

  • More women than ever before are , creating more opportunities for women to initiate a family planning method before they even leave the clinic.
  • WHO’s were updated in 2015 to allow for immediate postpartum IUDs and implants.
  • Improved make the process of getting an immediate postpartum IUD simpler and easier.
  • Need and demand for PPFP is high, as women become more aware of the importance of and the contraceptive options available.
  • The growing movement for calls on service providers to protect and uphold women’s human and reproductive rights, including the right to family planning.

But there’s much to be done to ensure that all postpartum and post-abortion women and girls have access to rights-based爱博体育分析 family planning. FP2020 countries and global partners are working together to increase and enhance PPFP and PAFP at the program level in order to address this unmet need.

 

[1] Cleland et al., 2012

[2] Ross & Winfrey, 2001;

Postpartum Family Planning

How it works: Postpartum family planning (PPFP) integrates family planning services with the existing care provided during childbirth, and up to 12 months after delivery. This is a time when women are in increased contact with the health system, from antenatal check-ups to early childhood immunizations—and each encounter is an opportunity for providers to ensure that women’s contraceptive needs are being met.

Why it’s urgent: Closely spaced pregnancies pose a serious risk to a woman’s health, and may lead to labor complications, premature birth, low birth weight, and even maternal and infant mortality. Healthy birth spacing (at least two years between pregnancies) is a lifesaver, preventing thousands of maternal deaths every year and reducing child mortality by 20%.[1]


[1] Cleland et al., 2012

Post-abortion Family Planning

How it works: Post-abortion family planning (PAFP) incorporates voluntary contraceptive counseling and services at the same time and location that a woman undergoes an induced or spontaneous abortion or where a woman receives facility-based post-abortion care. Providing contraception to post-abortion women is a key component of the Post-Abortion Care (PAC) model, which also includes emergency treatment for complications and engaging communities and community health workers.

Why it’s urgent: Unsafe abortion is a major driver of maternal mortality and morbidity, accounting for 13% of pregnancy-related deaths worldwide.[1] Women who have just experienced an abortion often don’t realize just how quickly their fertility can return—in some cases within a week or two. Three out of four post-abortion women leave the facility without a contraceptive method, putting them at increased risk of another unwanted pregnancy and possibly another abortion.[2]


[1] WHO, 2011

[2]

How is FP2020 Involved?

爱博体育分析FP2020’s PPFP/PAFP portfolio is based within the FP2020 Secretariat’s Country Support team. FP2020 engages on both the global and country levels to facilitate knowledge-sharing, resource-matching, and technical support for PPFP/PAFP.

Global Steering Committee: FP2020 chairs the PPFP/PAFP Steering Committee, made up of representatives from major donors and technical partners working in PPFP/PAFP. The Steering Committee serves as a platform for strategic coordination, technical review of issues, and the surfacing of challenges and bottlenecks in individual countries as well as globally.

Country Engagement: For countries that have identified PPFP or PAFP as a national priority, FP2020 works with Focal Points to ensure that PPFP/PAFP is incorporated in country worksheets, costed implementation plans, and FP2020 commitments. FP2020 also facilitates strategic learning exchanges with additional countries that express interest in prioritizing PPFP/PAFP. Earmarked funds from FP2020’s Rapid Response Mechanism are available to support PPFP/PAFP projects in all 69 FP2020 focus countries.

Regional Focal Point Workshops: FP2020’s regional Focal Point workshops are key venues for knowledge-sharing and cross-country exchanges. Each workshop includes technical sessions on PPFP/PAFP topics, along with opportunities for country teams to collaborate before, during, and after the workshop.

Learning Exchanges:爱博体育分析 FP2020 organizes several webinars each year for countries to share best practices, experiences, and challenges on PPFP/PAFP topics. FP2020 also stewards and supports the dissemination of )—documented, proven interventions—for postpartum and post-abortion family planning.

Resources

Global Guidance and Toolkits
Strategies, toolkits, indicators and more
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National Strategies and Policies
Scaling up PPFP services in Rwanda
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Youth, Adolescents & First Time Parents
Interventions, frameworks & toolskits related to adolescents and youth
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High Impact Practice: Immediate Postpartum Family Planning in Facilities
HIP Brief: Immediate Postpartum Family Planning
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High Impact Practice: Postabortion Family Planning
HIP Brief: Postabortion Family Planning
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High Impact Practice: Family Planning and Immunization Integration
HIP Brief: Family Planning and Immunization Integration
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Track20 Data: PPFP Opportunity Briefs
Country data for Opportunities for Family Planning Programming in the Postpartum are...
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PPFP & PAFP Measurement
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Webinars & Videos
Materials include slides, supporting documents and videos.   PPFP/PAFP Webinar Series...
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Additional French Materials
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Program Partners

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USAID
UKAID
MCSP
Bill MELINDA
AFP

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Each month, FP2020’s newsletter addresses a new theme: data, access, young people – the hot topics that drive this family planning partnership. You can read them all here爱博体育分析 – but don’t forget to subscribe below to receive it in your inbox!

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