Family Planning in Asia and the Pacific - International Council on ...

<strong>the</strong> extent to which family plann<strong>in</strong>g <strong>and</strong> sexual <strong>and</strong>reproductive health has been prioritised <strong>in</strong> <strong>the</strong> healthsystem, <strong>and</strong> with<strong>in</strong> health system streng<strong>the</strong>n<strong>in</strong>g effortsas well as streng<strong>the</strong>n<strong>in</strong>g of appropriate <strong>in</strong>stitutional<strong>and</strong> coord<strong>in</strong>ation l<strong>in</strong>kages <strong>in</strong> countries where familyplann<strong>in</strong>g <strong>and</strong> sexual <strong>and</strong> reproductive health are notmanaged from a s<strong>in</strong>gle <strong>in</strong>stitution;f<strong>in</strong>ancial, legal, <strong>and</strong> o<strong>the</strong>r barriers to access, especiallyfor disadvantaged, marg<strong>in</strong>alised <strong>and</strong> underservedgroups, such as adolescents;review <strong>and</strong>, where necessary, take steps to augmentpolicies <strong>and</strong> legislation that are appropriate for achiev<strong>in</strong>guniversal access to family plann<strong>in</strong>g <strong>and</strong> address<strong>in</strong>gunmet need for FP, <strong>in</strong> l<strong>in</strong>e with <strong>the</strong> goals of ICPD <strong>and</strong><strong>the</strong> MDGs, <strong>and</strong> ensure <strong>the</strong>ir effective implementation;streng<strong>the</strong>n a multi-sectoral approach to promote familyplann<strong>in</strong>g through engag<strong>in</strong>g wi<strong>the</strong>ducation: for sexuality <strong>and</strong> reproductive heal<strong>the</strong>ducation <strong>in</strong> schools;rural <strong>and</strong> community development: for promot<strong>in</strong>gcommunity-based <strong>in</strong>formation <strong>and</strong> services <strong>and</strong>engag<strong>in</strong>g civil society leaders, organizations <strong>and</strong>stakeholders;health: for family plann<strong>in</strong>g <strong>in</strong>formation, services <strong>and</strong>commodities delivery;women/gender: for promotion of empowermentof women to enhance <strong>in</strong>formed family plann<strong>in</strong>g<strong>and</strong> reproductive health decisions <strong>and</strong> for girl’seducation;f<strong>in</strong>ance <strong>and</strong> plann<strong>in</strong>g: for ensur<strong>in</strong>g family plann<strong>in</strong>g<strong>in</strong>clusion <strong>in</strong> national/sectoral plans <strong>and</strong> budgets;develop a monitor<strong>in</strong>g <strong>and</strong> accountability framework forensur<strong>in</strong>g implementation <strong>in</strong> an assertive <strong>and</strong> transparentenvironment.2. Rais<strong>in</strong>g <strong>and</strong> susta<strong>in</strong><strong>in</strong>gadequate f<strong>in</strong>ancial resourcesfor ensur<strong>in</strong>g universalaccess to family plann<strong>in</strong>g<strong>in</strong>formation, services <strong>and</strong>commoditiesadvocate for cont<strong>in</strong>u<strong>in</strong>g <strong>and</strong> <strong>in</strong>creased nationalgovernment <strong>in</strong>vestments <strong>in</strong> family plann<strong>in</strong>g for reduc<strong>in</strong>gunmet need;advocate for <strong>in</strong>creased resources from donors <strong>and</strong> o<strong>the</strong>rdevelopment partners, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong>ternational f<strong>in</strong>ancial<strong>in</strong>stitutions, to meet unmet needs <strong>in</strong> countries which donot have adequate resources <strong>and</strong> to meet <strong>the</strong> needs of<strong>the</strong> poorest of <strong>the</strong> poor <strong>and</strong> o<strong>the</strong>r vulnerable or excludedpopulation;prepare evidence-based advocacy for mak<strong>in</strong>g <strong>the</strong> casefor <strong>in</strong>creased <strong>in</strong>vestment <strong>in</strong> family plann<strong>in</strong>g as <strong>the</strong>most cost-effective way to meet MDGs <strong>and</strong> stimulateeconomic growth <strong>and</strong> dim<strong>in</strong>ish poverty;provide additional fund<strong>in</strong>g to scale-up provenapproaches to reach<strong>in</strong>g <strong>the</strong> disadvantaged;engage with development partners for cont<strong>in</strong>uedsupport to <strong>the</strong> exist<strong>in</strong>g global f<strong>in</strong>anc<strong>in</strong>g mechanisms,such as <strong>the</strong> RHCS Coalition <strong>and</strong> <strong>the</strong> UNFPA’s GlobalProgramme to enhance reproductive health commoditysecurity;ensure f<strong>in</strong>ancial protection to meet dem<strong>and</strong> <strong>and</strong>services for family plann<strong>in</strong>g, especially for populationswho cannot afford, <strong>and</strong> explore <strong>in</strong>novative payments/<strong>in</strong>centives <strong>and</strong> <strong>in</strong>surance for meet<strong>in</strong>g <strong>the</strong> needs of <strong>the</strong>underserved; e.g., through <strong>in</strong>surance scheme or socialsafety net, conditional cash transfer, private publicpartnerships, <strong>and</strong> community participation;broaden <strong>the</strong> family plann<strong>in</strong>g resource base throughengag<strong>in</strong>g <strong>in</strong> public-private sector partnerships;ensure effective <strong>and</strong> efficient use of exist<strong>in</strong>g resourcesfor family plann<strong>in</strong>g, <strong>in</strong>clud<strong>in</strong>g pooled procurement;assess <strong>and</strong> report regularly on actual resource allocations<strong>and</strong> utilisation for advanc<strong>in</strong>g equitable access to familyplann<strong>in</strong>g <strong>and</strong> sexual <strong>and</strong> reproductive health at national<strong>and</strong> sub-national levels, <strong>in</strong>clud<strong>in</strong>g undertak<strong>in</strong>g cost<strong>in</strong>gstudies to plan sufficient resources for family plann<strong>in</strong>g;identify mechanisms for tagg<strong>in</strong>g resources <strong>in</strong> SWAps<strong>and</strong> pooled fund<strong>in</strong>g mechanisms, so that it is possible toascerta<strong>in</strong> <strong>the</strong> impact of contribution to family plann<strong>in</strong>g<strong>and</strong> its relative impact;ensure <strong>in</strong>clusion of family plann<strong>in</strong>g <strong>in</strong> a basic packageof health services <strong>and</strong> <strong>the</strong> national health <strong>in</strong>surancescheme;promote a closer coord<strong>in</strong>ation between <strong>the</strong> reproductivehealth/family plann<strong>in</strong>g department/agency <strong>and</strong> <strong>the</strong>HIV <strong>and</strong> maternal <strong>and</strong> newborn health departments tobe able to optimally use resources;ensure that national commitment to family plann<strong>in</strong>g/reproductive health is translated effectively <strong>in</strong> policies,programmes <strong>and</strong> budgets.3. Improv<strong>in</strong>g <strong>the</strong> quality <strong>and</strong>coverage of family plann<strong>in</strong>g<strong>in</strong>formation <strong>and</strong> servicedelivery to ensure free <strong>and</strong><strong>in</strong>formed choice, through <strong>the</strong>provision of a broader range5