1. Family Planning LAC SOTA Miami, FL March 15, 2001

2. Emergency Contraception (EC) n Yes, you can. –Discussing EC does not violate Mexico City Policy –EC is not an abortifacient n New WHO data –Levonorgestrel - better efficacy and fewer side effects

3. n Why bother? EC is the ONLY post- coital contraception available. –High unintended pregnancy/unsafe abortion rates –Increase in focus on dual protection and condom promotion –Increase in services for victims of sexual assault n You don’t need a dedicated product.

4. Post Abortion Care (PAC) n PAC is a service delivery strategy built around three elements –emergency treatment of complications of spontaneous or induced abortion –post abortion family planning couseling, referral and services –linkages to other reproductive health services

5. n You may not need MVA. –If SC and D&C are available, MVA not necessarily required. –Need to weigh the few advantages against the introduction costs. n It’s easier and more effective to introduce PAC when there are viable post-partum contraception programs. – Contraception may be provided directly or through referrals.

6. n Involve men. –They want to participate. –Their participation increases the likelihood of positive outcomes. n PAC should be decentralized and extended to outpatient services in health centers and posts. –MVA is needed for this.

7. Gender n What is gender? –The economic, social, political and cultural attributes and opportunities associated with being male or female. –The social definitions of what it means to be male or female vary among cultures and change over time.

8. n Taking gender into consideration maximizes reproductive health outcomes. n USAID directives –ADS 200 & 300 series require integration of gender in RFAs and RFPs n The Interagency Gender Working Group –What it is and how it can help you

9. Contraceptive Security n No product, no program n Four elements –Estimation –Resources –Procurement –Delivery

10. n LAC Issues –Role of the private sector –Lead time –Leveraging resources for increased program impact