Family Planning 2020 (FP2020) is a global partnership that supports the rights of women to enable 120 million more women in 69 poorest countries to use contraceptives by 2020.
In London Summit on Family Planning, 2012 where more than 20 governments made commitments to address the policy, financing, delivery and socio-cultural barriers to women accessing contraceptive information, services and supplies, Pakistan specifically committed to achieve universal access to reproductive health and raise contraceptive prevalence rate (CPR) to 55% by the year 2020. In view of the ground realities in provinces the CPR was rationalized and reduced from 55% to 50% by 2020. The Provincial Health and Population Welfare Departments of the four provinces-together with some federal representatives, formally announced their target goals for 2020: Punjab 55%; Sindh 45%; KP 42%; Balochistan 32%. The commitments made by the government of Pakistan cover the realm of policy, finance and service delivery.
Punjab's progress on commitments of 2012:
Achieve Universal access to Reproductive Health and raise CPR by 55% (revised to 50%)
Policy and Political
Provincial Population Policy and Health Sector Strategy will be developed.
Annual public spending for FP services will be increased to ensure universal access by 2020.
Provinces will raise additional resources to access quality services by training staff in client-centered services and ensuring the availability of contraceptive commodities.
Programme and service delivery
Contraceptive services will be included in the Essential Health Services Package.
FP will be made priority for Lady Health Workers (LHWs).
Supply chain management, training and communication campaigns will be strengthened. There will be increased focus on men for FP.
Pakistan's commitment made at the London Summit for Family Planning 2017:
Following the 18th Constitutional amendment and devolution of responsibility for FP financing, policy-making and programme implementation, this commitment package represents the revitalized focus and ownership of the federation and the provinces and regions of Pakistan, to the pledges made in the 2012 Summit, and to additional commitments made jointly by the provinces for adding direction and transparency to achieving FP2020 goals. The Government of Pakistan acknowledges that all citizens are entitled to high quality FP information and services. Therefore all Provincial Chief Ministers pledge to personally monitor and oversee their respective provincial FP2020 goals through regular stock takes. This will ensure that services are optimally provided by all public and private health sector facilities to meet the reproductive health needs of both men and women and also reach out to the marginalized, so that no one is left behind.
- Punjab FP 2020 Working Group constituted with Minister Population Welfare in chair to coordinate with Federal and Provincial Governments, NGOs and development partners
- The roles of Population Welfare and Health Departments will be redefined.
- PWD will take lead in implementation of the Population Policy. It will coordinate, provide training, ensure quality of services and ensure contraceptives commodity security.
- Health Departments will ensure delivery of FP services at their all service delivery outlets. Gynecologists, doctors associations, private practitioners, paramedics and Lady Health Workers will take FP as a priority. FP counseling skills and provision of services will be emphasized in medical education.
- Continuous awareness campaigns regarding long acting methods for birth spacing.
- Expansion of task sharing project for training of paramedics in Implanon insertion.
- Training of Community Mid-Wives for long acting methods.
- Improvement of contraceptives commodity basket by introducing Implanon NXT and Sayana Press.
- Strengthening of logistics system to ensure delivery of desired method mix.
- Emphasis on RH / FP in medical education.
- Establishment of RH training centres in remaining 19 districts.
- Regular refresher trainings of all cadres.
- Life skills education, pre-marriage counseling, delaying first birth and spacing in subsequent births will be continuously addressed.
- Introduction of training modules regarding youth friendly services.
- Scaling up of adolescent-related projects in the province.
- Setting up youth friendly spaces at selected FHCs and at other appropriate sites