objective

OBJECTIVE 1: POST PARTUM AND POST ABORTION INTEGRATION
OBJECTIVE 2: QUALITY AND EXPANDED SERVICE DELIVERY
OBJECTIVE 3: PUBLIC PRIVATE PARTNERSHIPS
OBJECTIVE 4: SUSTAINED DEMAND GENERATION
OBJECTIVE 5: POLICY & ADVOCACY

OBJECTIVE 1: POST PARTUM AND POST ABORTION INTEGRATION
Integrate quality family planning services with maternal, newborn, post partum, and post abortion services.
UHI indicators & Milestones (performance measures as per proposal and contract with BMGF):

80% of targeted high volume clinics provide integrated family planning services
90% of targeted NMCH Service Delivery Points offer integrated family planning services.
Physicians, nurses, and counselors provide family planning counseling, IUCD insertion, sterilization, and injectables at public and private sector maternities post partum and post abortion, by May 2010
Frontline and facility based providers give family planning services and counseling to women accessing maternal and newborn health services (prenatal and post partum), by July 2010.
Frontline and facility providers provide FP services and counseling to women accessing post abortion services, by Oct 2010
State MNCH training curricula and materials reviewed to ensure family planning content, by Sept 2010
Women using LAM counseled on timely transition to other modern methods before 6 months, by July 2010

UHI performance indicators (added by UHI to focus program on achieving results):

People: % of post partum women (<12 months) who accepted a method before discharge from maternity; or 2) who currently use contraception.
People: % of post abortion women who left facility with a method; or who use contraception within 10 days post abortion.
Providers: Number of community-based workers (peer educators, outreach workers, AWW, etc) trained on prenatal, post partum, and post abortion family planning counseling and referral.
Providers: Number clinic-based workers (doctors, nurses, ANMs, and counselors) trained or mentored in post partum and post abortion family planning counseling and services, by type of provider, type of training, including post partum IUCD clinical training.
Facility: Number of facilities providing post partum and post abortion family planning, by method.

OBJECTIVE 2: QUALITY AND EXPANDED SERVICE DELIVERY
Expand access to quality family planning services in targeted health facilities, especially for the urban poor.
UHI Indicators and Milestones (performance measures as per proposal and contract with BMGF):

Providers use standardized screening tools or criteria when providing family planning services.
Expand or scale up delivery of family planning methods, including injectables, in targeted service points.
Improve counseling and client interactions and implement model QI/QA in family planning.
80% of targeted clinics deliver high quality family planning services in accordance with standard operating procedures.
90% of targeted family planning clinics offer at least 2 long acting methods.
Meet unmet need among sexually active married adolescents in slums, by Sept 2012 (moved here from Objective 4)
Method specific “deep dives” conducted to prioritize methods and activities to promote expanded use of each method.

UHI performance indicators (added by UHI to focus program on achieving results):

Expand number of family planning 1) providers; 2) places of provisioning; 4) fixed service days.
People: Number and % receiving family planning, by method, by source (service day or routine; public or private).
People: Number and % of clients who report receiving counseling and quality interaction.
Provider: Number of private sector doctors accredited, and empanelled and eligible to recover costs for sterilization.
Provider: Number of community workers (peer educators, outreach workers, AWW, etc) trained by topic.
Provider: Number clinic workers (doctors, nurses, ANMs, and counselors) oriented or trained by topic.
Facility: Number of fixed services days providing male and female sterilization, IUCD, DMPA.
Facility: Number of facilities that provide NSV, female sterilization, IUCD, and DMPA

OBJECTIVE 3: PUBLIC PRIVATE PARTNERSHIPS
Test novel private public partnerships and innovative private sector approaches to increase access to and use of family planning by urban poor.
(Private sector, is any non-government or partially privately financed provider, worker, or facility).
UHI Indicators & Milestones (performance measures as per proposal and contract with BMGF):

75% of total CPR increase attributable to use of private sector FP services
25% of public sector facilities have contracting out or contracting in arrangements with private sector for family planning.
Contraceptive supply chain assessed and extended with authorized distributor at state level and stockists in each city, by Jul 10
Increase reach of socially marketed modern contraceptives among lowest wealth quintile, by Jan 2010
Expand reproductive health products and services for low income communities through market based partnerships
Traditional and non-traditional outlets listed, surveyed, and non-traditional outlets expanded
Voucher scheme operating effectively voucher scheme with private sector operating efficiently, by June 2010
Certification of providers on quality assurance mechanisms developed and vouchers distributed and in use, by July 2010

UHI performance indicators (added by UHI to focus program on achieving results):

People: Receipt of services and supplies from the private sector, by method
People: Reported purchase or use of socially marketed products, services, or vouchers, by method.
Facilities: Number providing subsidized or free services using schemes, including vouchers.
Sales outlets: Sales of condoms and pills, by type of outlet

OBJECTIVE 4: SUSTAINED DEMAND GENERATION
Create demand for sustained use of contraceptives, especially among marginalized urban populations.

UHI Indicators and Milestones (performance measures as per proposal and contract with BMGF):

Large scale community outreach and mobilization implemented, Sept 2010
Develop, implement, and evaluate community outreach and mobilization
Strategic behavior change communication strategy developed, by Sept 2009
Evidence-based, targeted, specific messages, campaigns, client outreach, and community mobilization interventions implemented to increase urban poor uptake of family planning services (marketing specific services), by July 2010.
Develop, implement, and evaluate demand generation campaign using mass media linked to clinics, quality of care and public private partnerships, Sept. 2010
Mass media campaign launched to increase uptake of family services among the urban poor, May 2010.
Use of PDA or mobile phone for demand generation and BCC, June 2010.
70% know each method of family planning; 40% say they have discussed family planning with others in past 6 months; 60% believe majority of other couples approve FP use; 35% of non-users say they are likely or very likely to use FP in next 12 months (Note: 2010 MLE data: 91% know FP methods; 94% say they have discussed family planning with others/husband in past 6 months; 90% believe majority of other couples approve FP use; % of non-users say they are likely or very likely to use FP in next 12 months; 80% exposed to family planning promotion messages on mass media and mid-media.

UHI performance indicators (added by UHI to focus program on achieving results):

% reporting visit of community worker at home or in community in the past 3 months.
Materials and events for demand for sustained FP use produced, procured, used, and distributed or aired, including: 1) IPC materials; 2) mid-media / community-media events / folk, road, puppet shows; 3) mass media events or spots.
% reporting influence of IPC, mid-media, and mass media in use of current family planning method.

OBJECTIVE 5: POLICY & ADVOCACY
Increase funding, financial mechanisms, and a supportive policy environment to ensure continuity of family planning supplies and services for the urban poor.
Indicators and Milestones (performance measures as per proposal and contract with BMGF):

50% Increase in funding allocated to urban health, family planning and NMCH services for the poor.
At least one supportive policy related change for expanding method choice under MOHFW.
RAPID model used to inform policy makers of the potential of investment in FP, in collaboration with Futures Institute.
Technical and resource support provided to promote expanded access to family planning services and supplies, including injectables, presented to stakeholders.
Evidence based reviews of each family planning method, including injectables presented to stakeholders, through contraceptive technology updates.
Work with government, civil society, and women’s groups to address concerns regarding access to family planning services, supplies, and injectables. Technical and resource support provided to promote expanded access to FP services and supplies.
Work with policy makers to guide resource allocation decisions for family planning. Collaborate with other stakeholders to present evidence to government for increased resource allocation for FP/MNCH and for Urban Health and Family Planning.
Complete Stakeholder and political and policy analysis of facilitators and obstacles to scale up.
Removed in 2009
Media advocacy workshops to orient print and media professionals

UHI performance indicators (added by UHI to focus program on achieving results)

UHI strategies aligned with GOI and GoUP strategies, programs, and schemes
Number of events convened with policy makers with potential to contribute to informing policy and program decisions.
City-wide comprehensive city health plan facilitated and completed for at least the core cities.
State-wide PIP completed with UHI inputs to include plan and allocations for urban health and family planning.
Presentations made at city, state, national, and international meetings, and documentation used to disseminate data, lessons, and implementation experience and results, to influence the spread or scale up of successful strategies or increased action to improve urban health or family planning.