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

of methods for all, <strong>in</strong>clud<strong>in</strong>g tounderserved groupsdesign programmes <strong>and</strong> policies to make familyplann<strong>in</strong>g <strong>and</strong> reproductive health services available toall, <strong>and</strong> close to where disadvantaged groups live <strong>and</strong>work through:encourag<strong>in</strong>g <strong>the</strong> culture of “no missed opportunities”by <strong>in</strong>tegrat<strong>in</strong>g family plann<strong>in</strong>g services <strong>in</strong>to healthservices <strong>and</strong> mak<strong>in</strong>g family plann<strong>in</strong>g a cross cutt<strong>in</strong>g<strong>the</strong>me,<strong>in</strong>stitut<strong>in</strong>g delivery systems <strong>and</strong> management supportto underserved areas such as urban slums, rural <strong>and</strong>remote areas, <strong>and</strong> <strong>in</strong>formal settlements throughcommunity based distribution,develop<strong>in</strong>g <strong>the</strong> most appropriate constellation ofpublic <strong>and</strong> private sector quality services to reachdisadvantaged populations <strong>in</strong> a cost effective mannerto reach all, <strong>in</strong>clud<strong>in</strong>g disadvantaged;<strong>in</strong>stitute l<strong>in</strong>kages or <strong>in</strong>tegration with MCH, STI <strong>and</strong>HIV with<strong>in</strong> <strong>the</strong> health system <strong>and</strong> primary health caresett<strong>in</strong>g to <strong>in</strong>crease opportunities for counsell<strong>in</strong>g forFP;ensure l<strong>in</strong>kages between family plann<strong>in</strong>g service <strong>and</strong>counsell<strong>in</strong>g <strong>and</strong> post-partum <strong>and</strong> post abortion care;promote <strong>the</strong> improvement of quality family plann<strong>in</strong>gthrough adopt<strong>in</strong>g evidence-based family plann<strong>in</strong>gguidel<strong>in</strong>es <strong>and</strong> tools for improved quality of care thatalso provide guidance for underserved groups <strong>and</strong><strong>in</strong>clude follow up of clients to ensure cont<strong>in</strong>uity ofcontraception use;ensure wide selection of safe, effective, affordable <strong>and</strong>accessible modern methods for <strong>in</strong>formed choice of allclients at all service delivery po<strong>in</strong>ts, where possible;undertake tra<strong>in</strong><strong>in</strong>g of service providers <strong>in</strong> counsell<strong>in</strong>gfor <strong>in</strong>formed choice of broad method mix, especially <strong>in</strong>communicat<strong>in</strong>g with clients with special communicationchallenges;<strong>in</strong>clude <strong>and</strong> exp<strong>and</strong> premarital counsell<strong>in</strong>g <strong>and</strong> providenewly married couples with family plann<strong>in</strong>g <strong>in</strong> allcommunities;promote programmes aimed at education <strong>and</strong> servicesfor young people focus<strong>in</strong>g ontra<strong>in</strong><strong>in</strong>g <strong>and</strong> supervis<strong>in</strong>g health professionals toprovide youth friendly services,ensur<strong>in</strong>g broad range of quality contraceptive optionsfor all young people, <strong>in</strong>clud<strong>in</strong>g most at risk youngpeople <strong>and</strong> unmarried women, especially options foreffective contraception <strong>and</strong> proper use of emergencyoral contraception,<strong>in</strong>clud<strong>in</strong>g adolescents, parents <strong>and</strong> teachers <strong>in</strong> <strong>the</strong>development <strong>and</strong> implementation of programmes;compulsory <strong>in</strong>clusion of curricula hours for <strong>in</strong>teractiveadolescent sexual <strong>and</strong> reproductive health <strong>in</strong> schoolhealth programmetailor services to people who are multiply disadvantaged(for example, by disability, HIV status, ethnicity,emergency situations) to overcome <strong>the</strong>ir particularconstra<strong>in</strong>ts to access <strong>and</strong> use of family plann<strong>in</strong>g <strong>and</strong>sexual <strong>and</strong> reproductive health services;<strong>in</strong>crease <strong>the</strong> number of community delivery outlets <strong>and</strong>community <strong>in</strong>formation/education to ensure reach<strong>in</strong>gunderserved groups through improv<strong>in</strong>g structures <strong>and</strong>encourag<strong>in</strong>g mechanisms for community based deliverysystems <strong>and</strong> community outreach;undertake quality assurance of services throughappropriate supervision with<strong>in</strong> <strong>the</strong> context ofdecentralized sett<strong>in</strong>gs <strong>and</strong> community based systems;promote family plann<strong>in</strong>g with<strong>in</strong> <strong>the</strong> socio-culturalcontext <strong>in</strong> a community based sett<strong>in</strong>g;identify l<strong>in</strong>kages of family plann<strong>in</strong>g with<strong>in</strong> o<strong>the</strong>rdimensions of sexual <strong>and</strong> reproductive health , such asprevention of sex selective foeticide <strong>and</strong> unsafe abortion,with<strong>in</strong> <strong>the</strong> country specific context.4. Empower<strong>in</strong>g <strong>in</strong>dividuals,especially <strong>the</strong> underserved,<strong>and</strong> communities to exercise<strong>the</strong>ir rights to dem<strong>and</strong> familyplann<strong>in</strong>g <strong>in</strong>formation <strong>and</strong>servicespromote culturally appropriate <strong>and</strong> gender sensitivebehavior change communication strategies to generate<strong>and</strong> susta<strong>in</strong> dem<strong>and</strong> for use of FP;orient providers to respect rights & choices <strong>and</strong> improveaccess to quality counsel<strong>in</strong>g services.<strong>in</strong>form <strong>in</strong>dividuals of <strong>the</strong>ir right to <strong>the</strong> full complement offamily plann<strong>in</strong>g <strong>in</strong>formation, services <strong>and</strong> commodities;<strong>in</strong>form <strong>in</strong>dividuals about <strong>the</strong>ir contraceptive options,<strong>the</strong> advantages <strong>and</strong> disadvantages of various options<strong>and</strong> enable <strong>the</strong>m to make an <strong>in</strong>formed decision aboutwhich method to adoptempower communities to seek accountability from <strong>the</strong>health system with regard to <strong>the</strong> provision of familyplann<strong>in</strong>g <strong>in</strong>formation, services <strong>and</strong> suppliespromote community based promotion <strong>and</strong> distributionof family plann<strong>in</strong>g <strong>in</strong>formation <strong>and</strong> commoditiesengage men <strong>and</strong> boys to take action with<strong>in</strong> <strong>the</strong>ir families6