Family Planning

Family planning in Sierra Leone

Family Planning

Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achieved using contraceptive methods and the treatment of infertility.

Family Planning

Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achieved using contraceptive methods and the treatment of infertility.

UNFPA Sierra Leone works to increase national capacity to strengthen enabling environments, increase demand for, and supply of, modern contraceptives and improve the delivery of high-quality family planning services that are free of coercion, discrimination and violence.  We focus on reaching the most vulnerable and delivering contraceptives to the last mile by:

 

-       Promoting advocacy for creating an enabling environment in support of voluntary family planning and other reproductive and maternal health services.

-       Increasing knowledge of sexual and reproductive health issues using behaviour change communication to facilitate demand generation.

-       Building capacity to strengthen reproductive health for commodity security and logistics management systems

-       Building human resource capacity to improve the supply of quality family planning services that are free of coercion and discrimination. 

-       Integrating family planning into other sexual and reproductive health services.

 

Key achievements in 2016:

Supply chain management - Contraceptive forecasting and procurement

UNFPA ensures the availability of reproductive health commodities in Sierra Leone through its UNFPA Supplies Programme. We procured approximately USD 950,000 worth of contraceptives and reproductive health commodities  in  2016  for  the  MOHS/  NPPU  – more than 95  per  cent of  public sector supply of  the  country’s  contraceptive  needs  for  one year. We continued to advocate for increased financial allocation and government commitment to support the procurement and distribution of reproductive health commodities. We also strengthened data collection and reporting skills at the district level. With our support, MOHS/ National Pharmaceutical and Procurement Unit (NPPU) conducted a quantification, forecasting and budgeting exercise for contraceptive procurement in 2017.

Family planning training

Training was given to 440 service providers on the provision of Long Acting Reversible Family Planning Methods: 323 were trained in insertion and removal of implants and IUDs. This number included 132 and maternal and child health aides who received training as part of task shifting, to increase Family Planning (FP) uptake in rural communities.

Family planning service delivery

Through our implementing partners, the Planned Parenthood Association Sierra Leone (PPASL) and Marie Stopes Sierra Leone (MSSL), UNFPA provided FP, maternal and reproductive health services to women and adolescent  girls in underserved communities in five districts: Bo, Kenema, Kambia, Pujehun and Kailahun. Services were also provided in Western Urban and rural districts. Family planning services reached 327,374 new acceptors.

Community outreach activities allowed thousands of beneficiaries to benefit from FP services. Marie Stopes operated three outreach teams in Pujehun, Kailahun and Kambia districts, providing choice and improving the accessibility of FP services in underserved communities. Twenty community- based motivators, an outreach coordinator, a medical compliance officer, a demand creation officer, two nurses and a driver supported each team. The teams lived in the communities to provide round-the-clock services to residents. Integrated maternal health services, including the screening and management of sexually transmitted infections (STIs), HIV testing and counselling, antenatal and postnatal services, were provided to 4,212 beneficiaries.

Demand generation

Through the Ministry of Social Welfare, Gender and Children’s Affairs (MSWGCA), UNFPA supported 520 community wellness advocates (CAGs) to promote the uptake of sexual and reproductive health (SRH) services and FP in communities.  The CAGs referred 50,773 women and adolescent girls for various SRH services in four districts: Bonthe, Pujehun, Kono and Kailahun. To further strengthen community mobilisation on SRH issues, MSWGCA trained an additional 210 CAGs in Bombali and Tonkolili districts to provide SRH and gender-based violence information.