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HIPs

List of High Impact Practices in Family Planning

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The High Impact Practices in Family Planning (HIPs) are the reliable source on proven interventions for family planning, providing a global consensus on what works through user-friendly resources for country-level decision-makers to design, implement, and scale family planning programs that are cost-effective, scalable, and sustainable.The HIPs provide a framework to identify the best return on investment interventions for family planning programs, which becomes even more important in a time of constrained resources.

The HIPs provide consensus around what works in family planning. HIPs briefs detail evidence-based practices that have demonstrated impact on modern contraceptive use, are applicable across a variety of settings, and are scalable, sustainable, and cost-effective. Before a practice can be determined a HIP, it is vetted by a Technical Advisory Group (TAG) made up of global experts in family planning research, program implementation, and policy. HIPs maximize investments in a comprehensive family planning strategy.

HIPs briefs categories

  • Service Delivery HIPs improve the availability, accessibility, acceptability, and quality of family planning services.
  • Social and Behavior Change HIPs influence knowledge, beliefs, behaviors, and social norms associated with family planning.
  • Enabling Environment HIPs address systemic barriers that affect an individual’s ability to access family planning information and services.
  • HIP Enhancements are tools or approaches that are not a standalone practice, but are often used in conjunction with at least two or more HIPs to maximize the impact of HIP implementation or increase the reach and access for specific audiences.

A full list of HIPs briefs in each category is below.

Service Delivery

  • Community Health Workers – Enable trained, equipped, and supported community health workers to deliver family planning services where people live and work and recognize them as part of the health system.
  • Family Planning Mobile Outreach Services   – Conduct mobile outreach service delivery to provide a wide range of contraceptives, including short-acting, long-acting, reversible, and permanent methods, in locations chosen to reach populations with diverse access challenges and barriers.
  • Immediate Postpartum Family Planning – Offer contraceptive counseling and services as part of facility-based childbirth care prior to discharge from the health facility.
  • Postabortion Family Planning – Proactively offer voluntary contraceptive counseling and services at the same time and location where women receive facility-based postabortion care to reduce unintended pregnancies.
  • Social Marketing – Improve quality and choice by organizing private providers into branded, quality-assured networks to increase access to provider-dependent contraceptive methods and related services.
  • Pharmacies and Drug Shops  – Expand choice and access in the private sector by training and supporting pharmacies and drug shops to provide family planning information and a broad range of quality contraceptive methods.
  • Family Planning and Immunization Integration – Offer family planning information and services proactively to women in the extended postpartum period during routine child immunization contacts to promote healthy birth spacing and reduce unintended pregnancies.

Social and Behavior Change HIPs

  • SBC Overview – Defines social and behavior change (SBC) for family planning, its importance in supporting individuals and couples to achieve their reproductive intentions, how the different SBC HIPs work together to strengthen family planning programs, and offers tips on how to choose and implement SBC programs.
  • Mass Media – Use mass media channels to support healthy reproductive behaviors.
  • Promoting Healthy Couples’ Communication to Improve Reproductive Health Outcomes – Implement interventions demonstrated to encourage couples to discuss family planning/reproductive health and make equitable, joint decisions to reach fertility intentions.
  • Social Norms – Implement interventions that address social norms to support an individual’s or couple’s decision-making power to meet their reproductive intentions.
  • Knowledge, Beliefs, Attitudes, and Self-efficacy – Implement interventions to strengthen an individual’s ability to achieve their reproductive intentions by addressing their knowledge, beliefs, attitudes, and self-efficacy.
  • Community Group Engagement – Engage and mobilize communities in group dialogue and action to promote healthy sexual relationships.
  • Digital Health for Social and Behavior Change – Use digital technologies to support, maintain, and adopt healthy sexual and reproductive behaviors.

Enabling Environment HIPs

  • Enabling Environment Overview – Explains the enabling environment for voluntary, rights-based family planning and how the different components of the enabling environment work together and play a supporting role with the service delivery and social and behavior change (SBC) HIPs to support equitable access to and use of family planning information and services.
  • Domestic Public Financing – Increase allocation and efficient use of domestic public financing for voluntary family planning at national and sub-national levels.
  • Educating Girls – Keep girls in school to promote health and development.
  • Galvanizing Commitment – Galvanize commitment to support family planning programs.
  • Leading and Managing – Strengthen capacity for leading and managing for excellence in family planning programs.
  • Comprehensive Policy Processes – Comprehensively develop, implement, and monitor policies to support high-quality family planning at scale.
  • Social Accountability to Improve Family Planning Information and Services – Engage communities and health sector actors in a collaborative process to jointly identify problems, and to implement and monitor solutions to hold each other accountable for improvements in the quality and responsiveness of family planning services.
  • Supply Chain Management – Comprehensively develop, implement, and monitor policies to support high-quality family planning at scale.

Enhancement HIPs