The world is facing stronger and longer natural disasters, protracted complex emergencies, conflicts and epidemics. These humanitarian crises can expose weakness in health systems, with particularly serious consequences for women and girls in need of reproductive health care. To improve the quality and availability of post‑abortion care during a flood, the University of Leicester and International Planned Parenthood Federation South Asia Region (IPPF-SAR), in collaboration with the Government of Bangladesh, developed and measured the impact of an integrated intervention package, called RHCC. First tested in a flood-prone area of Bangladesh, this novel approach includes: i) Pre-positioning medicines and supplies, using the UNFPA’s Inter-Agency Reproductive Health Kit 8; ii) Capacity building of service providers; and iii) Community awareness raising. Supported by IPPF's Innovation Programme, the project aligns with IPPF’s commitment to ensuring that crisis-affected populations receive timely, quality, life-saving, gender-responsive and inclusive sexual and reproductive health services.  

Malawi has one of the most comprehensive laws against child marriage in Africa after a new bill was passed in 2017 increasing the legal marital age from 15 to 18-years-old. The Marriage Act of Malawi in 2017 protects any girl under the age of 18 from marriage and holds parents or other family members who marry their children off below the age accountable and liable to prosecution. But even with the law, cases of child marriage are still happening but community Watch Groups have been set up to help. This is the story of one girl helped by her local watch group. Family Planning Association of Malawi (FPAM) with money from the Japan Trust Fund supports the watch group by building the capacity of its members. Five members of the Jalasi Watch Group have been trained about the law, policies around the issue of child marriage and how they align with the by-laws. © Photos: James Ngechu

Injectable contraceptives are an increasingly popular method of family planning. They are safe, discrete, highly effective, and generally last for several months. Sayana® Press, also known as subcutaneous depot medroxyprogesterone (DMPA‑SC), is a lower‑dose formula version of the already popular injectable Depo‑Provera. DMPA‑SC combines the drug and needle in a single‑use unit, which makes it easy to transport and simple to use with little training. DMPA‑SC can be administered by community health workers (CHWs) and women themselves – potentially making injectable contraceptives available to women who can’t easily travel to clinics.

Emergency contraception (EC) refers to any contraceptive method that can be used after having unprotected or inadequately protected sexual intercourse (UPSI) but before pregnancy occurs, providing women with the opportunity to prevent an unwanted pregnancy. EC is a safe and effective method for preventing unwanted pregnancy and can reduce the risk of pregnancy by up to 99%. In spite of its effectiveness, EC is not frequently used. In many countries, women face barriers to accessing EC. The majority of women in low‑income countries are unaware of EC. Moreover, some providers have negative attitudes toward providing EC to women and girls.

Current UK guidelines on relationships and sex education (RSE) haven’t changed since 2000; a review is long overdue. In 2020 relationships and sex education will become compulsory in schools in England.    Studies have shown that well-designed and well-taught sex education can support positive sexual health outcomes, such as reducing teenage pregnancy and sexually transmitted infection rates. Brook and FPA volunteers want more than that – they want to see issues like consent, support, and mutual respect included and discussed in an open, frank and positive way. Photography © IPPF/Laura Lewis

The Global Financing Facility (GFF) is a financing mechanism in support of reproductive, maternal, newborn, child and adolescent health launched in 2015. This IPPF briefing sets out recommendations for GFF stakeholders and financiers as the GFF undergoes its first replenishment process.