IPPFAR’s SERVICE DELIVERY MODELS
Quality of Care (QoC) Initiative
Delivering good quality of care to all clients, wherever they are, is a fundamental principle of IPPF's work. Good quality of care not only enhances clients' satisfaction and their use of services, but also increases job satisfaction and motivation among service providers. It further leads to greater sustainability of services. To this end, IPPFAR has developed and rolled out a Quality of Care (QoC) tool to ensure all Member Associations and their partners provide services that meet a standardized quality of care in all Service Delivery Points in the Region.
In 2017, IPPFAR is deliberately focusing on scaling up implementation of the QoC system in a standardized approach to all MAs and partners participating in our social franchise model of service delivery.
Social Franchising Strategy
Social franchising in the health sector is a model for organizing networks of private healthcare providers to deliver a wide range of standards-based services under a common brand. This service delivery model is largely aimed at expanding health services to underserved segments of the population including the poor, marginalized and hard to reach communities. IPPFAR is keen on maternal health care, and social franchising provides a favourable opportunity to improve maternal health outcomes in underserved populations.
SRH & HIV Integration
Significant gains have been made in the war against HIV and AIDS in the past decade, more so in sub-Saharan Africa, which is infamous for being the epicenter of the epidemic. Today, almost half of the People Living with HIV are now on treatment, the rate of new infections have stabilized, with more innovative approaches including those surrounding testing being rolled out. However, despite these achievements, AIDS remains a leading cause of death among women of reproductive age in sub-Saharan Africa, contributing significantly to maternal and infant mortality and morbidity.
It is against this back drop and the global drive to end AIDS by 2030 that IPPFAR has prioritized the scale up of innovative HIV prevention, treatment, care and support programmes – particularly those targeting young people, key populations and underserved groups.
In 2015, our network of Member Associations delivered over 20 million HIV and STI services in over 38,000 service delivery points reaching mainly young people and underserved groups. In 2016 and 2017, our focus is on scaling up prevention especially among young people, and expanding treatment based on the new WHO guidelines. Our services are modelled on a holistic approach of sexual reproductive health and HIV linkages, which aims strengthening health systems to deliver quality integrated SRH & HIV services.
We also promote the integration of Cervical Cancer Screening and Preventive and Therapy (CCS&PT) with reproductive health services. This project targets women in low and middle income communities aged between 30 - 49 years who are more at risk of being affected by cancer of the cervix.
The Cluster Model
The cluster model is a public/private partnership strategy to increase family planning service utilization by creating clusters of operations within specific geographic areas. Typically, a cluster has five clinics within a radius of 20 kilometres, thus facilitating effective referral and easy access for clients.
The service delivery points within the clusters are of different categories, ranging from government health facilities and hospitals, faith based and nongovernmental health facilities, privately owned facilities, individual owned for profit clinics, and small health posts. Within each cluster, one of the clinics is a comprehensive health facility, while the other clinics serve as feeder clinics referring clients requiring specialized services to the comprehensive clinic. All clinics within the cluster provide standardized integrated (primary) health services to clients.
The cluster model design also incorporates an element of social marketing and branding to ensure a recognizable high quality of service and standard of care in service delivery.
OTHER IPPFAR INITIATIVES
Learning Center Initiative
The Learning Center Initiative is aimed at building capacity through the International Planned Parenthood (IPPF) Member Association network in Africa. This it does by developing and sharing innovative and best practice approaches on Sexual Reproductive Health (SRH). Learning Centers strengthen the institutional and programmatic capacities of MAs, enabling them to in turn build the SRH capacity of other Member Associations, Civil Society Organizations (CSOs), Non-Governmental Organizations (NGOs), and other entities from the private sector.
Fred T. Sai Institute
The Fred T. Sai Institute is one of Africa’s pioneer public health research institutes, championing research on population and sexual reproductive health in Africa. An initiative of IPPFAR, the Institute seeks to generate evidence on effective health strategies aimed at improving the health of the population in sub-Saharan Africa. This it does through supporting innovative research, and whose results provide a basis for the development and implementation of sound SRH policies and programs.
The African Citizens Initiative (ACI)
IPPF Africa Region is committed to mobilizing its extensive network of volunteers and staff in support of the implementation of IPPF’s Strategic Framework 2016-20222 through the African Citizens Initiative (ACI) for Sexual and Reproductive Health and Rights, an innovative approach to resource mobilization. The African Citizens Initiative is aimed at inspiring the generation of African solutions to African problems. The ACI is a peer-to-peer fundraising campaign which aligns with the Africa Union’s Agenda 2063 commitment to the principle of self-reliance as well as the achievement of the Sustainable Development Goals.
Through the African Citizens Initiative for Sexual and Reproductive Health and Rights, IPPFAR will inspire and empower its impressive network of over 40,000 volunteers to reinvigorate their commitment to the continent’s health agenda.