12 August 2019
The Aman Foundation’s financial contributions will help facilitate research in integrated family health service delivery and family planning programs that help increase the number of new family planning users through improved quality of services, introduction to new contraceptive methods, innovative service-delivery interventions, and demand generation. The Aman Foundation also commits to enhancing partnerships with local community-based organizations, the private sector, and the public sector through an integrated community-based approach. The Aman Foundation will improve quality and effectiveness of family planning programs and services in the targeted project areas and will help to increase women’s and girls’ ability to make informed decisions and have access to the most appropriate family planning services and supplies. Their initial commitment in 2012 to FP2020 in support of Every Woman Every Child, has been rolled-over and extended until 2020 to help advance the Updated Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030). More information about this commitment can be found here.
Sukh Initiative is a six-year (2013-2019) family planning and reproductive health project of Aman Health Care Services, implemented in peri-urban settings of Karachi, Sindh, with financial assistance from the Bill and Melinda Gates Foundation; the David and Lucile Packard Foundation and the Aman Foundation, and managed by a Program Management Unit (PMU).
Sukh vision is to empower families to access contraception by increasing knowledge, improving quality of services and expanding the basket of choices; contributing to the goals of FP2020. Project aims to increase prevalence of modern contraceptives by 15 percentage points, from the baseline, in selected one million, peri-urban population from four towns of Karachi; including Korangi; Landhi; Bin Qasim; and Malir. These sites were selected based on a criteria of lower socio-economic income neighborhoods.
Sukh works with married women of reproductive age (MWRAs) to address their myths and misconceptions on use of modern contraceptive methods through door to door mobilization activities. Working with both public and private service delivery points within project area, Sukh ensures provision of quality FP services by trained health care providers. Engaging youth to be responsible adults, Sukh includes young boys and girls (12 to 19 years) both at school and in the community to provide them with life skill-based education. A 24/7 helpline (9123) provides FP and youth counselling, referral and follow-up services.
Progress at a glance (July 01, 2017 – June 30, 2018:
- During its field operations of 3.5 years, 200 project supported community health workers (CHWs) reached out to a population of 800,000; whereas 200 lady health workers (LHWs), from Sindh LHW Program covered a population of 200,000 for demand generation. Through both CHWs and LHWs, 169,071 MWRA’s were approached to provide FP/RH information and services. Based on the service statistics 88,915 MWRAs are current users of modern FP methods, a 20 percentage points increase in mCPR from baseline mCPR of 32%. Method mix for short term contraceptive remains high at 65% and includes 13% injections and 8% COCs. In LHW catchment area, 14,712 MWRAs are currently using any modern contraceptive.
- At service provision 43 public facilities with trained 121 providers maintained a 70% quality scoring. 55,453 (33,088 new clients and 22,365 returning) clients were provided modern contraceptive methods. In addition, 40 private sector facilities with 66 trained providers served 5,247 FP clients with a quality score of 80%. In addition to this, 92 Family Health Days (FHD) were conducted at Population Welfare Department (PWD) and MCH facilities, which served 2,039 FP clients.
- Aman TeleHealth registered 40,276 MWRAs, husbands and youth. It received 56,380 inbound calls from Sukh catchment area and made 370,049 outbound calls. Information related to FP, MNCH, Life Skill Based Education (LSBE) was disseminated to registered Sukh clients through 3.5 million SMS.
- More then 5,000+ youth from 30 secondary high schools and 4 vocational institutes received LSBE. At Sukh Youth Friendly Space 521 youth participated in 235 LSBE and 48 counselling sessions.
• Project has had a baseline and midline evaluation conducted by AKU. Field operations at Sukh concluded on September 30, 2018, followed by a third-party End Line Evaluation by Research and Development Solutions (RADS) in partnership with Mathematica Policy and Research (MPR).
The Sukh Initiative is a five year (Nov’13-Aug’18) multi-donor funded project being implemented in peri-urban settings of Karachi, Sindh. Equally funded by The Bill and Melinda Gates Foundation; The David and Lucile Packard Foundation and The Aman Foundation. The project has successfully completed its 4th Year of implementation.
Vision: Sukh Initiative empowers families to access contraception by increasing knowledge, improving quality of services and expanding the basket of choices; contributing to the goals of FP2020.
Goal: To increase prevalence of modern contraceptives by 15 percentage points, from the baseline, in selected one million, underserved peri-urban population of Karachi, Sindh.
Sukh Initiative is committed to provide FP related information, counselling, supplies, referrals and quality services to women of reproductive age residing in selected communities. Additionally, project also focuses on youth, to sensitize them on reproductive health and to be a responsible adult. The project is being implemented by a consortium of six national and international organizations and impact evaluated by a measurement partner. Program management Unit, housed at Aman Health Care Services provides the strategic leadership and is the coordinating body.
Progress at a glance
Sukh Initiatives serves four towns of Karachi, including Korangi; Landhi; Bin Qasim; and Malir. Project sites were selected based on a criteria of lower socio-economic income neighborhoods where there are LHWs (Lady Health Workers) and area with no LHW coverage and no other FP related organization is doing any demand creation activities. An overview of Year 4 progress during (July 01, 2016 – June 30, 2017 is mentioned below:
• As of June 2017, the Sukh Initiative reached 805,996 uncovered population through 194 CHWs.
• Over 29,286 MWRA’s have been approached to provide FPRH information by LHWs, and 1,35,213 MWRAs by CHWs (Community Health Workers). 63,919 current users of modern FP methods were maintained at the closing of the year in the community inclusive of 22,230 new users by CHWs.
• A total of 5,771 Family Planning Clients were served by Aman Clinic. 4,416 FP Injectable clients were served through outreach service in Sukh catchment area. 739 Implants and 47 IUCD were inserted including some other services.
• Under service provision for public sector, a total of 82,518 MWRAs visited the 9 Sukh partner MCH centers between Jul 2016 and June 2017. Of the 8,800 deliveries conducted during this time, 75% of delivered clients counseled for PPFP, while 59% accepted any modern FP method, out of which 34% were of PPIUCD and 55% for Implants.
• A total of 33,278 married women of reproductive age (MWRAs) visited 22 family planning clinics (FWC) during July 2016-June 2017. Of these MWRAs, 2,917 visited for ANC, whereas 2,536 visited for prenatal care (PNC), and the remaining 27,825 for FP services. All MWRAs who visited FP clinics counseled for family planning and 86% of them accepted one of the modern contraceptive methods. The data shows an increase trend of FP adoption, which is more than double as compared to baseline.
There were 2,669 users reported in January–March 2016 (Baseline) to 6,501 in April–June 2017.
• Extending services to private sector in Year 4, Sukh’s implementing partner dkt organized 47 health camps which was visited by 660 MWRA of which 323 adopted family planning methods. The three most opted methods by the clients were condoms (52%), IUDs (21%) and injections (19%). 10 Heer Apa activities were also arranged which were attended by 123 participants.
• Since inception, ATH has reached 30,849 MWRAs and a total of 191,236 call attempts were made by ATH to inform MWRAs about side effects management and follow-ups.
• Sukh’s efforts for advocacy and system strengthening has reaped positive effects. The concept of “Family Health Days” initiated by Sukh in Sindh, has been adopted for scale by PWD and currently FHDs are being conducted in 10 Costed Implementation Plan districts across Sindh.
• Sukh is the first in the province to initiate Task Shifting, with 200 LHWs and 10 LHs being trained to administer First dose of Injectable contraceptives during Year 4.
• Sukh entered a MoU with Department of Education, Sindh to include Life Skill Based Education modules in Secondary School Curriculum for Sindh. In only two years’ time Sindh Textbook Board has included LSBE modules in the curriculum and in its first phase, pilot testing of integrated LSBE curricula is under way at six schools.
The schools are not from the Sukh catchment areas. 2 schools will be taken from Shaheed BanazirAbad, 2 from Hyderabad and 2 will be from Karachi. The department of Education is of the view that the schools should not be already sensitized to this curriculum so that they can observe the response from the teachers and the students with this curriculum as part of their first exposure rather than their continuation of the learnings. PMU appreciates and fully endorses this approach.
• CHW tested android application for community based data collection is being upgraded and will be adopted by the LHW Program, Sindh. Sukh is providing technical assistance to the LHW Program for customizing the existing application to LHW program needs and specifications.
2012—London Family Planning Summit
The Aman Foundation commits US $5 million over the next five years on a matching basis with the Bill & Melinda Gates Foundation, in additional funds for family planning programs and initiatives in Karachi, Pakistan. These funds are for the purpose of facilitating research in integrated family health service delivery and family planning programs that are strategic to increase the number of new family planning users through improved quality of services, introduction to new contraceptive methods, innovative service delivery interventions and demand generation. The Aman Foundation also commits to enhancing partnerships with local community-based organizations, the private sector and the public sector through an integrated community-based approach. The Aman Foundation will improve quality and effectiveness of family planning programs and services in the targeted project areas, and will help to increase women’s and girls’ ability to make informed decisions and have access to the most appropriate family planning services and supplies.