This presentation discusses the APC survey overview for Standard Days Method in Community-Based Family Planning Programs, SDM integration into CBFP programs, methods used, and results.

1. APC Survey - Standard Days Method® in
Community-Based
Family Planning Programs Results
SDM® Technical Consultation
December 9, 2014
Elizabeth Bastias-Butler, APC

2. Number of participants:25
• Participantswho work directlyin community-
based familyplanningservice delivery:21
Number of organizations:23
• Local NGOS: 8
• INGOS: 13
• IndependentConsultants:2
Countriesrepresented:Uganda,Ghana,
Nigeria, Philippines, Bolivia, DRC, Ethiopia,
Kenya,Zambia, Rwanda, and Madagascar*
*Some participants identifiedGlobal/USAas their
implementationlocation
Survey Overview:

3. Methodsparticipantsoffer in their family planning
programming:
0
2
4
6
8
10
12
14
Provide directly
Refer
Do not provide

4. How integratedis SDM into the participants’ CBFP
program?
Is SDM included in training for community-
based workers?
Always
Sometimes
Never
*(Out of 20 responses)
75%
15%
10%

5. How integratedis SDM into the participants CBFP
program?
Is SDM included in supervision
visits for community-based
workers?
Always
Sometimes
Never
55%
Is SDM included in information
the organizationprovides to
the community on FP?
Always
Sometimes
Never
*(Out of 20 responses)
25%
20%
80%
15%
5%

6. Reasonsparticipantsare includingSDM in their programs:
• The method is effective and safe
• Male involvement/partnerdialogue
• Recent introductionof SDMinto method mix in-country
• Supportsthe needs of women who seek hormone-free methods
• Supportsreligious and/orcultural beliefs
• Need for expanded method options for women of reproductiveage
• Alternative method when othersare unavailable
• Appropriatefor community-level FP service delivery
• All training materials for community based distributorsof family planning are
inclusive of the SDMinformation(Zambia)
• SDM is included as an official method for naturalfamily planning in HMIS,DHS, and
other official governmentdocuments

7. Number of participantswho offer CycleBeads®to womenand couples through their
CBFP programs: 13 out of 23 thatresponded (56%)
Sourceof Cyclebeads®:
• USAIDDELIVER (Nigeria, Kenya,Rwanda, Madagascar)
• UN Agencies and other donors(Uganda)
• Manufactureror distributer (Philippines, Uganda)
• Districtpharmacies (Rwanda)
• Ministry of Health (Global)
• KEMSA(Kenya)
CycleBeads®

8. SDM in Country Documentation
Do community-based
FP services get recorded
in the HMIS?
Is there a designated
column/row/boxfor
SDM?
Is SDM included in the
national family planning
guidelines where your
program is implemented?
Uganda Yes N/A* Yes
Ghana Yes N/A* Yes
Nigeria Yes Yes N/A*
Philippines Yes Yes Yes
Bolivia No N/A Yes
DRC Yes Yes Yes
Ethiopia N/A N/A N/A
Kenya N/A* N/A* Yes
Zambia Yes Yes N/A
Rwanda Yes Yes Yes
Madagascar N/A* Yes Yes
N/A*=Conflicting datareported; N/A=No response

9. The three most significant benefits toprovidingSDM as part of the
methodmix in CBFP programs citedby participants:
1. Can be used by women who cannot use, or prefer not to use, methods that
containhormones or require a medical procedure(tie)
2. Overcomes religious and culturalopposition to family planning (tie)
3. Does not cause any physical side effects
4. Encouragesmale involvement in family planning
The three most significant challengesto providingSDM as part of the
methodmix in CBFP programs citedby participants:
1. Belief thatSDM is not effective modern family planning method
2. Logisticsand stock outs—gettingconsistentsupplies of CycleBeads®
3. Lack of funding for including SDMin CBFPprograms

10. Participants’solutionsto addressing challengesin providingSDM as
part of the methodmix in CBFPprograms :
• Worked with the Ministry of Health to introduce SDM in one region and
once the success was seen, MOH has started scaling up with support from
partners (Kenya)
• Training modules were prepared but training was conducted by another
agency & some press releases and early IEC materials (Philippines)
• Programming that seeks to create demand for referrals for FP counseling
(Ethiopia)
• Provide training and refresher course with more information, the client
may decide that it is worth it to buy the CycleBeads®; make sure
supervision of SDM work is part of overall health supervision
(Madagascar)

11. Information ortechnicalsupport needed by participantsto improve
provisionof SDM as part of the method mixin their CBFP programs:
• Trainingoftrainers
• Re-trainingon SDM
• More counselingtools,information, and educational materials to be used in creating
awareness about SDM in the communities
• Improved integration ofSDM into medical and nursingschool curriculum
• More technical documents supportingthe effectiveness of CycleBeads®
• Research on psychosocialbenefits of SDM
• More fundingfortrainingand research on SDM
• Support on demand creation (IEC/BCC materials with information especiallyincreasing
awareness on SDM)
• Sharingbest practices of SDM services provision at community level
• Fundingfor the purchase of CycleBeads®for onward distributionat subsidizedprices for
clients who prefer its use
• Monitoringat community level
• SDM will need to be included in the HMIS

12. QUESTIONS?