New Models for Supplies and Services

Product improvements and price reductions can create unprece­dented levels of consumer demand. This has profound implications for the procurement, movement, and delivery of family planning commodi­ties. A broad group of stakeholders within the reproductive health community is working to ensure that all individuals can obtain and use affordable, quality reproductive health supplies of their choice when­ever they need them. Improvements in distribution methods and service delivery are overcoming some of the most persistent barriers to access.

Minimizing Stock-Outs with the Informed Push Model

Many women have no dependable source of family planning supplies. Unexpected stock-outs of a woman’s preferred contraceptive—or all forms of contraceptive—may last for indefinite periods of time and may occur in both public and private health facilities, in rural and urban settings, putting women at risk of unintended pregnancy.

Increasing Access with the Cluster Model

The “cluster model” is a public-private partnership strategy designed to improve access to family planning and strengthen the continuum of care through integration with other health services. Pioneered by Planned Parenthood Federation of Nigeria, it works by creating a cluster of five health facilities located within a short distance of each other for easy referral.

Read more starting on page 41 of the full progress report. Download now.


The Global Programme to Enhance Reproductive Health Commodity Security

UNFPA’s Global Programme to Enhance Reproductive Health Commodity Security (GPRHCS) works with countries to develop sustained approaches for securing essential reproductive health supplies. GPRHCS develops countries’ capacity to strengthen national health systems, and assists in procuring reproductive health commodities. Over five years, this flagship thematic fund mobilized US$565 million in donor support and helped governments procure contraceptives in 46 priority countries. As a result, GPRHCS has contributed to higher contraceptive prevalence rates, more service delivery points, fewer stockouts, more choices of contraceptives in more health centers, and a greater prioritization of family planning in country governments.


The unmet need for family planning in Senegal is one of the highest in the world. At the London Summit on Family Planning, Senegal committed to improving the family planning supply chain and to reducing contraceptive stock-outs. A six-month collaborative effort led by the Reproductive Health Department of the Ministry of Health tested the Informed Push Model of distribution at select sites. The results were impressive, and it has now been launched nationwide. 


Zambia has one of the highest maternal mortality ratios in the world: 591 per 100,000 live births. The loss of life and the impact on families and communities are devastating. At the London Summit on Family Planning, Zambia took an important step toward improving maternal health when it pledged to increase the prevalence rate for modern contraceptive methods from 33% in 2007 to 58% by 2020. 

With support from partners including DFID, FHI360, MSI, Planned Parenthood Association of Zambia, UNFPA Zambia, and the USAID-funded Health Policy Project, the Zambian Ministry of Community Development, Mother and Child Health, developed and launched the Costed Eight-Year Integrated Family Planning Scale-up Plan 2013-2020. 

It is projected that the implementation of Zambia’s plan will avert 3.5 million unintended pregnancies, more than 100,000 child deaths, and nearly 10,000 maternal deaths. It is expected that the plan will save Zambia 1,492 million ZMW. 

Read more starting on page 41 of the full progress report. Download now.


The 25,000 residents of the fishing communities of the Sherbro Islands live just a short distance off the coast of Freetown, Sierra Leone, but until recently they were isolated from basic social services such as health care. 

The 40 Sherbro Islands are located in a wide estuary, accessible only through turbulent waterways, creeks, and mangrove swamps. Despite a distance of only 145 kilometers, the journey from the mainland to the largest and most accessible of the islands, Bonthe, could take anywhere from nine hours in the dry season to two days in the wet season. 

That changed when Marie Stopes Sierra Leone launched its own speedboat for the purpose of bringing family planning and maternal health services to these remote communities. The speedboat was acquired with assistance from DFID and the European Commission. 

The speedboat took to the water in December 2012. In the first three months of the boat’s use, health care workers provided services to more than 3,000 women and men—nearly 10% of the entire population of the island chain. 

Read more starting on page 45 of the full progress reportDownload now.


Source: Marie Stopes International. March, 2013. Author: Shumon Sengupta, Country Director, MSI Sierra Leone
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