REACHING THE UNDERSERVED

Client-focused, rights-based, quality of care

IPPF invests in innovative grassroots partnerships to expand family planning access among hard-to-reach populations.
This can be costly so a critical challenge is designing efficient programmes that address the specific needs of the poor and marginalized.
IPPF Member Associations have been able to expand their reach by establishing low-cost partnerships with organizations that are located in, and work directly with, underserved communities. These partnerships reduce inequalities in access and usage of family planning.
Key to this is ensuring a rights-based approach for all our clients.
CAMBODIA
In Cambodia, thousands of young women from rural areas move to cities to work in factories. These women often do not know where to go for sexual and reproductive health services and, for many, the services remain inaccessible due to cost or limited opening hours.
INNOVATION: The Reproductive Health Association of Cambodia is responding to this unmet need by providing information and free services to women working in factories and has established formal partnerships with 30 factories in three major urban areas. Interactive and fun health fairs are held at lunchtimes to provide information on sexual and reproductive health.
IMPACT: The factory workers are given vouchers that they can redeem at Association clinics for a range of free sexual and reproductive health services including contraception, post-abortion care, cervical cancer screening, and HIV counselling and testing. The young women work six days a week in the factories, so the clinics have adapted opening times to ensure clinics are open on Sundays.
NEPAL
Despite recent progress, unmet need for family planning remains disproportionately high among Nepal’s disadvantaged groups.
INNOVATION: Our Member Association, the Family Planning Association of Nepal, works with community-based organizations such as Muslim and youth groups, to deliver quality services directly to their communities.
IMPACT: The Association has a cost-effective and sustainable model of support which combines a one-off initial investment to strengthen capacity of community-based organizations with ongoing monitoring to ensure quality services. The Member Association has supported the provision of over 1.5 million services and almost one million couple years of protection over the past five years.
NIGERIA
In Nigeria there is a high demand for family planning services in urban slums and under-served areas.
INNOVATION: The Planned Parenthood Federation of Nigeria (PPFN) adopted a ‘cluster model’ to expand geographic coverage and increase access to quality family planning services.
Through this model partnerships were created between five clinics within a 20km radius. These included private providers and government clinics, community-based distributors, and faith-based organizations.
Each cluster has a leader to coordinate logistic supplies, data capture, handling of fees and training.
IMPACT: The cluster model transformed the Member Association from simply being a provider of services to building institutional capacity across a network of clinics. It now has 230 clinics, up from just 15 in 2008, and has seen its number of clients rise by 693%.
URUGUAY

UNFPA has provided US$1 million to support the set up and scale up to provide contraceptive implants, as part of a well-balanced family planning mix.

INNOVATION: In 2014, the Member Association in Uruguay used the funding to support a pilot project in conjunction with the Ministry of Health and in-country UNFPA team to evaluate the acceptability and clinical performance of Jadelle when compared to other contraceptives. .
IMPACT: A number of IPPF's Member Associations are expanding access to implants through mobile and outreach activities. Currently all 20 of IPPF's participating Member Associations in the scheme are training service providers.