Member Associations

Relative to much of Africa, Madagascar has high levels of contraceptive use, but high birth rates coupled with endemic poverty and limited government-led sexual and reproductive health (SRH) provision mean that child mortality and maternal death figures are high. Fianakaviana Sambatra (FISA) has been fighting since 1967 to improve the nation’s SRH through advocacy, education and direct service provision. Currently, it runs 67 service points, including: 11 permanent clinics, 3 mobile units and 12 community-based services (CBSs), across 6 of the country’s regions. FISA works with 5 associated clinics and 29 private practitioners. FISA has 70 full-time staff, 184 peer educators, and a youth action movement made up of 42 members. FISA delivers a wide range of services: family planning, prevention and management of HIV and AIDS and the provision and dissemination of comprehensive SRH materials. FISA has used its on-the-ground experience to advise government on national SRH policy. It has partnered with the Ministry of Health, Family Planning and Social Protection, and the Ministry of Youth to advocate for a concerted approach to resolving the critical SRH issues currently facing the country. At the same time, it works with non-governmental organizations (NGOs) such as Marie Stopes International, and the ASSONG coalition of NGOs. FISA receives financial support from UNFPA, the Big Lottery Fund, Amélioration de la Qualité De Services, the EU and IPPF’s Japan Trust Fund. It’s also closely connected to other organizations promoting SRH rights across the country and the region. 

Established in 2004 by Her Majesty the Queen of Bhutan, Respect, Educate, Nurture, Empower Women (RENEW) became an Associate Member Association of IPPF in November 2009. It aims to be the leading organization in shaping the future role of women in Bhutanese Society, helping to reduce vulnerabilities while nurturing and empowering them. Their work is focused on reaching poor, disadvantaged and adolescent girls and women. RENEW has a widespread community-based support (CBS) system (established in 20 districts), and a community outreach programme run from the RENEW centre. Work focuses on sensitization with regard to HIV and AIDS, education in family planning approaches and contraceptive methods, and enhancing the safety of pregnancy and childbirth. A clear problem in Bhutan is the unequal position of women. One of the expressions of gender inequality is high levels of gender-based violence (GBV) which is seen as a natural part of married life, and not as an issue. RENEW has a vigorous education programme designed to reverse such attitudes. Bhutan is a unique country: all development is based on promoting Gross National Happiness (GNH), and comprehensive sexual and reproductive health (SRH) services, acceptance of every individual’s sexual and reproductive health and rights (SRHR), and the practical realization of those rights are regarded as critical components in increasing GNH. Given this political context, RENEW has ambitious targets. Although it has only been established for 10 years, it is making remarkable strides towards the achievement of better SRH and SRHR outcomes for the nation and its people.