What gets measured, gets managed

Books and Journals

A document published in September, 1999 and reprinted in April 2000, September 2001 and February 2003, presents the objectives, activities and achievments of SIFPSA. The document gives a brief situation analysis in Uttar Pradesh, The status on key indicators like TFR, Growth rate, IMR, CPR, UNMET need for family planning services and highlights the need of pupulation stablization. It describes the strategies adopted by SIFPSA to reduce the rate of pupulation growth in the state.

Some of te areas of SIFPSA work covered in the publication include :

  • Private sector partnerships
  • Innovative service delivery strategies involving indigenous system of medicine practitioners and traditional birth attendants
  • Quality improvment efforts in the public sector
  • Strategies to improve clinical services
  • Integrated RCH services and special compaigns
  • District acton Plans
  • Contraceptive Marketing Efforts
  • Information, Education and Communication
  • sectoral allocations
  • Performance and Achievements

The document also discusses the innovative features of the project which include performance based disbursement(pbd) system, under which donor funds are received only on achievement of specific predetermined outcomes; the use of a private society structure for funding both private and public sector activities and technical assistance by co-operating agencies (cas). It further outlines the project management structure,project milestones and highlights key activities.

Decentralized planning is one of sifpsa's innovative interventions. This process has been adopted in 6 districts of uttar pradesh and district action plans (daps) covering a population of 17.8 million are being implemented there. The rationale for district planing is to encourage bottom-up planning, taking into account local needs and resources. District planning ensures the devolution of administrative and financial authority to the districts, with continued technical assistance from sifpsa to streamline service delivery systems. The district planning exercise also includes the creation of district innovations in family planning services project agencies (difpsas) and project management units (pmus) to provide operational linkage between sifpsa, the districts, and the public and private sectors. This document is the report of an external assessment of the daps conducted by the policy project. It discusses the experiences relating to the planning process, implementation and performance of daps. The document was published in july, 1999 and throws light on the first year of the experiences of implementation of the daps.

Beginning with the dap planning process, the document shares experiences regarding creating a conducive environment and strategies adopted for generating demand for rch services. It describes the measures adopted to improve quality of services, improve access to integrated rch services and forging partnerships with non governmental sector for wider accessibility of services.the document also describes the monitoring system developed for the daps and performance in terms of use of family planning methods and tt coverage. It gives sector wise fund allocation and key achievements in these districts.

The ifps project promotes innovative ways of increasing access,improving quality and promoting demand for family planning services.to this end,sifpsa's programme strategy focuses on the following:

  • Meeting the unmet need for family planning services
  • Increasing the demand for family planning services by creating greater awareness, improving their quality and availability
  • Emphasizing the health related aspects of spacing, of the optimum age span for pregnancies and propagating the message that pregnancy is a major health risk for women
  • Improving adoption of family planning practices and their sustainability through promotion of appropriate behaviour patterns
  • Ensuring coordination, convergence and integration of activities of various agencies, to create a more effective family planning programme
  • Undertaking advocacy efforts to create a positive ambience,political will and support for the family planning programme

The communication strategy for u.p. Developed through a participatory process involving experts,programme managers and government officers is aimed at supporting the overall programme strategy. It recommends repositioning family planning in a health framework-that is, offering good health as the reward for families that stay small and adopt appropriate practices.the communication strategy document attempts to do the following:

  • Review the current status of the family planning programme in UP
  • Identify potential communication strategies
  • Select the most appropriate approach
  • Identify primary audience segments
  • Introduce the action plan which will guide the iec programme component

While the communication strategy is designed to serve all segments, specifically, it recognizes, as an important focus, spacing methods among young couples who are at the prime of their reproductive span. Thus the primary audience has been envisaged as men and women between the age of 17-25 years with an unmet need for spacing.

since its inception, sifpsa has been continuously striving for improving the reproductive and child health services in the state of uttar pradesh. Sifpsa, as an organization, has come a long way and the programme has rapidly expanded to 33 districts of uttar pradesh today.

"making a difference" is a document published by sifpsa in december 2004. Which includes the best practices evolved under the ifps project. Many of these best practices are innovative models that can be used in the field of rch and community programmes.

The best practices covered under the document are:

  • Training and capacity building to sharpen skills and influence attitudes
  • Training of traditional birth attendant (TBA)
  • TT immunization campaign
  • Ngo partnerships
  • Involving village pradhans
  • Integrated rch camps
  • Mulit-media campaign on family planning
  • Contraceptive social marketing
  • Folk media intervention
  • District action plans

It is hoped that the document will serve as an invaluable piece of information for policy makers as well as programme managers working in the development sector.

Sifpsa has over the years gainfully used different folk forms to effectively communicate family planning and reproductive & child health messages to the rural population. The popular folk styles such as nautanki, puppetry, alha, birha, qawwali and magic have been used in over 8500 performances at village level by about 100 trained troupes. Such an extensive use of the folk medium is perhaps unparalleled anywhere in the country.

This document published in january, 2004 shares experiences of sifpsa gained through implementation of six phases of folk media over the past five years. It also discusses in detail the features of each folk forms used by sifpsa, the training of troupes, the process adopted and systems developed for planning, implementation and monitoring of the performances at a mass scale and the lessons learned.

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(Uttar Pradesh), INDIA
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