Pakistan’s current total Population is 207 million and is projected to be around 345 million by 2050. As per Pakistan Demographic Health Survey 2012-13, the country’s Contraceptive Prevalence Rate (CPR) was 35.4% which has now reduced to 34% according to the latest PDHS (2017-18). Pakistan has committed to achieve universal access to FP and raise CPR to 50% by 2020. Greenstar Social Marketing (GSM), also aligns itself with the country’s FP 2020 strategic priorities by focusing on implementation of a comprehensive social mobilization as well as strong, innovative social marketing and franchising initiatives in its intervention areas. The country’s statistics show that there was and still is a ‘need’ for effective, good quality and easily accessible FP services. Thus, taking on the initiative to effectively implement FP services, GSM with the support of PSI and DFID is implementing “Delivering Accelerated Family Planning in Pakistan (DAFPAK)” program from December 01, 2017. DAFPAK is the successor to the previously implemented DRHR (2012 – 2017) and is designed to provide reproductive health services to the community through social marketing. Through various interventions implemented under DAFPAK, the program aims to:
- Avert 584 maternal deaths
- Avert 661,231 unintended and high-risk pregnancies
- Reduce the number of unsafe abortions by 201,041
- Avert 602,926 DALYs
The program is being implemented in 54 districts of Pakistan from Sindh, Punjab, KP provinces and FATA. The duration of the program is 49 months starting from December 2017, through December 2021. Given below are the program’s major outputs along with their respective deliverables for Greenstar.
Output 1-Increase access to FP services:
This output has three KPIs which are to generate CYPs, focusing on total FP users and activation of FMCG outlets and pharmacies.
- KPI 1 – Generate 2.85 million CYPs
- KPI 2 – Serve 2.01 million family planning users through social marketing of contraceptives
- KPI 3 – Activate 10,000 new outlets (60% in rural and 40% in urban areas)
Output 2-Improved quality of client-centered FP services
Under DAFPAK the quality of the services is measured through ensuring stock availability, which is a continuous process carried out on a quarterly basis by M&E teams. Key quality indicators are Product availability, visibility, away from sunlight exposure and Product expiry within the next 3 months.
- KPI 4 – 95% of the outlets experience no stock outs
Output 3-Enabling Environment for FP:
- Coordination with the Government through participation in monthly District Technical Committee meetings (DTCs) in all intervention districts
- Generate 165,000 new users of family planning through female service providers.
- Offer backup support to providers and extend family planning support to address family planning related questions by callers through 24/7 Toll-free Helpline (POOCHO)