Pakistan is the sixth most populated country in the world with an estimated population of 199.71 million. The estimated population growth and fertility rate is 1.86 and 3, respectively.
Although Pakistan initiated Family Planning (FP) programs in the private sector in 1953 and in the 1960s in the public sector, the Contraceptive Prevalence Rate (CPR) had increased by only 0.25% annually until 1990. The CPR rose more sharply from 12% in 1990 to 33% in 2000; with much of this increase occurring in rural areas and in traditional methods.
Pakistan committed to FP 2020 Commitment for working toward achieving universal access to reproductive health and raising the contraceptive prevalence rate to 55% by 20201. For this FP 2020 Costed Implemented Plan (CIP) cell was established. It is headed by Minister of Health and Population Welfare, Dr. Azra Fazal Pechuho in Sindh.
PPHI Sindh’s contribution in the area of family planning especially Long Acting Reversible Contraceptives (LARC) can be recognized from the fact that from 2014 to 2018, 121,227 implants have been inserted by PPHI Sindh’s healthcare providers by organizing special family planning campaigns.
The special feature of these camps is that the transport is provided to the families for pick and drop from far flung villages where access is issue. Initially, these camps were on quarterly basis and so far, 13 FP camps have been organized till June 2018.
PPHI Sindh has been providing Routine FP services through counselling of mothers in Antenatal, Postpartum, lactating, etc. FP training is regular feature of capacity building activities and is provided to all healthcare providers.
For implants, more than 600 male and female doctors and 2000 female paramedic staff have been trained in inserting IUCDs, PPIUCDs and implants. These trainings have been provided in collaboration with PWD with support from UNFPA.
For monitoring, PPHI Sindh has its very own Smart Phone Monitoring System at health facilities which is used for observing regularity and punctuality of staff, verification of essential equipment’s, medicine, vaccine and stock out status. While, for data collection at the primary health care facilities, mainly District Health Information System (DHIS) is used. The technical visits are also monitored through dashboard to see the quality of visits.
PPHI Sindh has divided its FP related efforts in two phases. In the first phase, the focus has been on building the system and making services available. Now in the second phase, it will be on making quality services accessible, ensuring the availability of competent staff, commodities coupled with innovative ways for delivering MNCH services.