Sexual and Reproductive Health Framework - UNFPA

83. Strategy: Empowering communities to demand andsupport access to quality maternal care.84. Key activities:(a) Within health-sector planning, collaboratingwith other health areas to develop mechanismsof health-sector accountability and strengthenthe capacity of NGOs to participate in suchprocesses;(b) Enhancing the capacity of NGOs to improve thedemand for maternal health care and mobilizingcommunities to support women in accessingessential and emergency obstetric care, includingemergency funding and transport schemes;(c) Developing and implementing strategic andinnovative communications plans with partnersto increase awareness of and demand for qualitymaternal health care.c. Indicators proposed for outcome 285. The following are the indicators in the StrategicPlan for assessing outcome 2:• Proportion of births attended by skilled healthpersonnel.• Caesarean sections as a proportion of all births.Additional indicators to consider are as follows:(a) To the extent possible, the proportion of birthsin health facilities and the proportion of birthsby Caesarean section among rural women, basedon the best and most available data;(b) Family planning included in protocols forprovision of post-partum and post-abortion care.3. objective of outcome 3Outcome 3: Access to and utilizationof quality voluntary family planningservices by individuals and couplesincreased according to theirreproductive intentionsa. Priorities86. Unmet need will be addressed and complementedby demand creation with behaviour and socialchange communication (BSCC) and communitymobilization. Emphasis will be placed ondisadvantaged groups, such as poor people, youth(married and unmarried), refugees and internallydisplaced persons, and persons with disabilitiesand ethnic minorities, with consideration givento their special circumstances to improve access.Service provision for family planning must ensureavailability of a broad range of methods that meetreproductive health needs and intentions. Familyplanning services also need to be integrated as partof relevant SRH services, including dual protectionfor STI and HIV prevention, post-partum care,post-abortion care, prevention of mother-to-childtransmission,services for women living with HIV,services for survivors of gender-based violence,services for women treated for maternal morbidityand services for adolescents and youth, and inhumanitarian crisis settings.87. Capacity development will focus on those cadresof service providers who deliver outreach services.Quality of care, including counselling for methodselection and switching, is an important componentof capacity development. Care will be taken to offera wide range of safe and effective modern methodsof contraception to enable individuals and couplesto choose the method that best suits their perceivedneeds. There is a need to ensure a sufficient supplyof commodities, currently a significant challenge.Commodity security needs to be ensured through areliable logistics system within the health systemas described previously. The existence of effectivemodern methods of contraception implies researchand development, a long-term venture that needsinvestment to produce both male- and femalecontrollednew methods.b. Strategies and key activities88. UNFPA will focus on the urgent need to repositionfamily planning programmes as part of an array ofcomprehensive SRH services, including the reliableand consistent supply of reproductive healthcommodities. UNFPA will approach the challengesby examining barriers to the use of moderncontraceptives, including emergency contraception,and by developing strategies contributing to greateraccess to a range of family planning commodities,as well as to the quality of services to facilitateinformed choice for choosing a method and forcontinuing or switching the method. In addition,particular focus will be placed on settings ofMAKING REPRODUCTIVE RIGHTS AND SEXUAL AND REPRODUCTIVE HEALTH A REALITY FOR ALL23