Romanian Family Health Initiative – Success Story How Donor Coordination Immediately Brought Family Planning Services to 55 Communities Getting accessible family planning services to rural Romanian women has been a particularly frustrating problem. Initial efforts in the early 1990's resulted in services at primarily urban health centers. Often, women would need to travel hours to access basic health services and family planning commodities. Over the last three years, USAID- and UNFPA-funded programs began training rural doctors and nurses to provide patient-centered family planning and other reproductive health services in several counties. Without family planning commodities or insurance payments, however, those services have not been initiated. In the fall of 2001, UNFPA received a large donation of family planning contraceptives and was planning to use them in only the counties where they had trained providers. Through an AIHA (American International Health Alliance) program, additional contraceptives were acquired to complement this donation. The JSI Research and Training Institute, Inc. had been working with the Ministry of Health and Family on their new reproductive health strategy and in piloting a logistics and management information system (MIS) for contraceptive distribution. RFHI persuaded the Ministry of Health to negotiate with UNFPA to spread the contraceptives to the 18 (of 41) counties where both USAID and UNFPA had trained providers. The same logistics system and MIS used for the distribution of the donated contraceptives will be applied nationwide for the contraceptives supplied by the Ministry of Health for the rest of 23 counties. RFHI with its Romanian partner, SECS (the Society for Education on Contraception and Sexuality), quickly provided just-in-time logistics and MIS training to the UNFPA-trained providers and any USAID-trained providers who had not been involved in the previous logistics pilot. Within four weeks, contraceptives were in the hands of 62 primary care providers in 55 communities, dramatically increasing the use of modern contraception. For example, in five rural villages last year, over the first three months, approximately 100 women per village began using oral contraceptives. Though new figures are not yet in, a dramatic increase is expected in the use of modern contraceptives in the 375 communities which have rapidly come on line with family planning services. The Health Education summer beach campaign is just one success story of the Romanian Family Health Initiative (RFHI), a bilateral USAID-funded project implemented by JSI Research & Training Institute, Inc. The RFHI is designed to increase the availability and utilization of high quality client- oriented services at the primary health care level and to assure sustainability of reproductive health services in Romania, including family planning, safe motherhood, early detection of breast and cervical cancer, and HIV/AIDS and STIs prevention.

I am speaking right now. If you cannot hear me, click Q&A on the toolbar and type a message in the Question box Denise Traicoff

 Describe how to use the development tools and template to create a quality success story  Develop a success story for your program using these tools

 Webinar tools orientation  Components of a success story  Write a success story for your program STEP 1: PLANNING STEP 2: DATA COLLECTION STEP 3: WRITING STEP 4: DISTRIBUTION STEP 5: EVALUATING EFFECTIVENESS

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Example we will use during this webinar

STEP 1: PLANNING STEP 2: DATA COLLECTION STEP 3: WRITING STEP 4: DISTRIBUTION STEP 5: EVALUATING EFFECTIVENESS

Individuals in your organization Non Governmental Organizations Administrators in a school Parents Community Health workers Funders Educators Physicians

Romanian Family Health Initiative – Success Story How Donor Coordination Immediately Brought Family Planning Services to 55 Communities Getting accessible family planning services to rural Romanian women has been a particularly frustrating problem. Initial efforts in the early 1990's resulted in services at primarily urban health centers. Often, women would need to travel hours to access basic health services and family planning commodities. Over the last three years, USAID- and UNFPA-funded programs began training rural doctors and nurses to provide patient-centered family planning and other reproductive health services in several counties. Without family planning commodities or insurance payments, however, those services have not been initiated. In the fall of 2001, UNFPA received a large donation of family planning contraceptives and was planning to use them in only the counties where they had trained providers. Through an AIHA (American International Health Alliance) program, additional contraceptives were acquired to complement this donation. The JSI Research and Training Institute, Inc. had been working with the Ministry of Health and Family on their new reproductive health strategy and in piloting a logistics and management information system (MIS) for contraceptive distribution. RFHI persuaded the Ministry of Health to negotiate with UNFPA to spread the contraceptives to the 18 (of 41) counties where both USAID and UNFPA had trained providers. The same logistics system and MIS used for the distribution of the donated contraceptives will be applied nationwide for the contraceptives supplied by the Ministry of Health for the rest of 23 counties. RFHI with its Romanian partner, SECS (the Society for Education on Contraception and Sexuality), quickly provided just-in-time logistics and MIS training to the UNFPA-trained providers and any USAID-trained providers who had not been involved in the previous logistics pilot. Within four weeks, contraceptives were in the hands of 62 primary care providers in 55 communities, dramatically increasing the use of modern contraception. For example, in five rural villages last year, over the first three months, approximately 100 women per village began using oral contraceptives. Though new figures are not yet in, a dramatic increase is expected in the use of modern contraceptives in the 375 communities which have rapidly come on line with family planning services. The Health Education summer beach campaign is just one success story of the Romanian Family Health Initiative (RFHI), a bilateral USAID-funded project implemented by JSI Research & Training Institute, Inc. The RFHI is designed to increase the availability and utilization of high quality client- oriented services at the primary health care level and to assure sustainability of reproductive health services in Romania, including family planning, safe motherhood, early detection of breast and cervical cancer, and HIV/AIDS and STIs prevention.

Workbook: Appendix A

How does your program or organization collect data now?

 Title  Define the Issue  Program Description  Impact Statement  Contact Information  Action  Photo/Quote

 Choose the title that you think is most effective for a success story

Workbook: Appendix B YesNoNot sure How Donor Coordination Immediately Brought Family Planning Services to 55 Communities

Problem Overview: Getting accessible family planning services to rural Romanian women has been a particularly frustrating problem. Initial efforts in the early 1990's resulted in services at primarily urban health centers. Often, women would need to travel hours to access basic health services and family planning commodities. Over the last three years, USAID- and UNFPA-funded programs began training rural doctors and nurses to provide patient-centered family planning and other reproductive health services in several counties. Without family planning commodities or insurance payments, however, those services have not been initiated. YesNoNot sure Workbook: Appendix B

Program Description: Romanian Family Health Initiative (RFHI), a bilateral USAID-funded project implemented by JSI Research & Training Institute, Inc. The RFHI is designed to increase the availability and utilization of high quality client-oriented services at the primary health care level and to assure sustainability of reproductive health services in Romania, including family planning, safe motherhood, early detection of breast and cervical cancer, and HIV/AIDS and STIs prevention.

Which message makes a stronger impact? RFHI with its Romanian partner, SECS (the Society for Education on Contraception and Sexuality), quickly provided just-in- time logistics and MIS training to the UNFPA-trained providers and any USAID-trained providers who had not been involved in the previous logistics pilot. Within four weeks, contraceptives were in the hands of 62 primary care providers in 55 communities, dramatically increasing the use of modern contraception. For example, in five rural villages last year, over the first three months, approximately 100 women per village began using oral contraceptives. Message 1 “a dramatic increase is expected in the use of modern contraceptives which have rapidly come on line with family planning services..” Message 2

 Title  Define the Issue  Program Description  Impact Statement  Contact Information  Action  Photo/Quote Logos Website Name, phone, Do you have permission?

 Title  Define the Issue  Program Description  Impact Statement  Contact Information  Action  Photo/Quote

 Title  Define the Issue  Program Description  Impact Statement  Contact Information  Action  Photo/Quote Health education campaign asking that individuals get immunized Immediate action needed to pass a policy Support is needed for a new idea or product

 Title  Define the Issue  Program Description  Impact Statement  Contact Information  Action  Photo/Quote What purpose does the quote and/or picture serve? What message does it send? Do you have permission?

 Title  Define the Issue  Program Description  Impact Statement  Contact Information  Action  Photo/Quote STEP 1: PLANNING STEP 2: DATA COLLECTION STEP 3: WRITING STEP 4: DISTRIBUTION STEP 5: EVALUATING EFFECTIVENESS

What program successes do you want to highlight?

 Type your question in the Q&A pane

 Use the workbook to help you write your success story (Appendix A & B)  Use the electronic template for easy formatting  Post reflections on the discussion board  Complete your post-webinar evaluation and continue to provide feedback on site

 Download the handouts from this session  Handouts also posted on the MIPH Community site in the Continuing Education section

 Receive feedback on your success story by posting on the MIPH community site for SMDP staff to review