The Associação Moçambicana para Desenvolvimento da Família (AMODEFA) was formed in 1989. Like most IPPF Member Associations, the organization’s initial focus was family planning, but over the years it has diversified to cover a wider range of sexual and reproductive health (SHR) requirements including emergency obstetrics care, antenatal and post-natal care, and services dedicated to the prevention, treatment and management of HIV and AIDS.

As high HIV prevalence rates show, there is a desperate need for sustained efforts on this front. AMODEFA has responded to the HIV and AIDS challenges with a community clinic-based approach, linked with home-based care. With private sector sites, mobile and community-based service points the Member Association raises awareness of and tackles HIV and AIDS stigma and discrimination, and provides referrals. 

The AMODEFA staff, who are backed by hundreds of volunteers, a youth action movement, peer educators and community-based distributors (CBDs).

In its advocacy role, AMODEFA has been providing advice and pressuring the Ministry of Health Youth and Sport, the Ministry of Education, and the Ministry of Women and Social Action to adopt supportive national legislation and practice, particularly with regard to adolescents and youth.

The Member Association works with non-governmental organizations, such as the National HIV and AIDS Council, and with private sector operations such as Enterprises Against HIV and AIDS.

AMODEFA’s donors include UNFPA, WHO and the Africa Sweden Group, and the organization is a member of networks including the Network for Organizations Working on HIV and AIDS (MONASO), the National HIV and AIDS Council, and the International Baby Food Action Network (IPFAN).

When it was founded in 1999, the Family Planning Association of Malawi (FPAM) focused on providing family planning services. As the organization has evolved, it has both refined and expanded its operation. Today, FPAM targets young people primarily, and reaches out to under-served rural communities.

As a result, it operates 64 service points, including 53 mobile sexual and reproductive health (SRH) facilities and 4 static clinics. Its community-based distributor/services (CBDs/CBSs) profile is also very strong with 65 additional delivery points. As ever with IPPF Member Associations, the mix of outlets and approaches is very much led by the particular demographic and geographic needs of the country.

FPAM also provides youth-friendly SRH information, education and behaviour change communication materials to young people at 4 youth centres, and through schools. Peer educators use group discussions, theatre performances, publications and audio-visual materials produced by community reproductive health promoters to pass on the message about good SRH practice and access to resources. The distribution of contraceptives, pregnancy testing, the diagnosis and treatment of sexually transmitted infections (STIs) and voluntary counselling and testing (VCT) for HIV and AIDS are core to FPAM’s clinic activity.

For its successful operation, the organization depends on a team of 46 full-time staff and over 600 volunteers.

Over the years, FPAM has forged partnerships with health, family and youth departments in government, to advocate forward-thinking national SRH policies. It works with a variety of non-governmental organisations (NGOs) including the Malawi Girl Guides Association and Banja La Mtsogolo. Financing support comes from UNFPA, IPPF’s Japan Trust Fund, the Japanese Organization for International Cooperation in Family Planning (JOICFP), UNICEF, National AIDS Commission, GTZ, and Youth Incentives. FPAM also networks with other SRH-focused groups, particularly in the fields of HIV and AIDS and youth issues.

Contacts

Website: www.fpamalawi.org
Facebook: https://www.facebook.com/FPAMalawi/

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. 

The Association Malienne pour la Protection et la Promotion de la Famille (AMPPF) was established in 1972 to tackle the family planning challenges facing the Malian people. It rapidly expanded its activity and remit to embrace sexual and reproductive health (SRH) counselling; neonatal, gynaecological, post-natal and post-abortion care; and prevention and management of HIV and AIDS, particularly voluntary counselling and testing (VCT).

These figures were achieved through the strategic and focused management of a strong team which has the capacity to reach out to diverse communities across the country. AMPPF has hundreds of volunteers, a strong youth action movement and hundreds of peer educators and community-based distributors.  

AMPPF is actively engaged with the planning, health, youth and family departments of the Malian government. It has strong ties with non-governmental organizations (NGOs) including Population Service International (PSI), the Conseil de Concertation et d'Appui aux ONGs, the Federation Nationale des Associations de Santé Communautaire au Mali (FENASCOM), the Association de Recherche, de Communication et d'Accompagnement à Domicile des Personnes vivant avec le VIH/SIDA (ARCAD), and SIDA. Major donors include WHO, USAID and UNFPA.

One of IPPF’s central beliefs is that processes and approaches need to be adapted to meet the specific needs of a country. In Lesotho, a country with one of the highest HIV prevalence rates in the world, LPPA is very active in finding new ways to address neglected needs.

LPPA provides a comprehensive range of sexual and reproductive health including: family planning, the  management of sexually transmitted infections (STIs),  screening for cancers of the reproductive system, the distribution of contraceptives and emergency contraceptives, pregnancy testing, post-abortion care, voluntary counselling and testing (VCT) and the management of infections. Clients are referred to other centres for CD4 tests and ARV treatment. 

LPPA reaches out to the communities it serves through 47 service points: 10 permanent clinics, 9 private providers, 30 associated agencies, 90 peer educators and 14 community-based distributors (CBDs). There are 54 permanent staff who are supported by over 200 volunteers.

An estimated 75% of LPPA's clients are poor, marginalized, socially excluded and/or under-served. Target groups include cattle herders, prisoners, rural populations, factory workers, university students, police trainees and people living with HIV and AIDS. 

LPPA targets out-of-school children, and disseminates SRH information through drama, puppetry, sports for life, and facilitated discussions. Other education programmes include health talks, workshops, performances and radio and TV shows.

In advocacy, LPPA reaches out to teachers, religious leaders and government leaders to promote favourable approaches to, and legislation on, SRH. 

LPPA has influential partnerships with government health and population departments, and it partners with major non-governmental organizations (NGOs). Donors include Irish Aid, UNDP, the Japan Trust Fund, and IPPF’s Korea Africa Fund. The Member Association has strong linkages with other organizations across the country, particularly in relation to HIV and AIDS.

Website: www.lppa.org.ls

Established in 1985, IPPF’s Member Association in Guinea-Conakry faces many stark sexual and reproductive health (SRH) challenges including some of the highest fertility and child mortality rates in the world, coupled with very low levels of contraceptive use.
 
The Association Guinéenne pour le Bien-être Familial (AGBEF) has mounted a vigorous response to these challenges. Through its services points (static clinics, mobile clinics, associated clinics, community-based distributors (CBDs) and community-based services (CBSs) the organization reaches out to poor and marginalized groups with a particular emphasis on young women and men, and displaced persons and refugees.

The Member Association’s services include disseminating information, education and communication around sexual and reproductive health (SRH); youth-friendly SRH services; prevention and management of sexually transmitted infections (STIs) and HIV and AIDS through interventions such as voluntary counselling and testing (VCT); improving access to contraceptives at community level; and advocating and mobilizing the public to demand  their SRH rights.

AGBEF’s team includes volunteers, peer educators and thousand of CBDs. Its youth action movement has a membership of over 100.

The Member Association partners with government departments and large international NGOs to promote and develop its work.

Ghana is a country which has deep-rooted cultural norms, and structural barriers that perpetuate poor sexual and reproductive health. These include high risks of maternal mortality, high numbers of sexually transmitted infections, including HIV, and low levels of contraceptive use.

The Planned Parenthood Association of Ghana (PPAG) was set up in 1967 to provide family planning services to the people of Ghana. Over the years, its work has expanded to cover a whole range of sexual and reproductive health (SRH) services. Today, in addition to basic family planning support, PPAG provides maternal and child health care, infertility management, and voluntary counselling and testing (VCT) for sexually transmitted infections (STIs) including HIV and AIDS. It also provides other SRH services (for example, programmes for the management of erectile dysfunction).
 
PPAG’s operation depends on a team of 103 staff, over 1,000 volunteers, 300 peer educators, 551 community-based distributors (CBDs) and a Youth Action Movement membership of 810 young people. PPAG's delivers services and programmes through 1,356 service points, including 11 permanent clinics, 54 mobile clinics and over 1,000 community-based service points (CBSs).

PPAG works with a huge roster of partners, right across government in health, education, HIV and AIDS, youth, and population planning departments. Its civil society networks include over 15 non-governmental organizations. It receives financial support from the Japanese International Cooperation Agency, the Japanese Organization for International Cooperation in Family Planning, UNFPA, the Programme For Appropriate Technology in Health (PATH), the African Youth Alliance (AYA), the Big Lottery Fund (BLF) of UK, DANIDA, the French Embassy, the UK’s Department for International Development (DfID), UNICEF and GTZ.

Contacts

Website: www.ppag.org.gh
Facebook: https://www.facebook.com/Planned-Parenthood-Association-of-Ghana-PPAG-258152110962577/
Twitter: https://twitter.com/ppagghana

Ethiopia, the second most populous country in Africa, and the tenth most populous in the world, has enormous sexual and reproductive health (SRH) challenges as the statistics demonstrate.

The Family Guidance Association of Ethiopia (FGAE) celebrated its 50th anniversary in 2015. It has a broad reach which focuses on providing poor and marginalized populations with family planning, safe abortion care, maternal and child health care, prevention and treatment of sexually transmitted diseases (STIs) including HIV and AIDS and associated opportunistic infections.

In the shape of permanent clinics, mobile facilities, community-based services (CBSs), FGAE has numerous service points. Staff, backed by over thousands volunteers, hundreds of peer educators and of community-based distributors (CBDs). 

There’s no disguising the fact that achieving proper SRH amongst the Ethiopian people is an exhausting uphill struggle. FGAE has the will, the determination and the backing to fight for people’s rights and welfare.

Access is key to the Member Association’s activity, and it works extensively with young people to inform, educate and provide essential SRH services. FGAE also runs special projects targeted at particularly vulnerable individuals and groups: street children, people living with HIV and AIDS, sex workers, and young migrants in 8 of the 11 principal Regions in Ethiopia.

FGAE partners with government, with non-governmental organisations(NGOs) including the  Ministry of Health, the Ministry of Women, Children and Youth, UNFPA-Ethiopia, CARE-Ethiopia, DKT-Ethiopia, Dawn of Hope, the Ethiopian Women’s Lawyer Association, and a broad spectrum of HIV and AIDS-related operations.

Private sector partners include Betezata Hospital and Janmeda/medical bio laboratories, and donors to the Member Association’s work include the Royal Netherlands Embassy, the Packard Foundation, IPPF’s Japan Trust Fund, USAID/CDC and Irish Aid.

Website: www.fgaeet.org

The population of the Ivory Coast suffers from a litany of sexual and reproductive health (SRH) problems common to many countries on the continent: frighteningly high rates of maternal death, early pregnancies, child mortality and HIV prevalence, coupled with very low rates of contraceptive use. Additionally, instances of female genital mutilation (FGM) are frequent and the SRH and psychological repercussions that the practice presents are severe.

The Association Ivoirienne pour le Bien-Etre Familial (AIBEF) was founded in 1979. It works closely with the National Population Bureau in the planning and implementation of the National Population Policy and the National Youth Policy. The government and legislators have called on the organization for advice and counsel because it is the one of the most experienced organizations in the field and has unparalleled expertise drawn from ground level experience.

To complement and expand its scope, AIBEF partners with a number of non-governmental organizations (NGOs) including the Futures Group, Pathfinder International, the Population Council, John Hopkins University, John Snow International, Columbia University and Family Health International. Major donors include the European Union, IPPF’s Japan Trust Fund, The Global Fund Against TB and Malaria, Alliance International and the World Bank. Additionally, it partners with Collectif des ONG de Lutte contre le Sida en Côte d’Ivoire and RIOF – national networks whose primary objective is to increase SRH capacity.

Contacts

Facebook: https://www.facebook.com/AIBEF-1478416299110640/

The Association de Bien-Etre Familial – Naissances Désirables (ABEF-ND)

The Democratic Republic of Congo is vast: it is Africa’s second largest country and has nearly 68 million inhabitants. The sexual and reproductive health (SRH) challenges are correspondingly immense, with the country recording some of the poorest SRH statistics globally.

The Association de Bien-Etre Familial – Naissances Désirables (ABEF-ND) was founded in 1977, and since then it has worked tirelessly to drive changes which will secure a better future for the country.

ABEF-ND offers sexual and reproductive health (SRH) information, education and communication for young people. It offers HIV and AIDS prevention and management services, and community-based distribution of contraceptives. It also advocates strenuously around SRH issues with legislators and health professionals. As such, it’s central to shaping relevant national policies.

It achieved this through static clinics, associated clinics and community-based distributors (CBDs) and community-based services (CBSs). ABEF-ND has a small number of staff who are backed by a large body of volunteers: together, they are determined to promote sexual and reproductive health and rights for all.

ABEF-ND works in partnership with the Ministry of Health, and in the private sector with faith-based health facilities. Non-governmental organizations partners include Service Centrale d'Education à la Vie (SCEV), the Women’s Action Network (RAF), Radios for the Consolidation of Peace (RCP+), Amo Congo. Donors include Programme National de Lutte contre le Sida (PNLS), UNFPA, UNHCR and GTZ. It is a Member of the National Council of NGOs against AIDS.