1. Revitalization of FP/BS using HTSP in Pakistan FP-MNCH Best Practices in the Asia and the Middle East (AME) Bangkok 7-11 March, 2010 March 9, 2010

2. POTENTIAL IMPACT OF ADOPTING HTSP GUIDELINES IN PAKISTAN

3. Clear evidence that longer Birth Intervals Reduce Infant and Neonatal Mortality Infant/child Mortality can be reduced by as much as 50% 1990-91 and 2006-07 PDHS

4. Higher Neonatal and Post-Neonatal Mortality for Teenaged Mothers 1990-91 and 2006-07 PDHS Infant/Child mortality can be reduced by nearly 40% by delaying age at child birth

5. Maternal Mortality Ratio by Age Source: Pakistan Demographic and Health Surveys, 1990-91 and 2006-07 Maternal Mortality can drop dramatically by reducing number of pregnancies after 35

6. What Has been Accomplished so far

7. Progress to date  HTSP guidelines and targets established as program objectives under the draft national population policy of GoP-2010  The National Standards for Family Planning Services Manual Revised by the MOPW to include HTSP guidelines  A compendium of Quranic verses, Hadith and Fatawa developed to promote accurate knowledge about Islam regarding birth spacing among Religious Leaders

8. Progress to date  HTSP included in the training curriculum by FALAH for public and private sector health providers  HTSP included in the teaching curriculum of medical colleges and nursing and midwifery schools

9. Progress to date  HTSP approach and guidelines adopted  Communications themes and messages developed and finalized in consensus with partners – MOH, MOPW, PAIMAN, UNICEF, UNFPA and after extensive pre testing  Partners agreed to coordinate their messages  IEC materials produced on HTSP for community mobilization  Mass media TV and Radio commercials developed and being aired

10. Key communication objectives In addition to HTSP -  Promote Male Responsibility and Inter spousal communication  Involve RL and other Influencers  Educate providers on effective management of side effects  Encourage providers to be proactive advocates of birth spacing

11. Expanding Contraceptive Choice in Pakistan  Seminar conducted by GWU to introduce and promote Standard Days Method (SDM) and Lactational Amenorrhea Method (LAM) with the partners  SDM, LAM and Emergency Contraceptives included in the Trainers and Participants manuals on CCA and CCFPS by FALAH  Over 7,000 health providers trained on SDM and LAM in FALAH districts  A pilot study on ECP underway to assess acceptance and compliance through LHWs in four FALAH districts in collaboration with UNFPA  A pilot study underway on SDM using cycle beads in five FALAH Union Councils

12. HTSP VIDEO FOR THE RL

13. Thank You!