Operational Guidelines for Sustainability of Family Planning Training Units in Punjab and Sindh January 2019 Table of Contents List of Contributors .......................................................................................................................................................... 3 Introduction ........................................................................................................................................................................ 5 Background .......................................................................................................................................................................... 5 Definition of Operational Guidelines ............................................................................................................................ 6 Family Planning Training Units ........................................................................................................................................ 6 Table 1: Location of FPTUs in Punjab and Sindh ................................................................................................... 7 Composition of FPTU ....................................................................................................................................................... 7 Organizational Structure (Organogram) ...................................................................................................................... 8 Standard Operating Procedures ..................................................................................................................................... 8 1: Facility level ..................................................................................................................................................................... 8 Availability of Materials/Models and Equipment..................................................................................................... 9 Enabling Work Environment .................................................................................................................................... 11 2: Provincial level ............................................................................................................................................................. 11 Strengthening procurement process of FP commodities and supplies .......................................................... 11 Budget Allocation for maintenance and procurement ....................................................................................... 11 Budget allocation for Trainings ................................................................................................................................ 12 Improving Monitoring, Evaluation and Accountability ........................................................................................ 12 Work plans: .................................................................................................................................................................. 12 Accreditation ................................................................................................................................................................ 12 Selection Criteria for Trainers, Trainees and Facility......................................................................................... 12 Terms of Reference for Selection Criteria: .......................................................................................................... 13 Regular Meetings ......................................................................................................................................................... 14 Annex 1: Standard List of Items Required to Establish FPTU ............................................................................... 15 Page | 2 List of Contributors No. Name Designation Organization/Department 1. Dr. Fauzia Assad Country Director Jhpiego 2. Dr. Sadaf Gull Training Coordinator Jhpiego 3. Dr. Afshan Ameen Provincial Program Manager Jhpiego 4. Dr. Ashfaque Memon Provincial Program Manager Jhpiego 5. Mr. Saadat Hussain M & E and FP Compliance Jhpiego Khokhar Manager 6. Dr. Bushra Amjad POC Jhpiego 7. Dr. Afshan Tahir POC Jhpiego 8. Ms. Misri Bano Senior POC Jhpiego 9. Ms. Kiran Munawar POC Jhpiego 10. Mr. Haider Safdar M & E Officer Jhpiego Abbasi 11. Dr Bushra Khan Senior Registrar Holy Family Hospital, RWP 12. Dr Anila Nosheen Senior MO Lady Willingdon Lahore 13. Dr Raana Mazhar Chief Consultant Gynecologist Lady Aitchison Lahore 14. Dr Noreen Asghar Director PME PWD 15. Dr Abdul Rehman FC HQ SHCMED Department of Health 16. Dr Ayesha Qureshi Deputy Secretary (Tech) PWD 17. Dr Sara Nawaz DMS Administration 18. Shazia Nadeem Dy DPWO (C&T) PWD 19. Dr Atiqa Imran CMO PWD 20. Dr Fauzia Syed MS Lady Aitchison Lahore 21. Dr Sidra Munir WMO/DMS Lady Aitchison Lahore 22. Dr Asma Ehsan AMS Holy Family Hospital, RWP 23. Dr Nailah Akhtar Director (Tech), Population PWD Welfare Department. 24. Dr Fazeela Shahzad Asst Professor FJMU/GRH 25. Dr Rubina Sohail Professor of OB/GYN SIMS/SHL 26. Mr. Shahid Nusrat DPWO Lahore PWD Page | 3 No. Name Designation Organization/Department 27. Ms. Abida Javaid RA PSPU 28. Dr. Tayyaba Wasim Professor of OB/GYN SIMS/SHL 29. Dr. Amna Zia Eusaph Assistant Professor KEMU/ LWH 30. Dr. Haris Ahmad Head of SUKH Aman Foundation 31. Dr. Talib Lashari Technical Advisor CIP Cell 32. Mr. Irfan Hussain Coordinator CIP Cell 33. Dr. Shoaib-un-Nisa Assistant Professor, Ghulam Muhammad Mahar Medical College, Sukkur 34. Dr. Waqar Ahmed Additional Director Public DOH Health 35. Dr. Ghayas Sanjarani Assistant Director RCH DOH 36. Dr. Mohammad Moosa Assistant Director DOH Qazi 37. Dr. Khadija Bano HOD Ward -9 JPMC 38. Dr. Haleema Yasmeen HOD Ward-8 JPMC 39. Dr. Ishrat Saba WMO Qasimabad Hospital, Sindh 40. Dr. Shabnam Parveen Consultant Gynecologist JIMS –Jacobabad 41. Dr.Lubna Baig Professor of OB/GYN AIPH –JSMU) 42. Dr. Nighat Shah Consultant AIPH 43. Mr. Mehjabeen Consultant AIPH Musharraf 44. Dr. Muneera Junaid Consultant SGH Saudabad 45. Dr. Ashfaque Shah Director General PWD 46. Ms. Nasreen Ghouri Director ME&R PWD 47. Mr. Muzaffar Qureshi Manager Operations CIP PWD 48. Mr. Zahid Baig Assistant Director PWD 49. Dr. Shama Iftikhar Deputy Director RHS PWD 50. Dr. Amber Gaba Principal RTI PWD 51. Dr. Irshad Begum Senior Instructor PWD Page | 4 Introduction The Maternal and Child Survival Program (MCSP) is a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on twenty four, high-priority countries, including Pakistan. The Program is led by Jhpiego in collaboration with a consortium of lead and partner organizations. The agenda of MCSP in Pakistan is to engage Federal Ministry of Health, Regulations and Coordination, Provincial Departments of Health, Population Welfare Department, Planning & Development, Provincial Integrated and Vertical Health Programs, research institutions, health facilities, healthcare providers and community health workers in adopting and accelerating evidence based approaches to accelerate uptake of family planning services in Pakistan. The Program has been implementing multi-faceted activities, which are designed to increase access to family planning services in three provinces of Pakistan namely Punjab, Sindh and Baluchistan, especially concerning Long Acting Reversible Contraceptives (LARCs). The Program has been supporting the Provincial Departments of Health and Population Welfare to achieve FP2020 goals. The Maternal and Child Survival Program is: • Developing collaborative partnerships to create environment for enhanced family planning service delivery by engaging Population Welfare and Health Departments at Provincial and District Levels • Raising standards of quality in family planning service provision by building service providers’ learning and performance in service provision • Ensuring adherence to family planning compliance regulations, especially informed choice and voluntary choice Background Making family planning services financially sustainable over a long term is an increasing challenge, given the growing number of users and competition for scarce resources by other health and development programs. One route to sustainability is increasing the cost-efficiency of services. Managers can learn to use cost-revenue analysis tools to understand how staffing patterns, the service mix, service practices, and procurement contribute to the cost of delivering services. LARCs can contribute to cost efficiency by minimizing resupply and number of visits. When making such changes, however managers must be careful not to erode the quality of care or reduce access to services. Unless staff are given adequate resources, training, and supportive supervision, the quality of care may suffer. High quality of care can encourage potential family planning clients to seek out, adopt, and/or continue using contraception Quality of care depends on offering clients a full range of methods, giving them accurate and complete information, choice of method, technical competence of providers and client focused or individualized services Empirical evidence generated from Pakistan reveals that more than 47% of clients (Khan and Khan 2012) go to private practitioners for seeking family planning services. The time is right to take private sector onboard for enhancing access, effectiveness and quality in provision of family planning services. The private sector needs