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Home > High Impact Practice Briefs > Family Planning High Impact Practices List
HIPs

Family Planning High Impact Practices List

2016 Girdhari Bora/SIFPSA mSehat, Courtesy of Photoshare

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High Impact Practices (HIPs) are a set of evidence-based family planning practices vetted by experts against specific criteria and documented in an easy-to-use format.  A HIP is measurable and it should have demonstrable impact in achieving various family planning outcomes including: modern contraceptive uptake, reduction in unintended pregnancy, reduction in overall fertility, or at least one of the primary proximate determinants of fertility (delay of marriage or sexual initiation for adolescents, birth spacing, exclusive breastfeeding and postpartum abstinence). Vetting criteria also include: replicability, scalability (i.e., potential application in a wide range of settings), sustainability, and cost-effectiveness.  HIPs are categorized as:

Service delivery and social and behavior change HIPs are further categorized according to the strength of the evidence base for each practice as proven or promising.

Enabling Environment HIPs

Enabling Environment Overview

Brief Title

What is the high impact practice in family planning?

Domestic Public Financing: Building a sustainable future for family planning programs

Increase allocation and efficient use of domestic public financing for voluntary family planning at national and sub-national levels.

Educating Girls: Creating a foundation for positive sexual and reproductive health behaviors

Keep girls in school to promote health and development.

Galvanizing Commitment: Creating a supportive environment for family planning programs

Galvanize commitment to support family planning programs.

Leading and Managing for rights-based family planning programs

Strengthen capacity for leading and managing for excellence in family planning programs

Comprehensive Policy Processes: The agreements that outline health goals and the actions to realize them

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: Investing in the supply chain is critical to achieving family planning goals

Invest in supply chain management by increasing data visibility and use, accelerating product flow, professionalizing the supply chain workforce, and capitalizing on private sector capacity.

Economic Empowerment – Evidence Review: Economic Empowerment has been identified as a possible future High Impact Practice in Family Planning.  The TAG determined that the existing evidence does not merit the practice to become a HIP yet.  The following evidence review provides a summary of the evidence on the impact of Economic Empowerment on Family Planning outcomes.

Service Delivery HIPs

Brief Title

What is the high impact practice in family planning?

Proven

Community Health Workers: Bringing family planning services to where people live and work

Integrate trained, equipped, and supported community health workers (CHWs) into the health system.

Immediate Postpartum Family Planning: A key component of childbirth care

Offer contraceptive counseling and services as part of facility-based childbirth care prior to discharge from the health facility.

Mobile Outreach Services: Expanding access to a full range of modern contraceptives

Support mobile outreach service delivery to provide a wide range of contraceptives, including long-acting reversible contraceptives and permanent methods.

Postabortion Family Planning: A critical component of postabortion care

Proactively offer voluntary contraceptive counseling and services at the same time and location where women receive facility-based postabortion care.

Social Marketing: Using marketing principles and techniques to improve contraceptive access, choice, and use

Use marketing principles and techniques to shape the provision of contraceptive services and products to improve access, choice and use, for target populations.

Promising

Pharmacies and Drug Shops: Expanding contraceptive choice and access in the private sector

Train and support pharmacies and drug shops to provide family planning information and a broad range of quality contraceptive methods.

Family Planning and Immunization Integration: Reaching postpartum women with family planning services

Offer family planning information and services proactively to women in the extended postpartum period during routine child immunization contacts. The extended postpartum period is defined as the 12 months following a birth.

Social Franchising: Improving quality and expanding contraceptive choice in the private sector

Organize private providers into branded, quality-assured networks to increase access to provider-dependent contraceptive methods and related services.

Social and Behavior Change HIPs

SBC Overview

Brief Title

What is the high impact practice in family planning?

Proven

Mass Media: Reaching audiences far and wide with messages to support healthy reproductive behaviors

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: Promoting community support for family planning

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: strengthening an individual’s ability to achieve their reproductive intentions

Implement interventions to strengthen an individual’s ability to achieve their reproductive intentions by addressing their knowledge, beliefs, attitudes, and self-efficacy.

Promising

Community Group Engagement: Changing Norms to Improve Sexual and Reproductive Health

Engage and mobilize communities in group dialogue and action to promote healthy sexual relationships.

Digital Health for Social and Behavior Change: New technologies, new ways to reach people

Use digital technologies to support, maintain, and adopt healthy sexual and reproductive behaviors.

Enhancement HIPs

Brief Title

What is the high impact practice in family planning?

Adolescent-Responsive Contraceptive Services: Institutionalizing adolescent-responsive elements to expand access and choice

Apply a systems approach to make existing contraceptive services adolescent-responsive, i.e., responsive to the needs and preferences of adolescents.

Digital Health to Support Family Planning Providers: Improving knowledge, capacity, and service quality

Use digital technologies to support service providers in delivering quality contraceptive services.

Digital Health: Strengthening Family Planning Systems Through Time and Resource Efficiencies

Use digital technologies to support health systems and service delivery for family planning.

Family Planning Vouchers: A tool to boost contraceptive method access and choice

Provide vouchers to clients to facilitate equitable access to and choice of voluntary contraceptive services.

Suggest Citation

Suggested citation: High Impact Practices in Family Planning (HIPs). Family planning high impact practices list. Washington, DC: The High Impact Practices Partnership; August 2022.

For more information visit: www.fphighimpactpractices.org, contact: www.fphighimpactpractices.org/contact/ or join the conversation with #HIPs4FP

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The HIPs represent a diverse and results-oriented partnership encompassing a wide range of stakeholders and experts. As such, the information in HIP materials does not necessarily reflect the views of each co-sponsor or partner organization.
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