Table of Contents
Glossary


Examples from Around the World

Approaches to Creating Sustainability in Family Planning Programs

Individual Organization and Country Strategies

Sustainability Components Countries and Organizations: Non-Governmental and Public Sector Organizations
Ecuador Kenya Bangladesh Indonesia
NGO: CEMOPLAF NGOs (FPAK, CHAK) and Public Sector (NCPD) Public Sector Public Sector: BKKBN
Organizational StabilityAnalyze new and potential markets to identify who can be served, the volume of services needed, potential for income generation and cross subsidization of low-income and underserved clients.Articulate clear missions and motivating staff to achieve the organization's mission.Develop policies and mechanisms for effective decentralization to motivate staff and community members to take ownership of national FP program objectives.Develop innovative approaches at regional level through operations research activities to determine optimal service and financial models. Emphasize motivated, committed leadership and strengthening management at al levels
Meeting All Clients' NeedsAssess client needs and interest in underserved areas. Establish clinics based on client characteristics. Emphasize quality assessment, assurance, and standards for all clinic services.Develop strategies for service extension in NGOs, including more effective decentralization and integrated MIS systems for all CBD programs.Develop a community-based FP management system that distributes responsibility for family planning use among volunteers, technical personnel, and officials.Fine-tune marketing strategy to target different sectors of the population and develop regulatory mechanisms to set and maintain quality standards for all FP service delivery components.
Achieving Greater Control Over ResourcesAssess potential new markets for service and products by establishing real costs and pricing policy based on costs, competition and client income, and set up system for cross subsidization.Increase self-financing through costing and pricing services and development of institution-wide service fee structures.Promote increased local government financial participation in the FP program by allocating a greater percentage of development and discretionary funds to family planning services.Develop policies of cost containment through sharing of services with private commercial sector and more effective control of service costs. Strengthen support of social and political institutions.


CEMOPLAF: Centro Médico de Orientación y Planificación Familiar (Medical Center for

Orientation and Family Planning FPAK: Family Planning Association of Kenya CHAK:

Christian Health Association of Kenya NCPD: National Council for Population

Development BKKBN: National Family Planning Coordinating Board


Glossary
Table of Contents