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Research Publications

Social Franchising and Vouchers to Promote Long-Term Methods of Family Planning in Rural Pakistan

December 8th, 2016

The overall use of modern contraception in Pakistan is quite low, especially in rural areas. Several studies have demonstrated the effectiveness of social franchising (SF) approaches in increasing access to modern contraception and improving the quality of healthcare in resource-poor areas in Asia and Africa. Drawing on best practices in SF, the Marie Stopes Society (MSS) implemented an SF model in certain rural areas of Pakistan to increase access to affordable and quality family planning (FP) services. The model was branded as Suraj (sun) and complemented with an innovative voucher scheme for intrauterine contraceptive devices (IUCDs). This paper describes the perspectives of Suraj clients, field workers’ mobilization (FWMs), and providers on various components of the Suraj model.

Performance and Measurement of a Community-Based Distribution Model

December 8th, 2016

Community-based distribution (CBD) has been successfully applied to family planning (FP) services worldwide. It forms the basis for the large lady health worker (LHW) programme in Pakistan which serves a limited number of women with contraception services. Thus, the concept has seen limited application in Pakistan. We present the outcomes of a CBD model that was implemented in 49 districts across Pakistan by a non-government organization (NGO).

Impact of Social Franchising on Contraceptive Use

December 8th, 2016

Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society – a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor. This paper evaluates the effectiveness of this approach, which is designed to increase modern long term contraceptive awareness and use in rural areas of Pakistan.

High Discontinuation Rates of IUCDs

December 8th, 2016

In Pakistan, the uptake rate for the intrauterine device (IUD) is very low at 2.5%. The most popular modern contraceptive methods in Pakistan are female sterilization and use of condoms. The Marie Stopes Society established its mobile outreach service delivery program with the aim of increasing use of modern quality contraceptive services, including the long-term reversible IUD, by women living in hard-to-reach areas. The present study attempts to assess IUD discontinuation rates and associated factors, including switching behaviour and level of satisfaction with this type of service delivery.

Research, Monitoring and Evaluation

May 15th, 2013

Findings of an 18 month assessment of the effectiveness of a rural-based social franchising programme using vouchers of long-term family planning services in Pakistan.

Mobilizing Male Opinion Leaders Support For Family Planning To Improve Maternal Health A Theory Based Qualitative Study From Pakistan

October 12th, 2012

Purpose: Pakistan is a patriarchal society in which male opinion leaders play an important role in determining health-seeking behaviors pertaining to family planning (FP) among their respective communities.

Post – Abortion Care Family Planning Use In Pakistan

October 12th, 2012

Introduction: The stagnated CPR and high unmet need for contraception lead to approximately 890,000 induced abortions every year in Pakistan. A fairly recent study from Pakistan also revealed that around 40% of abortions are performed by unskilled workers in backstreet clinics. Considering these grave statistics, it should not come as surprise that unwanted pregnancies are the leading cause of induced abortions in Pakistan.

Barriers and Perceptions Regarding Different Contraceptives And Family Planning Practices

October 12th, 2012

Background: Pakistan ranks as one of the most poorest and most populous in the world with poor reproductive health indicators. This study helps in understanding barriers and perceptions regarding family Planning (FP), modern contraception, quality of care and free of charge FP services amongst men and women in rural Pakistan.

Delivering Post-Abortion Care through A Community-Based Reproductive Health Volunteer Programme in Pakistan

October 12th, 2012

Summary. This qualitative study was conducted in May–June 2010 with women using post-abortion care (PAC) services provided by the Marie Stopes Society in Pakistan during the six month period preceding the study, more than 70% of whom had been referred to the clinics by reproductive health volunteers (RHVs).

Rates of IUCD Discontinuation Among Social Franchise Client in Rural Pakistan

October 12th, 2012

Modern Intrauterine contraceptive device (IUCD) is very safe, highly effective reversible and inexpensive family planning method which offers 5-10 years of protection against pregnancy. The contraceptive use in Pakistan has been merely 30% for over a decade with IUCD being the least used method.