INTRAHEALTH INTERNATIONAL COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019

INTRAHEALTH INTERNATIONAL
 COMMITMENT SELF-REPORTING
 QUESTIONNAIRE 2019
EWEC Secretariat, PMNCH, FP2020 self-reporting questionnaire to assess progress on implementation of commitments
to the Global Strategy on Women’s, Children’s and Adolescents’ Health.

COMMITMENT PROGRESS SUMMARY NARRATIVE

Health workers and systems are central to improving the accessibility and quality of health services for women,
children, and adolescents. In 2016, IntraHealth re-committed to reaching 315,000 health workers annually by
2020 with education, skills-building, and supervisory, management, and policy support. In 2018, Intrahealth
reached more than 340,000 health workers. Between September 2015 & December 2018, IntraHealth was
active in 54 countries and collaborated with more than 43,000 ministries of health, health facilities, youth and
civil society organizations, and other local partners. This work contributed to 713,854 new users of modern
contraception and 2,208,910 couple years of protection,averting 773,119 unintended pregnancies and 272,323
unsafe abortions. IntraHealth leads and participates in partnerships from the community to the global level that
are mobilizing resources, sharing information and best practices, and developing sexual and reproductive
health and rights advocates who are holding their governments accountable to fulfill their family planning (FP),
youth, and maternal and child health commitments. IntraHealth also made progress toward its commitment of
contributing to doubling West Africa’s contraceptive prevalence rate by 2020. This includes serving as the
francophone West African hub for the urban-focused Challenge Initiative and leading the Ouagadougou
Partnership Coordination Unit. The Partnership is on track to reach its FP2020 goal of 2.2 million additional FP
users in the region between 2016-2020.

In 2018, IntraHealth worked in 43 countries to enable health workers to provide quality family planning and
reproductive health (FP/RH) services and to build strong, resilient health systems. IntraHealth conducted more
than 26,000 health worker trainings, including training 4,150 workers to improve FP/RH services for
underserved and vulnerable populations; provided 1,686,178 clients with HIV counseling, tests, and results;
helped more than 32,000 health centers provide services that meet national standards; and partnered with
more than 750 youth associations. IntraHealth helped countries to: integrate FP/RH services into other health
services; strengthen their supply chains and expand method choice; implement mentorship and supportive
supervision to improve health worker performance; and improve community-based distribution of
contraceptives. In 2018, IntraHealth’s programs directly contributed to 377,513 new users of modern
contraception and 682,440 couple years of protection—averting 290,463 unwanted pregnancies, 76,834
unsafe abortions, 5,853 child deaths, and 546 maternal deaths.

In East Africa, IntraHealth launched the USAID-funded Ingobyi activity, an integrated project to increase
equitable access to quality reproductive, maternal, newborn, and child health services across Rwanda. In West
Africa IntraHealth led the Coordination Unit for the Ouagadougou Partnership, whose nine countries reached
448,000 new users of modern contraception in 2018. IntraHealth engaged civil society and worked with mayors
through the Challenge Initiative to mobilize resources and scale up FP best practices. IntraHealth also began
two new projects in the region: the USAID-funded Mali Girls Leadership and Empowerment through Education
program, and the INSPiRE project, funded by the Bill & Melinda Gates Foundation to improve nutrition and
reproductive, maternal, newborn, and child health in Ouagadougou Partnership countries.

INTRAHEALTH INTERNATIONAL COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019

THEMATIC COMMITMENT PROGRESS

Reduce global maternal mortality to less than 70 deaths per 100,00 live births
Maternal mortality ratio
Proportion of women who have postpartum contact with a health provider within 2 days of delivery

Reduce newborn mortality to less than or equal to 12 deaths per 1,000 deaths

Neonatal mortality

Reduce under five mortality to less or equal to 25 deaths per 1,000 live births

Reduce by 1/3 premature mortality from non-communicable diseases and promote mental health and
well-being

End all forms of malnutrition

Ensure universal access to Sexual and Reproductive Health and Rights (SRHR)

Percentage of women of reproductive age (15-49) who have their need for family planning satisfied with
modern methods
Adolescent birth rate (10-14, 15-19) per 1000 women in that age group
Proportion of women aged 15-49 who make their own informed decisions regarding sexual relations,
contraceptive use and reproductive health care
Number of countries with laws and regulations that guarantee women aged 15-49 access to sexual and
reproductive health care, information and education
Proportion of men and women aged 15-24 with basic knowledge about sexual and reproductive health services
and rights

Achieve Universal Health Coverage incl. financial risk, protection and access to services, medicines,
and vaccines

Coverage of essential health services (index based on tracer interventions that include reproductive, maternal,
newborn and child health, infectious diseases, noncommunicable diseases and service capacity and access)
Current country health expenditure per capita (including specifically on RMNCAH) financed from domestic
sources

Eradicate extreme poverty

Eliminate harmful practices, discrimination, and violence against women and girls

Enhance scientific research, upgrade technological capabilities and encourage innovation

Enhance global partnership for sustainable development

Number of countries reporting progress in multistakeholder development effectiveness monitoring frameworks
that support the achievement of the SDGs

Geographic Coverage. Check all the geographical levels that you implement your commitment-related
activities in?

Global
Regional

INTRAHEALTH INTERNATIONAL COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019

Country
Sub-country

Linkage to National Health Strategies. Are commitment-related objectives and/or targets aligned with
the national health strategy of the country or countries in which activities take place in?

Yes

Country
Rwanda

EVERY WOMAN EVERY CHILD FOCUS AREAS

Early Childhood Development

Applicable
Current Status: Ongoing
Activities Implemented:
Youth Ambassadors (Benin, Mali, Senegal, Niger, Burkina Faso)
Peer mobilization and education (Uganda, Tanzania, Namibia)
Health worker training in youth-friendly services (Senegal, Mali, Ethiopia)
Community Mobilization (Uganda, Mali, Tanzania)

Results Achieved:
Youth ambassadors/champions: during FY2018, IntraHealth built the capacity of 753 youth associations in
communication, advocacy, optimizing social media marketing, resource mobilization, family planning, and
STIs/AIDS. Youth ambassadors serve as a trusted peer pointof-reference for FP and reproductive health
information. They also communicate FP/RH information via social media, mobilize support for and use of
FP/RH services through online advocacy, and perform in-person advocacy in their communities and
governments.
Health worker training in providing youth-friendly services: In FY2018, IntraHealth trained and strengthened the
capacity of 4,150 health workers better services to vulnerable populations, including providing youth-friendly
services

Country Leadership: Yes
Individual Potential: Yes
Service Delivery: yes
Geographical Coverage: Both Urban and Rural
Early adolescent girls (aged 10-14): Yes
Early adolescent boys (aged 10-14): Yes
Adolescent girls and young women (aged 15-24): Yes
Adolescent boys and young men (aged 15-24): Yes

Adolescent and Young Adult Health and Well-being

Applicable
Current Status: Ongoing
Activities Implemented:
Fostering community-level engagement and advocacy, with a highlight on youth engagement and leadership
(Benin, Mali, Senegal, Burkina Faso, Niger, Uganda)
Engaging religious and cultural leaders (Uganda, Benin, Mali, Senegal, Burkina Faso, Niger)
Male engagement for FP (Uganda, West Africa)
Plans and commitments (Benin, Guinea, Mali, Mauritania, Senegal, Togo, Burkina Faso, Cote D’Ivoire, Niger)

INTRAHEALTH INTERNATIONAL COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019

Comprehensive sexual education (Benin, Mali, Senegal, Burkina Faso, Niger)
Supply chain (Senegal, Global)

Results Achieved:
West Africa is the only region achieving its FP2020 goals. In FY2018 the Ougadougou Partnership, of which
IntraHealth is the secretariat, supported 448,000 additional users to adopt family planning in 9 francophone
West African countries enrolled in the partnership.
All 9 Ouagadougou Partnership countries have an active costed implementation plan (CIP)
In FY2018, IntraHealth activities supported 377,513 new contraceptive users (initiators) and provided 682,440
CYPs.
In FY2018, IntraHealth projects supported the development of 184 policies
In Uganda during FY2018, IntraHealth’s projects oriented 200 cultural and religious leaders as catalysts of
change to enhance mobilization of FP services in their communities.

Country Leadership: Yes
Financing for Health: Yes
Community Engagement: Yes
Individual Potential: Yes
Health System Resilience: Yes
Research and Innovation: Yes
Multisectoral Action: Yes
Accountability: Yes
Service Delivery Included: Yes
Geographical Coverage: Both Urban and Rural
Early adolescent girls (aged 10-14): Yes
Early adolescent boys (aged 10-14): Yes
Adolescent girls and young women (aged 15-24): Yes
Adolescent boys and young men (aged 15-24): Yes
Women (aged 25-49): Yes
Men (aged 25-49): Yes

Quality, Equity and Dignity in Services

Applicable
Current Status: Ongoing
Activities Implemented:
Mentorship and supportive supervision (in-service development) (Senegal, Tanzania, Uganda, South Sudan,
Mali, Central America, Kenya)
FP integration with other health services ISBC with a focus on immediate post-partum, vaccinations, HIV/AIDS,
and post-abortion services (Senegal, Mali, Benin, Togo, Guinea, Mauritania, Burkina Faso, Cote D’Ivoire,
Niger, Tanzania, Uganda)
Task sharing and community-based distribution (Senegal, India, Uganda, Tanzania)
Distribution of health workers in hard to reach areas (Uganda, Namibia, Senegal, Mali, DRC, Global)
Stigma and communication training (Global)
Method mix and choice – ensuring access to training and supplies for LARCS (Tanzania, Kenya, Senegal,
Uganda)
Gender: development of sexual harassment guidelines, implementation of gender assessments, and working
to improve organizational capacity in gender (Uganda, Senegal, Tanzania, Ethiopia)
Health worker training (Senegal, Bangladesh)

Results Achieved:
In 2018, IntraHealth:
Supported 32,554 facilities to provide services to national standards

INTRAHEALTH INTERNATIONAL COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019

Trained 26,382 health workers, including 4,150 in communication and reducing stigma with vulnerable
populations and 2,793 in clinical family planning practices
Helped 370 facilities to improve water and sanitation infrastructure
Country Leadership: Yes
Community Engagement: Yes
Individual Potential: Yes
Health System Resilience: Yes
Research and Innovation: Yes
Multisectoral Action: Yes
Accountability: Yes
Service Delivery Included: Yes
Geographical Coverage: Both Urban and Rural
Early adolescent girls (aged 10-14): Yes
Early adolescent boys (aged 10-14): Yes
Adolescent girls and young women (aged 15-24): Yes
Adolescent boys and young men (aged 15-24): Yes
Women (aged 25-49): Yes
Men (aged 25-49): Yes

Describe the factors that contributed to commitment-related activities being delayed or to an
unsuccessful implementation. If delayed, what was needed or is needed, if the problem is current, to
restart the activities impacted?

Re-instatement of the Mexico City Policy
Health worker strikes
Government agendas shifting / competing priorities
The EWEC/FP2020 questionnaire required more resources and time than initially anticipated

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Please provide the following information on the point of contact for this update:

❑ Name: Roy Jacobstein

INTRAHEALTH INTERNATIONAL COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019

❑ Title: Senior Medical Advisor
❑ E-mail: rjacobstein@intrahealth.org
❑ Phone: +1-919-313-9126

INTRAHEALTH INTERNATIONAL COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019