1. The Permanent, Technical, Multi-Sectoral Committee for Family Planning
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The Added Value of a Multi-Sectorial Family Planning Coalition in a Post-Conflict Environment in DRC:
The Permanent, Technical, Multi-Sectoral Committee for Family Planning
(CTMP/FP)
Dr. Raoza Vololona Rafanoharana
CARE | Democratic Republic of Congo
Dakar, Senegal | March 2016
Co-Author: Erin Files Dumas, CARE | USA

2. 9/11/2018
Context and Timing
2004 & 2009:
1st & 2nd National FP Conferences
2010: Formation of National-Level FP Committee for Advocacy & Policy
2013: Government commitment to FP at ICFP in Addis Ababa, Ethiopia
2014: rd national FP Conference
2015: (March) Decree for provincial-level working groups
(June) Official installation of CTMP/FP in North Kivu
From 2004 to 2014, DRC saw substantial commitment by its national government to promote family planning (FP) and ensure access to services for Congolese women and families.
In 2015, a national decree to create permanent working groups for family planning (FP) across the country was issued.
In North Kivu, an Eastern DRC province, CARE formed and lead this working group.

3. mCPR Prevalance in DRC
According to FP2020, substantial gains are being made in DRC’s prevalence of modern contraception.
CTMP/PF contributes to accelerating these gains.
Source: Data Visualization of FP2020 Core Indicators. k4Health.

4. CTMP/FP Goals
To help realize the FP2020 goal of enabling 120 million more women and girls to use contraceptives by 2020, CTMP/FP seeks to:
Expand FP coverage – (e.g. partner map partners, identify gaps, coordinate response)
Advocate for increases in North Kivu’s FP budget allocation.
Lead the North Kivu Governor to declare a commitment to prioritize FP in the province.

5. A Variety of Stakeholders
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A Variety of Stakeholders
Ministries
Donors
National NGOs and civil society
International NGOs
Universities
Religious organizations and representatives
Ministries
Health (National Reproductive Health Program)
Ministries of Gender, Transportation, Justice, Youth, Education, Interior, etc.
Donors
UNFPA, USAID, DFID, Packard Foundation, Gates Foundation, World Bank, etc.
National NGOs and civil society
International NGOs
Universities
Religious organizations and representatives
© 2007 Jessica Scranton, Courtesy of Photoshare

6. CTMP/FP North Kivu

7. CTMP/FP Accomplishments
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CTMP/FP Accomplishments
Increase recognition/accountability PNSR as provincial lead for FP
Socialize little known policies: (e.g. husband authorization not necessary)
Identify and address barriers to policy implementation: (e.g. case of providers harassment of women and a providers)
Increased visibility for the need for FP
A defined focal point : National Reproductive Health Program CTMP/PF was the designated host for visits by representatives from the CTMP/PF provides a mechanism for influencing the implementation of policies including SRH services for adolescents and the elimination of provider harassment for women and families seeking SRH services9 of the 32 Health Zones in North Kivu have Family Planning Programs, as determined by a CTMP/FP’s review of services in the region

8. Strategies for Success I
Don’t Wait!
CTMP/FP North Kivu was the first provincial-level working group to be established after the decree was issued, resulting in its immediate recognition by the Minister of Health
Maintain a Variety of Actors in Leadership Positions
Head coordinator: CARE International
Vice coordinator: UNFPA
Secretary: National Reproductive Health Program
Vice-secretary: Division of Gender, Women, Families, and Infants
Make an Organizational Commitment
An official signature by CARE and other actors established commitment for the sustainability of the working group
CARE’s participation at the national level allowed for leadership at the provincial level

9. Strategies for Success II
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Strategies for Success II
CARE used successes to bolster credibility:
Built Regional SRH Training Center in collaboration with other organizations.
Continuing training of providers on FP/PAC
29,065 new FP users
1,827 PAC clients served
presented two abstracts at the Third National Family Planning Conference in Kinshasa 2013
Continuing # of trained providers on FP?PAC based of The construction and success of CARE’s Regional SRH training center showed that increases in Family Planning uptake are possible in N. Kivu

10. CARE Demonstrated Rapid Uptake of FP
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CARE Demonstrated Rapid Uptake of FP

11. Challenges and Future Directions
Increasing mCPR by 1.5% per year to reach 19% prevalence in 2020: A lofty goal!
Advocate for the development and implementation of a national reproductive health law
Advocate for increased budget for contraceptive products
Maintain momentum among coalition members
Advocate for elimination of taxes on imported contraceptives
Continuously map and track all FP programs in the district

12. Key Take-Aways The North Kivu CTMP/P is:
is an effective mechanism to convene FP stakeholders.
has positioned itself as the leading force to direct FP efforts in the district/province
This model may be used to compliment national initiatives in other post-conflict settings.

13. Thank you! Merci!