Stories

2010 Haiti PROFAMIL, the IPPF Member Association in Haiti, deployed teams to help communities affected by the earthquake that struck in January 2010.During crises we work closely with our clinics on the ground to deliver life-saving care to people in need. Our mobile clinics provide on-the-spot healthcare such as STI and HIV diagnosis and treatment, short and long-acting contraception, and emergency obstetric and neonatal care.©IPPF/Toan Tran/Haiti Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2011 Bolivia IPPF’s Member Association in Bolivia, CIES, offers the HPV vaccine in schools, health centres, and mobile clinics to ensure widespread access to this lifesaving prevention measure.By 2011, more than 75,000 girls had received vaccinations.©IPPFWHR/Juan Pablo Richter/Bolivia Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2012 Palestine A group of young women attend a theatre session as part of PFPPA’s gender based violence work delivered through a mobile healthcare clinic in a Bedouin village.In 2012, 40% of our sexual and reproductive healthcare was delivered to young people.©IPPF/Graeme Robertson/Palestine Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2013 Philippines In response to the devastating aftermath of Typhoon Haiyan in the Philippines in 2013, IPPF's humanitarian team worked with our Member Association, the Family Planning Organization of the Philippines (FPOP), supporting relief efforts to provide lifesaving healthcare to affected communities.©IPPF/Suzanne Lee/Philippines Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2014 Uganda In 2014, IPPF distributed 187,257,756 condoms globally. Condoms are the only form of contraception that can protect you from HIV and STIs and are 87-98% effective for an external (male) condom and 79-95% effective for an internal (female) condom.Using a condom alongside another form of contraception (for example an IUD or the Pill) is the best way to protect against unintended pregnancy.©IPPFTommy Trenchard/Uganda Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2015 Nepal On Saturday 25 April 2015, a 7.8 magnitude earthquake shook Nepal, causing massive devastation and loss of life. It was the worst natural disaster to strike the country for 80 years.The Family Planning Association of Nepal set up a mobile healthcare clinic in Gagarfedi; one of the worse affected villages in the Kathmandu district north of the city delivering vital healthcare to the local community.©IPPF/Amelia Andrews/Nepal Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2016 Nigeria IPPF has played a major role in the introduction – and accessibility – of Sayana Press; a three-month, progestin-only injectable contraceptive favoured for its convenience in administration and portability.Emiade Kudirat is a Community Health Extension Worker with the Planned Parenthood Federation of Nigeria (PPFN). Specializing in Sayana Press, she says:"I go from house-to-house to provide health education and introduce family planning services. I do counselling and provision of these services too. The PPFN model can really reduce the mortality rate of women in the community. We're taking the clinic to women at the market, to their homes and to their work."©IPPF/George Osodi/Nigeria Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2017 Mozambique Albertina, now retired, worked with HIV patients for Amodefa for 38 years and was their longest serving nurse. “I like helping people, that’s why I do this job.”Albertina headed up Amodefa’s home care programme which provides medical, nutritional and emotional support to HIV positive patients living in the poorest suburbs of Maputo, the capital of Mozambique.©IPPF/Grant Lee Neuenburg/Mozambique Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2018 Ireland 2018 brought a legislative victory to repeal the 8th amendment; on 25 May people voted for a more caring and compassionate Ireland, where women can access abortion care in their own country.Áine, activist with IFPA says, “It was exciting to be part of a big campaign. Young people are often seen as politically apathetic, but it’s important my generation are involved in the reproductive rights movement.For me abortion is about motherhood at the end of the day. It’s about allowing us the right to be the best mothers we can be, if and only when we decide it’s right for us to be."©IPPF/Barry Cronin/Ireland Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2019 India Pradipta Kumar, 22, a security guard and Pankanjini Behera, 21, are recently married. The young couple have decided not to have children for a couple of years.They attended a clinic set up by the Family Planning Association of India (FPAI) to help those affected by Cyclone Fani for advice on types of contraception available.©IPPF/Kathleen Prior/India Share on Twitter Share on Facebook Share via WhatsApp Share via Email

“I saw this challenge when children are having children and they're having a number of children at a very young age,” says 37-year-old Matiisetso Sefako, after emerging from the Lesotho Planned Parenthood Association (LPPA) tent in Mokhethoaneng village, an hour drive from the capital Maseru. “For them to be engaged in family planning, it would really help them.” The mother of two lives just outside the village and says she’s become something of a community activist on the issue of early child marriage and the need for family planning. After she receives services, she lingers for an hour, speaking with young women and teenage girls who are looking over at the LPPA mobile clinic with interest.    She herself was a 19-year-old mother and has been using contraceptives for nearly 20 years. Then, it was harder to come by and she would often have to travel at her own cost. Now, she comes regularly when LPPA makes the monthly visit to her village.  And she’s done quite a lot on this to advise people to try and convince them to come and access such services, she says.  “The only problem I encounter is that the biggest challenge within the village is that there is a high rate of teenage pregnancy. I try to convince them this tent will help.”  This is her fourth visit to the LPPA outreach to receive services herself. Her only wish? “That these services be here every day,” she says, explaining that there is a deeply-felt need in her community and her hope is that she can refer more young women to follow up and receive the same monthly services she benefits from.  

When Raphel Marafan Kori’s husband died in 2001, she was left to fend for herself, in a largely patriarchal society. Now 45-years-old, she keeps busy and earns an income as a peer educator in Tsenekeng village in Lesotho’s Semonkong region.  She goes door to door to counsel her neighbors and residents of the village in family planning options available. She’s been doing it for nine months and visibly brightens when she starts talking about the work. "I introduce myself, after that I explain to the people the services that we provide, the importance of the choices that we can make about contraceptives."  She was appointed by the village chief, Makholu Mahao, to participate in a training provided by LPPA in the capital, Maseru and soon after, dove into her fieldwork. Some people immediately understand and welcome the offerings, she says, while others take some time.  Protection & permission  Now nine months into the work, she says the biggest issue facing her community is “that adolescents still need consent from the parents. And the parents seem to have a problem with that because in a way, [they think] it is allowing them, giving them the freedom to indulge in sex.”  “Another way I can explain [is to] mention  HIV testing here and to remind [parents] it's not only they're getting protection but also for them to help them plan for future."   Going door to door Occasionally she’ll hold community gatherings, but mostly she has these conversations door to door. “I’m working very hard to make sure the children also engage in this for the future. It’s a challenge,” she admits. She herself comes to the mobile outreach post for family planning services, something she says helps break the ice when she is out in the community talking about family planning. She tells them she uses the pill because she is allergic to the injectable option offered here.  “I get to talk to people because I can counsel them on HIV and AIDS daily to make them understand that just because you have HIV it's not the end of the world but you need to take your medication properly and life continues,” she explains proudly, sitting a few meters away from the She Decides tent with a line of women outside. Overall, she says she has benefitted as much from her work as the beneficiaries. “I engage with people. I also learned a lot, it educated me especially on the protection side because even myself before I was not aware of such information but now I've learned and I can give other people this information.” 

“I was 18 when I married. But back then that was old!” 76-year-old Makholu Mahao laughs as she goes on to list her nine children – 4 boys, 5 girls including twins.  “At the time that I was married, if I knew about contraceptives, I wouldn’t have had so many children,” she insists.  Her tone becomes forceful and serious when she shifts to subjects like teenage pregnancy and childhood marriage, both ills that are prevalent in her village in the Semonkong region, known as Tsenekeng Hamojalefa.  The village sits atop a rocky hillside, most easily accessible by horse or donkey, and 114 kilometres from the capital, Maseru. She is the village chief now, a post she took up when her husband, the former chief, died.  And to her, “the big challenges are teenage pregnancy and early marriage. We’re seeing the difficulty in labor, children dying in labor, and young mothers dying in early labor. Those are the main things I need assistance with,” she explains to staff from Lesotho Planned Parenthood Association (LLPA), on a field visit to LPPA’s mobile clinic down the hill from Makholu’s home.  More than family planning “How can we stop this problem,” she asks her visitors.  Underage girls “marry at a young age, they don’t know what marriage is. They bear children and bear children and have problems, like death or infant death,” she reiterates. And it’s not just family planning that benefits the residents of her village. 16 villages ring the hillsides around the mobile outreach post, set up today to offer family planning, counseling, and HIV testing.  Before the arrival of LPPA on a monthly basis, “we were not receiving any other services other than the two clinics,” she explains, describing clinics approximately 40 km from her village. She adds, “We would leave early in the morning to get there at 9 or 10 to get the services. It was very congested so we would leave and get back here without getting any services.” Encouraging young people When it comes to combatting stigma in a patriarchal society, this great grandmother says some couples do go together for services or at least are in agreement about pursuing services. Still, “men cannot go with the women,” she explains. Throughout the day, men and women gather in separate groups outside the LPPA tents to receive consultations separately.  She sends a strong message by giving her OK for underage single women to seek family planning services. “It is acceptable that [minors] can get it [services], single or not,” she says. “At the end of the day, it’s protection for early pregnancy. The elderly – like me – don’t usually agree with that. But the [minors] will go on their own, however they can. I support that.”    

Bolelwa Falten in based in Losotho’s capital, Maseru, and has been working as a HIV counsellor for the better part of a decade, bouncing from different organizations depending on where the funding goes. Before she joined, IPPF nine months ago, 40-year-old Bolelwa worked with PSI Losotho. Now, she runs the “North team” as part of LPPA’s outreach program.  She handles five different outreach posts and today, she is running the HIV testing clinic at one site.  Bolelwa proudly takes us through the full range of tests and counseling services they offer there, taking particular pride in explaining how she follows up patients who test positive. She knows the beneficiaries appreciate the work – it’s something she sees every time she does an outreach day.  “They no longer need transport money, time to get to the clinic. Our being here is actually bringing the service to where they are and where they need it,” she says. But quickly, she follows up, noting that in general, HIV and STI mobile healthcare services have been hit-hard by funding cuts in recent years.

"This is a relief. I'm feeling very happy now that services have been brought,” 34-year-old Makamohelo Tlali, says, smiling outside the Lesotho Planned Parenthood Association (LPPA) tent on the hillside of Hamoshati village in Lesotho. Makamohelo is a relatively new beneficiary of family planning services offered monthly at a post near her village. This is her second visit. She walks over 30 minutes each way but says that’s by far the best option for her.  "I feel happy that services are here, for free. When I accessed them before it would take transport costs to get to the place."  In the past, it would cost her 40 rand for taxis to the closest clinic, plus the additional cost of family planning services.      Makamohelo first heard about these offerings from a peer mobilizer going door to door in her village.  “I met her along the way and discussed the way I can access family planning services. They’re scarce this side. And she told me on a specific date there would be LPPA people offering services." “Now here I am,” she says, laughing.  She takes advantage of the free HIV testing offered here as well and says she is hopeful the family planning will be maintained, mentioning that other NGOs have come and gone over the course of several years. For her and her husband, family planning is openly discussed in the household and important for the health of their current family. They have three children, 2 girls and a boy.  “Three is enough! My husband has no problem with me accessing family planning here,” she explains, adding that her husband relies on piecemeal jobs while she farms to feed the family.