Strategic Plan 2014 2018 - Family Planning NSW

 
Strategic Plan 2014 2018 - Family Planning NSW
Strategic Plan 2014 - 2018
Strategic Plan 2014 2018 - Family Planning NSW
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Family Planning NSW | Strategic Plan | 2014-2018

                                                       OUR VISION
                                                          Our vision is for all people to have high quality reproductive and sexual health.

                                                       OUR MISSION
                                                          To enhance the reproductive and sexual health and rights of our communities by supporting
                                                          all people to have control over and decide freely on all matters related to their reproductive
                                                          and sexual health throughout their life.

                                                       OUR VALUES
                                                          Human rights focus - promoting the rights of all people to reproductive and sexual health
                                                          Integrity - maintaining a strong ethical base, being accountable and transparent
                                                          Inclusiveness - valuing and respecting diversity without judgement
                                                          Equity of access - ensuring access to our services for all, including priority populations
                                                          Client centred - placing the needs of the whole person at the centre of our work
                                                          Commitment to excellence - ensuring high standards in all our work

                                                       OUR PRINCIPLES
                                                          Focusing on the whole person throughout their lifespan
                                                          Working in collaboration and through partnerships to strengthen our services and programs
                                                          Being advocates for the community
                                                          Developing and using best practice and evidence-based approaches
                                                          Designing and delivering optimal services to the community
                                                          Promoting freedom of choice which reflects individual differences and preferences
                                                          Building the capacity of our organisation, and the skills of other professionals and the community
                                                          Promoting professionalism and continuous improvement in our ways of working
                                                          Fostering innovation and creativity in our work
Strategic Plan 2014 2018 - Family Planning NSW
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                                                          Family Planning NSW | Strategic Plan | 2014-2018
CONTENTS

 Introduction                                   04

 Who we are                                     06

 Strategic Directions                           08

 Our Goals at a Glace                           10

 Operating Model                                12

 Reproductive and Sexual Health Need            14

 National and International Context             18

 Shaping the Future                             20

 Organisational Governance and Structure        24

 Our Targets                                    26

 Our Implementation Framework                   28

 Detailed Implementation Plan
 Focus Area 1: Integrated Clinical Services      30
 Focus Area 2: Education and Training            33
 Focus Area 3: Research, Monitoring & Evaluation 34
 Focus Area 4: International Development         36
 Focus Area 5: Corporate Support Services        38
Strategic Plan 2014 2018 - Family Planning NSW
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Family Planning NSW | Strategic Plan | 2014-2018

                                                       INTRODUCTION
                                                                                                 WELCOME TO OUR
                                                                                           STRATEGIC PLAN 2014 - 2018

                                                       Since 1926 Family Planning NSW has been committed
                                                       to the reproductive and sexual health and rights
                                                       of individuals, families, high need groups and the                     A
                                                       broader community.
                                                                                                                        PASSION
                                                       We fight for priority populations, including young
                                                       people; those living in rural and remote communities;                FOR
                                                       lesbian, gay, bisexual, transgender and intersex                  HUMAN
                                                       (LGBTI) people; Aboriginal and Torres Strait Islanders;
                                                       people with disability; and people from culturally and            RIGHTS
                                                       linguistically diverse (CALD) backgrounds.
                                                       Our focus adapts rapidly to areas of emerging need. We have
                                                       been increasing our services in the Asia Pacific region where
                                                       reproductive and sexual health needs are great. Working with
                                                       overseas governments, NGOs and communities, our goal is to see ongoing
                                                       improvement in reproductive and sexual health policy, services and knowledge
                                                       across the region as well as build key relationships to assist us in being an
                                                       effective international partner.
                                                       In Australia, Family Planning NSW works in active collaboration with a network
                                                       of community, NGO, private sector and government organisations. We
                                                       value these and future partnerships, and will continue to invest in their         EVOLVING
                                                       effectiveness to enhance our capacity.                                                 OUR
                                                       Our bar is high to ensure we strengthen our role as a leading provider of
                                                                                                                                        APPROACH
                                                                                                                                              AND
                                                       reproductive and sexual health services and a best practice model for
                                                       NGO service delivery. We must continue to challenge ourselves to be
                                                       innovative, effective, and focussed on the expectations of the people
                                                                                                                                         GROWING
                                                                                                                                        OUR REACH
                                                       and communities we serve and the partners who support us.
                                                        We attract and retain a high quality workforce and I am humbled by
                                                       their passion and commitment.

                                                       Ann Brassil, Chief Executive Officer MA Hons (Clin. Psych), MBA, MAPS, MAICD
Strategic Plan 2014 2018 - Family Planning NSW
INCLUSIVENESS
Strategic Plan 2014 2018 - Family Planning NSW
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Family Planning NSW | Strategic Plan | 2014-2018

                                                       WHO WE ARE
                                                                                                                   OVERVIEW
                                                                                         OF FAMILY PLANNING NSW

                                                          As an independent, not-for-profit organisation, we recognise that every body in every
                                                           family should have access to high quality clinical services and information, and we
                                                          provide a safe place for people to talk about their most intimate and personal issues.

                                                       Family Planning NSW is the leading provider of         Family Planning NSW is committed to excellence in
                                                       reproductive and sexual health services in NSW.          meeting the reproductive and sexual health needs
                                                                                                                         of the community.
                                                       We are experts in contraception,
                                                       pregnancy options counselling,                                              We achieve this by providing best
                                                       sexually transmissible                                                        practice, accredited clinical
                                                       infections (STIs), common                                                       services, enhancing the
                                                       gynaecological problems                                                           knowledge and skills of
                                                       including menstrual                                                                service providers, improving
                                                       disorders, cervical                                                                  the body of knowledge
                                                       cancer screening,                                                                     about reproductive and
                                                       breast awareness and                                                                  sexual health through
                                                       women’s and men’s                                                                     rigorous research and
                                                       sexuality and sexual                                                                  evaluation, and leading
                                                       function. We respect                                                                 international development
                                                       the rights of our clients                                                           projects to promote the
                                                       to make choices about                                                             rights of marginalised people
                                                       their reproductive and                                                          in developing countries.
                                                       sexual health and we treat
                                                       each and every person with                                                  Informed by our vision, mission,
                                                       respect, dignity and understanding.                                     values and guiding principles, we work
                                                                                                                         to assist poor and disadvantaged communities
                                                       Family Planning NSW’s education and training           in developing countries to increase access to
                                                       activities are evidence-based, broad-ranging and       comprehensive reproductive and sexual health services.
                                                       include programs for clinicians, disability workers,
                                                       teachers, parents and carers, and other health         We collaborate with organisations at national and
                                                       education and welfare professionals, both locally      international levels to strengthen the ability of local health
                                                       and internationally.                                   providers to deliver optimal family planning services.
Strategic Plan 2014 2018 - Family Planning NSW
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                        Family Planning NSW | Strategic Plan | 2014-2018
      OUR POLICY,
    CLINICAL AND
ADVOCACY WORK
 IS UNDERPINNED
     BY RIGOROUS
   RESEARCH AND
         ANALYSIS
Strategic Plan 2014 2018 - Family Planning NSW
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Family Planning NSW | Strategic Plan | 2014-2018

                                                       STRATEGIC
                                                                             DIRECTIONS
                                                       OUR FOCUS AREAS FOR THE NEXT FIVE YEARS

                                                                                             1
                                                                             Expert reproductive and sexual health services to the community
                                                                             through clinical care, health promotion and innovative information
                                                                             service provision
                                                              INTEGRATED
                                                              CLINICAL       Family Planning NSW is the state’s leading provider of reproductive
                                                                             and sexual health services. We provide accredited expert clinical
                                                              SERVICES       care to clients from priority populations across NSW. Family
                                                                             Planning NSW upholds a commitment to the provision of high
                                                                             quality, confidential services to all clients.

                                                                                             2
                                                                             Best practice education, training and workforce development to
                                                                             service providers and our priority communities
                                                                             We are a Registered Training Organisation and our education and
                                                                             training activities meet industry standards established by a range
                                                                             of bodies including the Australian Skills Quality Authority, the
                                                              EDUCATION      Royal Australasian College of General Practitioners and the NSW
                                                              AND TRAINING   Institute of Teachers. Our work builds the capacity of doctors,
                                                                             nurses, teachers, disability workers and other health, education
                                                                             and welfare professionals to deliver quality reproductive and
                                                                             sexual health services in communities across NSW. We understand
                                                                             the importance of capacity building and equipping local people
                                                                             with skills and knowledge to meet the needs of rural and remote
                                                                             communities and vulnerable populations.
Strategic Plan 2014 2018 - Family Planning NSW
Family Planning NSW has four
                          strategic pillars closely aligned
                                     with a strong clinical
                                  governance framework

                     INTEGRATED CLINICAL SERVICES
                         EDUCATION AND TRAINING
             RESEARCH, MONITORING AND EVALUATION
                     INTERNATIONAL DEVELOPMENT

                                                                  INTEGRITY

                               3
                Increasing the body of evidence for reproductive and sexual
                health, translating research into practice and evaluating
                project outcomes
                Our work will continue to be informed and shaped by our
RESEARCH,       research through the Family Planning NSW Sydney Centre for
MONITORING      Reproductive Health Research, our published clinical practice
AND             handbooks on reproductive and sexual health, and our
                nationally recognised data and evaluation unit. We will maintain
EVALUATION      our focus on translating research findings into clinical practice
                and guiding medical professionals, government and other
                decision-making bodies on best practice reproductive and
                sexual health service delivery. We will uphold a standard
                of excellence in the evaluation of our services.

                               4
                Assisting poor and disadvantaged communities to access
                reproductive and sexual health services, while building
                the capacity of governments and civil society to improve
                reproductive and sexual health

INTERNATIONAL   Family Planning NSW will continue to assist poor and
                disadvantaged communities in developing countries to
DEVELOPMENT     improve access to comprehensive reproductive and sexual
                health services. Our International Program will expand on
                previously successful partnerships with family planning
                organisations at national and international levels to promote
                the reproductive and sexual health rights and well-being of
                all people in the context of a sustainable environment.
Strategic Plan 2014 2018 - Family Planning NSW
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Family Planning NSW | Strategic Plan | 2014-2018

                                                   OUR GOALS
                                                             AT A GLANCE

                                                     INTEGRATED      Deliver high quality reproductive and sexual health prevention,
                                                                     screening and management services
                                                     CLINICAL        Build innovative, best practice delivery models
                                                                     Engage with consumers and build partnerships that assist us to
                                                     SERVICES        better serve the needs of priority populations

                                                     EDUCATION       Broaden the range of accredited education and training programs

                                                     AND             Establish a comprehensive education program for schools

                                                     TRAINING        Build our capacity to meet educational demand

                                                     RESEARCH,       Provide leadership in setting reproductive and sexual health
                                                     MONITORING      research priorities
                                                                     Increase our research funding and build our research capacity
                                                     AND             Add to the body of knowledge in reproductive and sexual
                                                     EVALUATION      health research publications

                                                                     Build the capacity of international partners to deliver optimal
                                                                     reproductive and sexual health information, education and clinical
                                                     INTERNATIONAL   services to priority populations
                                                                     Raise our profile as a key collaborator in reproductive and sexual
                                                     DEVELOPMENT     health in the Asia Pacific region
                                                                     Build our capacity to contribute to international development work
                                                                     in reproductive and sexual health in the Asia Pacific
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                                                           Family Planning NSW | Strategic Plan | 2014-2018
            •   Strengthen leadership in
                reproductive and sexual health
                policy and advocacy
            •   Build our profile through enhanced
                communication and media strategies
            •   Ensure a workforce that enables
                the achievement of our strategic
                priorities
CORPORATE   •   Diversify and build sustainable
SUPPORT         funding sources
            •   Grow through the provision
SERVICES        of corporate services to other
                organisations
            •   Enhance technology support for
                service delivery
            •   Extend our quality framework across
                all organisational processes
            •   Ensure safe and fit for purpose
                facilities

                               COMMITMENT
                              TO EXCELLENCE
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Family Planning NSW | Strategic Plan | 2014-2018

                                                   OPERATING
                                                                                                          MODEL
                                                                                                                           HOW WE DO IT
                                                                                                          The Family Planning NSW operating model illustrates how we
                                                                                                          deliver optimal reproductive and sexual health for individuals
                                                                                                          and populations, in line with strategic priorities.

                                                   FAMILY PLANNING NSW OPERATIONAL MODEL
                                                                                                        FOCUS AREAS                      KEY FUNCTIONS

                                                                                                        INTEGRATED                      CLINICAL SERVICES
                                                                                                        CLINICAL                        HEALTH PROMOTION
                                                                                                        SERVICES                        COMMUNITY
                                                                                                                                        EDUCATION
                                                                                 PRIORITY POPULATIONS

                                                                                                                                        PROFESSIONAL
                                                   BENCHMARKING                                                                         EDUCATION
                                                                                                        EDUCATION                       COMMUNITY
                                                         EVIDENCE                                       AND
                                                            BASED                                                                       EDUCATION
                                                                                                        TRAINING                        CLINICAL TRAINING
                                                     BEST PRACTICE
                                                     PARTNERSHIPS
                                                                                                                                        CLINICAL
                                                   NEEDS ANALYSIS                                                                       POPULATION STUDIES
                                                         EXTERNAL                                                                       MONITORING & EVALUATION
                                                    POLICY DRIVERS                                      RESEARCH,
                                                                                                        MONITORING                      TRANSLATING RESEARCH
                                                             PLANS                                                                      INTO PRACTICE
                                                                                                        AND
                                                                                                                                        BEST PRACTICE GUIDELINES
                                                        CONSUMER                                        EVALUATION
                                                     ENGAGEMENT

                                                                                                                                        HEALTH SYSTEM
                                                                                                                                        STRENGTHENING
                                                                                                                                        PROFESSIONAL
                                                                                                        INTERNATIONAL                   EDUCATION
                                                                                                        DEVELOPMENT                     CLINICAL EDUCATION
                                                                                                                                        SERVICE
                                                                                                                                        DEVELOPMENT

                                                   OPERATIONAL SUPPORT
                                                   Human Resources, Information Technology, Data Management, Evaluation,
                                                   Finance, Payroll, Ethics, Quality Management, Library, Rostering, Media and Communications, Accreditation
13
                                        •

                                                                                          Family Planning NSW | Strategic Plan | 2014-2018
                                        FOUNDATIONS
                                        Within a state, national and international
                                        policy context, our services are based
                                        on the foundations of thorough needs
                                        analysis, sound planning, evidence-
                                        based best practice, benchmarking to
                                        inform target setting, and strong and
                                        effective partnerships.

                                        PRIORITY POPULATIONS
                                        Our services are targeted to marginalised
                                        communities, including people from
                                        culturally and linguistically diverse and
                                        Aboriginal and Torres Strait Islander
                      OUTCOMES          backgrounds, people with disability,
                                        young people, LGBTI people and people
                                        from rural and remote communities.

                                        FOCUS AREAS AND
                                        KEY FUNCTIONS
                                        Family Planning NSW works in four
                                        client-facing areas - our ‘four pillars’.
                      IMPROVED
POLICY AND ADVOCACY

                                        These are integrated clinical services,
                                        education and training, research,
                      INDIVIDUAL        monitoring and evaluation and
                                        international development. Underpinning
                      AND POPULATION
                                        these areas are our operational support
                      HEALTH OUTCOMES   and corporate services which provide
                                        superior organisational capabilities.
                      IN REPRODUCTIVE   Our corporate and operational support
                                        also allow us to provide corporate
                      AND SEXUAL        services to partner organisations.

                      HEALTH IN LINE    POLICY AND ADVOCACY
                                        All our key functions are strengthened
                      WITH STRATEGIC    through policy and advocacy. We
                                        advocate for the reproductive and
                      PRIORITIES        sexual health of every body in every
                                        family, and support people in our
                                        community who are marginalised and
                                        vulnerable. As the leading provider
                                        of reproductive and sexual health
                                        services in NSW, Family Planning NSW
                                        is consulted on policies and practices
                                        related to our expertise.
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                                                                                                                                                                                                     C
Family Planning NSW | Strategic Plan | 2014-2018

                                                                                                                                                                                                     O

                                                   REPRODUCTIVE
                                                                        & SEXUAL HEALTH NEED
                                                                                                          WHAT WE KNOW

                                                            Effective, safe and
                                                        affordable contraception                     CONTRACEPTION
                                                      provides fertility control, the            Half of all pregnancies in Australia are unintended
                                                                                                 and about one in four pregnancies are terminated.
                                                      choice of if or when to have               The majority of unintended pregnancies result from
                                                       children and the ability to               either not using contraception or using contraception
                                                                                                 incorrectly. Only a small proportion of unintended
                                                        manage the number and                    pregnancies are due to contraceptive failure. To reduce
                                                           spacing of children.                  unintended pregnancy rates we must improve awareness
                                                                                                 and informed uptake of highly effective contraceptive
                                                                                                 methods, especially long acting reversible contraception
                                                                                                                (LARC) methods. This means challenging
                                                                                                                    the myths about contraception
                                                                                                                       amongst women and health care
                                                                                                                         providers, providing training
                                                                                                                          for the safe provision of LARC
                                                                                                                           and ensuring that women
                                                                                                                           can access balanced evidence
                                                                                      Very few women use highly            based information about their
                                                                                                                           contraceptive options in order to
                                                                                         effective long acting
                                                                                                                          make an informed choice for their
                                                                                       reversible contraception          particular circumstances.
                                                                                                 (LARC)
CONTRACEPTION

                                                   ESTIMATES OF CONTRACEPTIVES USED IN AUSTRALIA
                                                                                                                 Sources:
                                                     Partner Sterilisation                                       HILDA - Household, Income and Labour Dynamics in Australia 2011, 2008, 2005
                                                                                                                 ASHR - Australian Study of Health and Relationships 2002
                                                                                                                 ABS NHS - Australian Bureau of Statistics National Health Survey 2001
                                                           Tubal Ligation

                                                                      IUD
                                                                                                 HILDA 2011
                                                                  Implant                        HILDA 2008
                                                                                                 HILDA 2005
                                                   Contraceptive Injection
                                                                                                 ASHR 2002
                                                   Other inc. Diaphragm                          ABS NHS 2001

                                                     Natural, Rhythm or                                                                                   Male sterilisation
                                                          Billing Method                                                                                   has declined
                                                     Withdrawal Method                                                                                      since 2002
                                                               Condoms
                                                    Oral Contraceptives
                                                                             0   5   10         15              20                25                 30                  35                    40%
HILDA 2011
                                                         Implant                                                                                                                                                                                                                                                                            HILDA 2008
                                                                                                                                                                                                                                                                                                                                                                                                                                      15
                                                                                                                                                                                                                                                                                                                                            HILDA 2005
Contraceptive Injection                                                                                                                                                                                                                                                                   TOTAL FERTILITY
                                        FERTILITY                                                                                                                                                                                                                                                 ASHR 2002RATE

                                                                                                                                                                                                                                                                                                                                                                                                                                           Family Planning NSW | Strategic Plan | 2014-2018
Other inc.  Diaphragm
        The total fertility rate in Australia is higher (1.9 children per                                                                                                                                                                                                                                                                   ABS NHS 2001
        woman) than the average of 1.7 children per woman for
  Natural,   Rhythm
        developed   countries.orThe total fertility rate for Indigenous
       Billing    Method
        women is 2.6 children per woman.

                                                                                                                                                                                                                                                                       INDIGENOUS WOMEN

                                                                                                                                                                                                                                                                                                                                INDIGENOUS WOMEN

                                                                                                                                                                                                                                                                                                                                                                                           INDIGENOUS WOMEN
     Withdrawal Method

                                                                                                                                                                                                                                                                                                          NSW WOMEN

                                                                                                                                                                                                                                                                                                                                                                NSW WOMEN

                                                                                                                                                                                                                                                                                                                                                                                                                          NSW WOMEN
                                                        Condoms

                                                                                                                                                                                                                                                                                              ALL WOMEN

                                                                                                                                                                                                                                                                                                                                                   ALL WOMEN

                                                                                                                                                                                                                                                                                                                                                                                                              ALL WOMEN
           FERTILITY
     Oral Contraceptives
                                                                                                   0Unintended teenage
                                                                                                                 5                                                                                                                                             10                                                          15                                                                                   20                         25
                                                                                  pregnancy is associated                                                                                                                                                                                 2010                                                   2011                                                  2012
LITY RATE                                                                            with  poorer health
                                                                                        TEENAGE     FERTILITY RATE
                                                                                   outcomes for 18,400
                                                                                                   mothers
                                                                              TOTAL FERTILITY   RATE 17,000                                                                                                                                                         TEENAGE FERTILITY RATE
                                                                                         and
                                                                                       16,200   babies
                                                                                            15,100
                                                                                                            16,100
                                                                                                                                                                                                                                                                                                           18,400
                                                                                                                                                                                                                                               14,200                                                           17,000
                                                                                                                                                                                                                                                                    16,200                                                                            16,100
             INDIGENOUS WOMEN

                                                                                                                                                                                                                                                                         15,100
                                                                                                                                                                                                                                                                                                                                                                           14,200
                                                           INDIGENOUS WOMEN

                                                                                                       INDIGENOUS WOMEN

                                                                                                                                                          INDIGENOUS WOMEN
                                                                                                                                               NSW TEENAGERS

                                                                                                                                                                                                           NSW TEENAGERS

                                                                                                                                                                                                                                               NSW TEENAGERS
                                                                                                                               ALL TEENAGERS

                                                                                                                                                                                               TEENAGERS

                                                                                                                                                                                                                               ALL TEENAGERS
 NSW WOMEN

                                            NSW WOMEN

                                                                                                                                                                                                                                                                                     NSW TEENAGERS

                                                                                                                                                                                                                                                                                                                                 NSW TEENAGERS

                                                                                                                                                                                                                                                                                                                                                                           NSW TEENAGERS
                                ALL WOMEN

                                                                                                                                                                                                                                                                     ALL TEENAGERS

                                                                                                                                                                                                                                                                                                                ALL TEENAGERS

                                                                                                                                                                                                                                                                                                                                                           ALL TEENAGERS
                                                                                           NSW WOMEN

                                                                                                                                        NSW WOMEN

                                                                                                                                                                                             WOMEN
                                                                               ALL WOMEN

                                                                                                                          ALL WOMEN

                                                                                                                                                                             ALL WOMEN

                                              Oral Contraception                                                                                     27 - 34%
                                                                                                                                                                                           ALL
                                                                                                                                                                                         NSW

 1                       2012                                                                                                    2004                                                    2008                                  2012
                                                                              2010                                    2011                                            2012                                                                                             2004                                     2008                                       2012
                                              Condoms                               20 - 23%

                                              Vasectomy 8.5 - 11%

                                              Tubal Ligation 4.8 - 8.6%

                                                                                                                          Intrauterine 1.2-3.2%
                                              LARC 3.8 - 8.4%                                                             Injection 0.9-2.1%
                                                                                                                          Implant 1.1-3.6%
                                                                                                                                                                                                                                  Use of oral
                                                                                                                                                                                                                             c ontraception and
                                                                                                                                                                                                                           sterilisation was more
                                                                                                                                                                                                                           common in Australia
                                                                                                                                                                                                                                 than in other 
                                                                                                                                                                                                                           developed countries,
                                                      Similar to other                                                                                                                                                          but use of IUDs
                                                   developed countries,                                                                                                                                                          was much less 
                                                                                                                                                                                                                                   common.                                                                                                                                                                        CLIENT
                                                 the majority of Australian                                                                                                                                                                                                                                                                                                                                     CENTRED
                                                      women use or
                                                        have used
                                                      contraception.
                                                                                                                                                                                                                           For more information on reproductive and sexual health indicators, see our
                                                                                                                                                                                                                                 latest publications on the reproductive and sexual health in Australia.
icatio
                                                                                                                                                                                                                                                                                    if
                                                                                                                                                                                                                                                                                  ot
                                            16

                                                                                                                                                                                                                                                                            n
                                                                                                                                                                                                                                                                          IA
                                                                                                                                  2002                                                  2011

                                                                                                                                                                                                                                                                        YD
   Family Planning NSW | Strategic Plan | 2014-2018

                                                                                                                                 24,400                                                80,800

                                                                                                                                                                                                                                                                   CHLAM
                                                                                                   CHLAMYDIA

STIs                                                   SEXUALLY TRANSMISSIBLE INFECTIONS
                                                                                6,400    (STIs)
                                                                                            12,086
                                                                                              GONORRHOEA
                                                                                                                                                                                                               CHLAMYDIA
                                                       The often asymptomatic silent nature of some STIs means that
                                                                                                       treatment, and the 6,900 ications
                                                                                                                                         2011
                                                                                                                                                                                                              IS THE MOST
                                                       individuals are less likely to seek testing and6,700
                                                                                                                                                                                                                 COMMON
                                                                                                                                                                                                                                                                      NON-
                                                                                                                                 if                                                                                                                                INDIGENOUS
                                                       true prevalence of STIs is notOTHER
                                                                                        accurately known.                      ot
                                                                                                                                                                                                                        378
                                                                                                                                                                                                                NOTIFIABLE

                                                                                                                                                                                               n
                                                                                                                                                                                             IA
                                                                           2002                                   2011               10,800                                              4,500                                                                      per 100,000

                                                                                                                                                                                           YD
                                                                          24,400                          OTHER
                                                                                                            80,800                                                                                           INDIGENOUS

                                                                                                                                                                                                                     STI IN

                                                                                                                                                                                      CHLAM
                                                          CHLAMYDIA
                                                                           6,400                                 12,086                           tion
                                                                                                                                                      s 2011                                                   1342
                                                                                                                                                 a
                                                                                                                                                                                                                 AUSTRALIA
                                                                                                                                                                                                               per 100,000
                                                       GONORRHOEA
                                                                                                                                             ific
                                                                                                                                           ot
                                                                                                                                                                                                           The Indigenous rate is
                                                                                                                                                                                                             3.6 times the rate
                                                                                                                                                             NON-

                                                                                                                                     n
                                                                            6,700                                 6,900                                                                                      of non-Indigenous
                                                                                                                                                                                      INDIGENOUS

                                                                                                                                   IA
                                                               OTHER                                                                                                                                               people
                                                       2011                                                                                                                             378
                                                                                                                                 YD
                                                                          10,800                                  4,500
                                                      80,800   OTHER                                                                                                              INDIGENOUS
                                                                                                                                                                                    per 100,000
                                                                                                                                                                                                                                                                      53
                                                                                                                            CHLAM

                                                      12,086
                                                                                                                                                                                      1342                                           GONORRHOEA

                                                                                                                                                                                      per 100,000                                                                           39
                                                                                                                                                                                                                                                       36
                                                                                                                                              The Indigenous rate is                                                                 32

                                                                                                                                                                                                                  Rate per 100,000
                                                                                                                                                3.6 times the rate
                                                                                                                               NON-                  53
                                                                                                                                                of non-Indigenous
                                                       6,900                                                                INDIGENOUSGONORRHOEA                                                                                           23
                                                                                                                                                       people
                                                                                                                              378
                                                                                                                                                                                                                                                             20
                                                                                                                                                                                               39

                                                       4,500                                                                 per 100,000                      32
                                                                                                                                                                          36
                                                                                                                                           Rate per 100,000

                                                                                                                                                                                                                                           NSW

                                                                                                                                                                                                                                                             NSW

                                                                                                                                                                                                                                                                            NSW
                                                                                                                                                                    23

                                                                                                                                                                                                                                     ALL

                                                                                                                                                                                                                                                       ALL

                                                                                                                                                                                                                                                                      ALL
                                                                                                                                                                                20

                                                                                                                                                                                                                                     2002              2007           2011
                                                                                                                                                                    NSW

                                                                                                                                                                                NSW

                                                                                                                                                                                               NSW
                                                                                                                                                              ALL

                                                                                                                                                                          ALL

                                                                                                                                                                                         ALL

                                                                                                                                                              2002        2007           2011

                                                                                                                                                                    CANCERS OF THE REPRODUCTIVE TRACT
                                                                                              GONORRHOEA
                                                                                                                               53
                                                                                                                                                                       AND CERVICAL CANCER SCREENING
                                                                   CANCERS OF THE                                                                                                                                CANCERS OF THE
                                                               REPRODUCTIVE TRACT 2007                                                39                                               REPRODUCTIVE
                                                                                                                                                                                     Australia has lower ratesTRACT
                                                                                                                                                                                                                of cancer2007
                                                                                                                                                                                                                           of the
                                                                        ( /100,000 women
                                                                                       36 )
                                                                                                                                                                                                ( /100,000 men)
                                                                                                                                                                                    female reproductive   tract but  higher rates
                                                                                              32
                                                                           Rate per 100,000

                                                                       INCIDENCE                          6.8                                                                          of cancer of the male reproductive tract
                                                        CERVICAL                                    23
                                                                                                                      20
                                                                                                                                                                                            than the developed world 183.9
                                                                                                                                                                                               INCIDENCE                 average.
                                                                       MORTALITY                          1.8                                                    Cervical screening
                                                                                                                                                                               PROSTRATE In 2007, cancer of the reproductive
                                                                                                                                                                participation rate for
                                                                                                                                                                                               MORTALITY
                                                                                                                                                                                                tract in Australia accounted for 316
                                                                                                                                                               women aged 20-69 years
                                                                       INCIDENCE                                        11                                                                    about 24,000 new cases (22% of
                                                                                                    NSW

                                                                                                                      NSW

                                                                                                                                     NSW
                                                                                              ALL

                                                                                                                ALL

                                                                                                                               ALL

                                                        OVARIAN
                                                                       MORTALITY
                                                                            2002                                2007 7         2011                                AUS                57%      INCIDENCE        6.8around 4,400
                                                                                                                                                                                                 all cancers) and
                                                                                                                                                                              TESTICULAR deaths (10% of all cancer deaths).

                                                         UTERINE
                                                                       INCIDENCE                                               17                                 NSW                 56%      MORTALITY 0.3

                                                                       MORTALITY                                              2.7

                                                                       CANCERS OF THE                                                                                                                    CANCERS OF THE
                                                                   REPRODUCTIVE TRACT 2007                                                                                                           REPRODUCTIVE TRACT 2007
                                                                                   ( /100,000 women )                                                                                                     ( /100,000 men)
                                                                          INCIDENCE                         6.8
                                                               CERVICAL                                                                                                                                      INCIDENCE                                       183.9
                                                                          MORTALITY                         1.8                                                                                PROSTRATE
                                                                                                                                                                                                             MORTALITY                                                       316
                                                                               Early screening,
                                                                          INCIDENCE          11
                                                               OVARIAN           detection and treatment                                                                                                     INCIDENCE                           6.8
                                                                          MORTALITY
                                                                               can save lives7                                                                                             TESTICULAR
                                                                                                                                                                                                             MORTALITY                           0.3
                                                                          INCIDENCE                                             17
                                                                UTERINE
                                                                          MORTALITY                                             2.7
17

                                                                                                                                    Family Planning NSW | Strategic Plan | 2014-2018
INDUCED ABORTION
                                                                          d out 2%
                                                                    Adopte
There is no NSW data collection on the incidence of                                          OF AUSTRALIAN WOMEN
induced abortion and estimates are therefore                                                     HAVE EXPERIENCED
derived from a number of sources.                                                                  AN UNINTENDED
                                                                                                       PREGNANCY
Lack of data limits the capacity of
                                                            18%
                                                         ed
reproductive and sexual health services
                                                                                             C
to target reductions of unintended
pregnancies and to provide services
                                                      rri

                                                                                             on
                                                  a
                                                sc

                                                                                               tin
for the management of these

                                              Mi

                                                                                                  ued
pregnancies.
In a survey of 2,000 Australian
                                                                  PROPORTION

                                                                                                 with pregnanc
women, approximately
half (51%) experienced an                                       OF WOMEN WHO
unintended pregnancy.                                           HAD UNPLANNED
                                                  n 31%

Of those, about half (49%)
                                                                  PREGNANCY
continued the pregnancy,
                                                 o

31% had an abortion,
                                               ti

                                                                                                              y
18% miscarried and
                                             or

                                                                                                                49
                                            b

2% chose adoption.                                                                               %
                                           a

                                                        d an
                                                      Ha
                           Access to safe and
                      reliable methods of fertility
                        regulation enhances the
                             health status of
                                 women

                                                      INFERTILITY AND ASSISTED
                                                      REPRODUCTIVE TECHNOLOGY (ART)

                     90
       INCREASE IN CLAIMS FOR
                                      %               ART is indicated for the clinical management of infertility.
                                                      Published population surveys reveal that 16% to 25% of women
                                                      have, at some time in their lives, experienced a period of
                                                      infertility that lasted 12 months or more, and that between
                                                      3.4% and 14% were currently infertile.
   ASSISTED REPRODUCTIVE
        TECHNOLOGY

                                                                                      MEDICARE-FUNDED
                                                                                      ART SERVICES
                                            %
                               24                                                     AUSTRALIA
                                                                                                                     248,056

                       45yrs 2.4           %
                                                                                                       195,552

                     The likelihood of a live birth       MEDICARE-FUNDED
                                                          ART SERVICES
                                                                                       130,965

                        from ART treatment                NSW
                                                                             79,348

                      diminishes as a woman’s
                                                                    64,635

                            age increases.
                                                           41,778

For more information on reproductive and sexual            2000     2006     2011      2000           2006           2011
health indicators, see our latest publications on
the reproductive and sexual health in Australia.
18
Family Planning NSW | Strategic Plan | 2014-2018

                                                   NATIONAL &
                                                            INTERNATIONAL CONTEXT
                                                           OUR INFLUENCERS & ENVIRONMENT

                                                          Family Planning NSW adheres to the World Health Organisation (WHO) position that
                                                                 sexual rights are human rights and include the right of all people to:
                                                        • the highest attainable standard of                      • decide to be sexually active or not
                                                          sexual health, including access to sexual               • consensual sexual relations
                                                          and reproductive health care services                   • consensual marriage
                                                        • seek, receive and impart information                    • decide whether or not, and when, to
                                                          related to sexuality                                      have children
                                                        • sexuality education                                     • pursue a satisfying, safe and pleasurable
                                                        • respect for bodily integrity                              sexual life
                                                        • choose their partner

                                                   FAMILY PLANNING AUSTRALIA ALLIANCE (FPAA)
                                                   Family Planning Australia Alliance is the peak national body
                                                   representing Family Planning and related reproductive
                                                   sexual health services across Australia. FPAA is a leader
                                                   in shaping the reproductive and sexual health agenda
                                                   nationally and internationally through policy, advocacy and
                                                   networking. The aim of FPAA is to inform and influence
                                                   the development of and commitment to action on policies
                                                                                                                       REPRODUCTIVE
                                                   and services conducive to high quality sexual and
                                                   reproductive health for all, nationally and internationally.          AND SEXUAL
                                                   FPAA believes that everyone should:                                   HEALTH FOR
                                                   • have the right to make informed choices about sexual              EVERY BODY IN
                                                     and reproductive health, without harm to others
                                                   • be free from all forms of discrimination
                                                                                                                        EVERY FAMILY
                                                   • exercise self-determination in fertility and
                                                     sexual expression
Family Planning NSW | Strategic Plan | 2014-2018
19

                            HUMAN
                      RIGHTS FOCUS
20
Family Planning NSW | Strategic Plan | 2014-2018

                                                   SHAPING
                                                                                   OUR FUTURE
                                                                                                         OUR ROLE

                                                   OUR AMBITIONS
                                                   Influence of Family Planning NSW
                                                   Family Planning NSW has a long, proud history of                            PROVIDING
                                                   advocating for and providing services to the community
                                                   to ensure the best reproductive and sexual health for all.                     PROVEN
                                                   Family Planning NSW is well respected for its balanced                        OPTIONS
                                                   representation and the promotion of social equity.
                                                   We will keep the voice of Family Planning NSW strong                          TO BOTH
                                                   and loud through a range of innovative strategies,                          CLINICIANS
                                                   ensuring that the rights of all in the community are heard
                                                                                                                                     AND
                                                                                                                              CONSUMERS
                                                   and respected.

                                                   Promotion of Long Acting Reversible
                                                   Contraception (LARC)
                                                   Long acting reversible methods of contraception,
                                                   which include the contraceptive implant, IUDs and the
                                                   contraceptive injection, provide women with a highly            could include services outside our current direct focus
                                                   effective and cost effective means to control their fertility   on reproductive and sexual health. Family Planning NSW
                                                   and shape their lives during their reproductive years.          stands ready to take up this challenge through evolved
                                                   LARC methods have a proven impact on reducing the               operational models which underpin all our work and
                                                   rate of unintended pregnancy yet despite their benefits,        are well placed to support other health organisations to
                                                   the uptake of LARC in Australia lags behind other               drive efficiency, accountability and transparency.
                                                   developed countries. Family Planning NSW will promote
                                                   the informed uptake of LARC to give women more control          Enhancing evidence-based cervical cancer
                                                   over their bodies and their lives.                              screening
                                                                                                                   Cervical cancer can be effectively prevented by both
                                                   Implementation of the NSW Ministry of Health                    organised screening programs and immunisation against
                                                   ‘Partnerships for Health’                                       HPV. Early detection of changes to the cervix caused by
                                                   The Non-Government Organisation (NGO) sector is                 HPV infection, is a high priority for Family Planning NSW
                                                   complex which presents significant challenges for its           and cervical cancer remains a significant public health
                                                   integration within the whole of health. Under ‘Partnerships     issue, especially in areas of high cervical cancer mortality,
                                                   for Health’, the NSW Ministry of Health objective is for        such as in Aboriginal and Torres Strait Islander women
                                                   quality and cost effective health services. Under the           and in neighbouring Asia Pacific countries. The success
                                                   banner of contestability, the NSW Government has                of the HPV immunisation program for school aged girls
                                                   indicated it will be seeking high performing NGOs to            and boys together with the proposed changes to the
                                                   provide services traditionally delivered by government.         national cervical screening program to enhance its
                                                   Family Planning NSW is in an excellent position to              effectiveness will lead to declining rates of cervical cancer
                                                   respond strategically. For Family Planning NSW, this            over coming years.
Family Planning NSW | Strategic Plan | 2014-2018
21
22
Family Planning NSW | Strategic Plan | 2014-2018

                                                                                                                CHAMPIONING
                                                                                                                THE RIGHTS OF
                                                                                                                   ALL PEOPLE
                                                   The Commonwealth Medical Services Advisory
                                                   Committee has made evidence-based recommendations
                                                   to government to support a change from traditional
                                                   cytology-based screening to primary HPV testing with
                                                   implementation from 2016.
                                                   Our focus on cervical cancer prevention will therefore
                                                   be threefold:
                                                   1. Translating our current clinical services, education
                                                      and training programs in line with new government
                                                      guidelines                                                Building our digital interface with the community
                                                   2. Supporting the uptake of HPV vaccination in low           Communication channels in our world are changing
                                                      uptake areas and increasing the reach of culturally       rapidly. It is foreseeable that we will no longer send or
                                                      appropriate screening services in these populations       receive mail through the post, our electronic clinical
                                                                                                                systems will interface at the level of the client rather than
                                                   3. Working collaboratively with partners to provide
                                                                                                                the agency, our health promotion will increasingly be
                                                      accurate information to the community about the
                                                                                                                delivered through innovative ‘apps’ and eForums,
                                                      changes to the cervical cancer screening program as
                                                                                                                our training services will involve less face to face and
                                                      they arise
                                                                                                                significantly more use of technologies and our evaluations
                                                   Expanding our online and distance education                  will be in real time. Family Planning NSW will adapt to
                                                   and training                                                 these challenges to ensure we are achieving the most
                                                   Modes of delivery for professional development and           effective communication with all our stakeholders.
                                                   training are evolving rapidly, particularly in online and
                                                   distance learning. We will build our course content and      Education for schools and parents
                                                   develop innovative learning platforms to ensure we are       There is a growing need for parents and schools to better
                                                   well placed to meet the training and development             understand the issues around reproductive and sexual
                                                   needs of the future both in Australia and internationally.   health and well-being. Family Planning NSW has a long
                                                                                                                history of working with teachers to build their capacity
                                                                                                                to deliver age appropriate sexuality and relationship
                                                                                                                education. We will expand our work to develop and
                                                                                                                deliver programs for teachers, schools and parents.

                                                                                                                Deepening research capability and partnerships

                                                       NEVER BEING
                                                                                                                We will continue to be a significant force in reproductive
                                                                                                                and sexual health research and evaluation. We will do

                                                      COMPLACENT                                                this through strengthening and broadening our own
                                                                                                                research and evaluation capability while simultaneously
                                                          WITH THE                                              partnering with other organisations such as universities,

                                                       STATUS QUO
                                                                                                                the private sector, professional bodies and health
                                                                                                                services organisations. We will increase our efforts over
                                                                                                                the next four years to lead national reproductive and
                                                                                                                sexual health research which includes a major collaborative
                                                                                                                research program in reproductive and sexual health.
23

                                                                                Family Planning NSW | Strategic Plan | 2014-2018
Broadening the skill base of our staff and
capacity building
Family Planning NSW has a unique set of capabilities in
reproductive and sexual health. Over the coming years
we will focus on developing and broadening the skill base
of our staff while contributing to the development of
other professionals working in the field. We will continue
to explore the role of nurses in clinical practice and
support the expansion of their scope of practice, for
example in the provision of LARC including contraceptive
implants and IUDs. We will continue to equip our
staff to work within, and contribute to, our
international portfolio.
                                                              ENSURING
                                                             LONG TERM
                                                                  VISION
                                                                 CAN BE
                                                             ACTUALISED
24
Family Planning NSW | Strategic Plan | 2014-2018

                                                                                                                          PROTECTING
                                                                                                                      THE COMMUNITY
                                                                                                                                WITH
                                                                                                                         PREVENTABLE
                                                                                                                              HEALTH
                                                                                                                            MEASURES

                                                   OUR PASSIONS                                                      Development (ACFID) code of conduct. Over time, we
                                                   Continuing to address the needs of diverse                        expect our financial risk profile to evolve as the current
                                                   priority populations                                              block funding models cease, more of our funding
                                                                                                                     becomes contestable and our cash flow is potentially
                                                   A primary challenge continues to be addressing the
                                                                                                                     less predictable. We will strive for success in obtaining
                                                   complex needs of our diverse, geographically dispersed
                                                                                                                     new and potentially diverse service contracts within a
                                                   priority populations in a consumer centred, high quality
                                                                                                                     strong risk management framework.
                                                   and efficient manner. Many of our clients such as young
                                                   people, people with disability, Aboriginal and Torres Strait
                                                                                                                     Fundraising and philanthropy
                                                   Islanders, LGBTI and CALD populations have complex
                                                   needs that must be sensitively addressed. Our research            Broadening our funding base and attracting philanthropic
                                                   and data analysis continue to reveal worrying gaps and            support offers both opportunities and challenges for
                                                   inequalities for our priority populations in areas such as        Family Planning NSW. We see significant opportunities
                                                   STIs, cervical cancer mortality and teenage fertility.            to attract individual, corporate, foundation and global
                                                   People in rural and remote regions also experience                support for our portfolio of domestic and international
                                                   difficulties in accessing reproductive and sexual health          work. It has been traditionally difficult to obtain
                                                   services and information.                                         philanthropic dollars to enable us to deliver core services
                                                                                                                     and information to disadvantaged communities and
                                                   Respectful relationships                                          populations. Over the life of this plan, as we work to
                                                                                                                     diversify our funding, we will grow community awareness
                                                   A hallmark of the work of Family Planning NSW has
                                                                                                                     of our work, and develop our internal capability in
                                                   been our long term focus on respectful relationships.
                                                                                                                     fundraising and philanthropy.
                                                   This is intrinsic to and permeates all of our work.
                                                   Evidence of this occurs throughout our clinical services,
                                                                                                                     Maintaining a balanced, evidence-based policy
                                                   the information and coaching we provide to external
                                                                                                                     on pregnancy termination
                                                   providers in our training programs, in our relationships
                                                   with funders and partners and through our capacity                Family Planning NSW recognises that there are a range
                                                   building in overseas countries to deliver services                of views on this issue but drawing on our core Guiding
                                                   independently of us. Maintaining and enhancing this focus         Principle of “promoting freedom of choice which reflects
                                                   is essential to our culture, our integrity and our credibility.   individual differences and preferences” we believe that
                                                                                                                     maintaining the individual’s right to choose in regard to
                                                   Refining and developing the way we                                all aspects of reproductive and sexual health - including
                                                   manage risk                                                       pregnancy termination - is one of our most important
                                                   Family Planning NSW has a sophisticated risk management           challenges. Family Planning NSW will continue to
                                                   process. We are committed to maintaining accreditation            provide accurate, up to date advice and information to
                                                   against the National Safety and Quality Health Service            all our clients and to advocate effectively on this issue.
                                                   Standards (NSQHS), and Australian Quality Training                We know there are great inequities in how women in
                                                   Framework. We are also committed to our accreditation             NSW access these services. Our role is to work to address
                                                   through the Department of Foreign Affairs and Trade               these issues and to be an advocate for those who are
                                                   (DFAT) and the Australian Council for International               marginalised and disadvantaged.
Family Planning NSW | Strategic Plan | 2014-2018
25

                                                        UNDERSTANDING
                                                                   AND
                                                            EMBRACING
                                                              DIVERSITY
26
Family Planning NSW | Strategic Plan | 2014-2018

                                                   ORGANISATIONAL
                                                   GOVERNANCE & STRUCTURE
                                                                                             Family Planning NSW is a not-for-profit Company Limited by Guarantee,
                                                                                                       incorporated under the Corporations Act 2001. It is governed
                                                                                                by an expertise-based Board of Directors and managed by the CEO.

                                                                    BOARD COMMITTEE STRUCTURE

                                                                                                 BOARD OF
                                                                                                 DIRECTORS

                                                    FINANCE         ETHICS       CLINICAL FUNDRAISING                     RESEARCH INTERNATIONAL   PEAK
                                                    & AUDIT       COMMITTEE      ADVISORY ADVOCACY &                      ADVISORY    PROGRAM    CONSUMER
                                                   COMMITTEE                    COMMITTEE MARKETING                      COMMITTEE    ADVISORY PARTICIPATION
                                                                                           COMMITTEE                                 COMMITTEE COMMITTEE

                                                                                                    CHIEF
                                                                                                  EXECUTIVE
                                                                                                   OFFICER

                                                    INTEGRATED            EDUCATION              RESEARCH,                                        CORPORATE
                                                      CLINICAL               AND                MONITORING                INTERNATIONAL            SUPPORT
                                                      SERVICES             TRAINING                 AND                    DEVELOPMENT             SERVICES
                                                                                                EVALUATION

                                                       ASHFIELD                MEDICAL             RESEARCH                   CAPACITY           GOVERNMENT &
                                                                              EDUCATION                                       BUILDING            COMMUNITY
                                                       DUBBO                                                                                        AFFAIRS
                                                                                                 MONITORING &
                                                                               NURSING            EVALUATION                  CLINICAL          COMMUNICATIONS
                                                      FAIRFIELD                                                              EDUCATION
                                                                              EDUCATION                                                           & MARKETING
                                                       HUNTER                                        LIBRARY
                                                                          PROFESSIONAL                                     PROFESSIONAL             BOOKSHOP
                                                                           EDUCATION                                        EDUCATION
                                                       PENRITH                                       ETHICS
                                                                                                                                                     FINANCE
                                                     STATE HEALTH              CLINICAL                                   HEALTH SYSTEMS
                                                      PROMOTION                TRAINING             QUALITY               STRENGTHENING
                                                                                                    SYSTEMS
                                                                                                                                                HUMAN RESOURCES
                                                     STATE SOCIAL                                                            RESOURCE
                                                        WORK                                    DATA SYSTEMS &             DEVELOPMENT
                                                                                                 MANAGEMENT                                       INFORMATION
                                                                                                                                                  TECHNOLOGY
                                                       TALKLINE
27

                  Family Planning NSW | Strategic Plan | 2014-2018
 ACCESSIBILITY
     FOR OUR
STAKEHOLDERS
    WHEREVER
     THEY ARE
28
Family Planning NSW | Strategic Plan | 2014-2018

                                                   OUR
                                                             TARGETS

                                                   OUR TARGETS OVER THE NEXT FIVE YEARS ARE

                                                   KEY FOCUS AREA   2018 GOAL                                  ASPIRATIONAL GOAL
                                                                    112,000 client visits                      Fee for service capability implemented
                                                                    45,000 community education participants    10% increase in women receiving a LARC method
                                                                    400,000 health promotion resources         Ante and post natal services provision
                                                                    distributed
                                                                                                               10% increase in services to priority populations
                                                                    5% increase in services to priority
                                                                    populations                                Pilot of mid-life specialised clinic completed and
                                                      INTEGRATED                                               evaluated and provides increased income to Family
                                                        CLINICAL    Telemedicine trialled and evaluated        Planning NSW
                                                        SERVICES    Consumer engagement framework              Telemedicine implemented across Family Planning
                                                                    developed and implemented                  NSW sites
                                                                                                               Nurses credentialed to insert and remove implants
                                                                                                               and IUDs

                                                                    5,200 course participants with an 80%      Family Planning NSW College of RSH well known and
                                                                    pass rate                                  respected
                                                                    16,000 hours of clinical training          Post graduate certificates established for doctors
                                                                                                               and nurses
                                                                    Electronic clinical placement system
                                                                    implemented                                60% of courses accessible online
                                                                    Increased training for teachers, parents   New parent sex education course developed and
                                                                    and students                               implemented to provide additional income to
                                                      EDUCATION                                                Family Planning NSW
                                                                    Revenue generated through sale of
                                                         AND        program resources                          Independent and faith based schools provided with
                                                       TRAINING                                                comprehensive sexual education
                                                                                                               Safe Schools Coalition Australia implemented in NSW
                                                                                                               10% increase in education funding through
                                                                                                               increased course fees and grants
                                                                                                               10% increase in revenue from sale of program
                                                                                                               resources
29

                                                                                                                            Family Planning NSW | Strategic Plan | 2014-2018
KEY FOCUS AREA   2018 GOAL                                    ASPIRATIONAL GOAL
                 Research Plan implemented                    Family Planning NSW Research Institute well known
                                                              and respected
                 Two national Reproductive and Sexual
                 Health Research forums coordinated           National Reproductive and Sexual Health Research
                                                              Plan developed and implemented
                 New edition of Reproductive and Sexual
                 Health: an Australian clinical practice      Participation in at least one clinical trial study per
                 handbook                                     annum
   RESEARCH,     New edition of Contraception: an Australian Family Planning Organisation (FPO) data dictionary
  MONITORING     clinical practice handbook                  and reporting agreed and distributed to all FPOs
      AND        Twelve grants submitted                     NSW and National Reproductive and Sexual Health
  EVALUATION     Three MOUs signed with partners             Indicator reports updated and published
                 National meeting held to discuss the          10% increase in formal evaluations of service
                 feasibility of FPOs to be involved in         delivery
                 Reproductive and Sexual Health Cooperative
                 Research Centre (CRC) or similar              At least three new collaborative projects per
                                                               annum
                 Visiting local and international researcher’s
                 program trialled and evaluated                One national research collaboration per annum
                 Scholarship program trialled and evaluated Research internship program established
                 Thirty presentations at conferences          Eight peer-reviewed publications

                 Three cervical cancer screening pilots       10% increase in funded capacity building grants
                 completed
                                                              Outcomes of pilots published in peer review journal
                 Needs assessment completed to inform         and presented at international conference
                 program priorities in contraception,
                 disability and men and boys programs         Disability pilot implemented and evaluated in one
                                                              Pacific country
                 Quarterly communication with donors and
                 community stakeholders through               Increased awareness of the voice of Family
 INTERNATIONAL   newsletters, reports and social media        Planning NSW international development
  DEVELOPMENT
                 International program fundraising strategy   40% increase in donor funding
                 developed and implemented
                                                             10% of international funding from grants other
                 Two grants submitted each year for projects than ANCP funding

                 Demonstrable impact on policy and            Fifty submissions and representation on public policy
                 advocacy                                     Statewide communication strategy about Family
                 10% increase in media hits                   Planning NSW developed and implemented
                 10% increase in website hits                 Statewide communication campaign to promote
                                                              LARC implemented
                 Increased engagement in social media
                                                              Corporate services offered to external organisations
                 Suite of corporate services defined and      on a fee for service basis
                 marketed to external organisations
   CORPORATE                                                  Family Planning NSW preferred supplier for LHD
    SUPPORT      Four new IT systems implemented              funded services
    SERVICES     Decrease in energy consumption per           Master client database implemented
                 staff member
                                                              Enhanced billing system implemented, enabling
                                                              seamless billing for clients for all Family Planning
                                                              NSW services
                                                              Accreditation of clinical, education and international
                                                              programs and compliance with NHMRC research
                                                              guidelines achieved
                                                              Ashfield site renovations completed
30
Family Planning NSW | Strategic Plan | 2014-2018

                                                   OUR
                                                                         IMPLEMENTATION
                                                                                                                         FRAMEWORK
                                                   Family Planning NSW has in place an effective framework to translate our plan into results. The framework
                                                   underpins the development of a shared understanding across the organisation of how our plan has been
                                                   developed, and how it will be implemented, executed and reviewed across all our strategic priority areas.
                                                   The framework is based on a logical four step process of Assess, Plan, Do, Review.
                                                   Within this framework, key actions provide a check-list of what needs to be considered at each step.

                                                                         W                                                          AC
                                                                  E
                                                                VI

                                                                                                                                        CE
                                                                                      EVALUATION          WHERE ARE WE?
                                                            RE

                                                                                       PROCESSES

                                                                                                                                             SS
                                                                                                          ENVIRONMENTAL
                                                                                  ANNUAL AND              SCAN
                                                                             QUARTERLY REVIEWS
                                                                                                          NEEDS AND
                                                                                 CLINICAL REVIEW          ASSESSMENT OF HEALTH
                                                                                      EVALUATION          AND OTHER NEEDS

                                                                                FEEDBACK LOOPS            STRATEGIC ANALYSIS

                                                                               IMPLEMENTATION             STRATEGY DEVELOPMENT
                                                                           BUSINESS PLAN CYCLE            SET THE VISION/DIRECTION
                                                                               QUALITY AND RISK           ESTABLISH PRIORITIES
                                                                                       METRICS            DOCUMENT IN
                                                                                      PARTNER             STRATEGIC AND
                                                                              AND STAKEHOLDER             OTHER PLANS
                                                                                  ENGAGEMENT
                                                                                                                                            P L
                                                                   O

                                                                                                                                                A

                                                                                                                                        N
                                                                      D

                                                                       D

                                                                                                                                                    EQUITY OF
                                                                                                                                                      ACCESS
REPRODUCTIVE    31

  AND SEXUAL

                     Family Planning NSW | Strategic Plan | 2014-2018
  HEALTH FOR
EVERY BODY IN
 EVERY FAMILY
32
Family Planning NSW | Strategic Plan | 2014-2018

                                                      DETAILED
                                                                          IMPLEMENTATION PLAN

                                                      FOCUS AREA 1: INTEGRATED CLINICAL SERVICES
                                                                       Expert reproductive and sexual health services targeted
                                                               to marginalised communities, through clinical care and health promotion.

                                                                                                   RESULTS:                    SUCCESS                         ASPIRATIONAL
                                                       GOAL              STRATEGY                  By 2018 we will have:       INDICATOR                       GOAL
                                                                         Provide high quality      Maintain accreditation      112,000 client visits           Family Planning NSW achieves
                                                                         clinical services         for clinical services                                       and maintains accreditation
                                                                                                                               45,000 community                under the National Quality
                                                                                                   Increased funding for       education participants          Standards
                                                    Deliver high quality                           clinical service delivery
                                                                                                                               400,000 health promotion
                                                       reproductive                                                                                            Fee for service capability
                                                                                                                               resources distributed           implemented
                                                     and sexual health                                                         Medicare charging changed
                                                   prevention, screening                                                       to fee for service model
                                                     and management
                                                          services       Promote and               Increased uptake of         Increased % of women            10% increase of women
                                                                         provide family planning   effective long acting       receiving a LARC method         receiving a LARC method
                                                                         information,              reversible contraceptives
                                                                         contraception and         (LARC)                      No. of contraceptive
                                                                         pregnancy options                                     methods provided by type
                                                                         services                  Increased access to
                                                                                                   pregnancy options           No. of community education
                                                                                                   information and clinical    activities to at risk groups
                                                                                                   pathways for unplanned      No. of contraceptive and
                                                                                                   pregnancies                 pregnancy options resources
                                                                                                                               distributed
                                                                                                                               No. of clients seeking advice
                                                                                                                               on pregnancy options

                                                                         Promote and provide       Delivered up to date        Increased access to cervical    Clinical services lead
                                                                         cervical cancer           evidence-based cervical     cancer screening services       implementation of DNA
                                                                         prevention, screening     cancer prevention           by at-risk groups               HPV screening program
                                                                         and referral services     information, screening                                      protocols
                                                                                                   and referral services to    No. of tests provided by
                                                                                                   at-risk groups, including   target group
                                                                                                   full implementation of      No. of community education
                                                                                                   the guidelines of the       sessions by target group
                                                                                                   renewal of the National
                                                                                                   Cervical Cancer             No. of cervical cancer
                                                                                                   Screening Program           prevention resources
                                                                                                                               distributed
33

                                                                                                                                                          Family Planning NSW | Strategic Plan | 2014-2018
                                                  RESULTS:                        SUCCESS                            ASPIRATIONAL
GOAL                    STRATEGY                  By 2018 we will have:           INDICATOR                          GOAL
Deliver high quality    Promote and provide       Increased STI screening         Increased number of                Condom credit card
reproductive            STI prevention, testing   tests (opportunistic            Condom Credit Card holders         implemented across NSW
and sexual health       and treatment services    and targeted) provided
prevention, screening   to at risk groups         to at risk groups               No. of STI tests performed
and management                                                                    by type and age range
services                                          Treatment/referral
                                                  pathways provided to            % clients under 25 years
                                                  people diagnosed with           tested for chlamydia and
                                                  an STI                          other STIs
                                                                                  % clients managed and/or
                                                                                  referred to an external
                                                                                  service provider following
                                                                                  a positive STI result
                                                                                  No. of STI resources distributed

                        Provide information,      Provided services to            No. of clients managed             10% increase in consultations
                        diagnosis, management     target populations of           and/or referred to external        about sub-fertility
                        and referral              women and men with              service provider for
                        services for common       common gynaecological,          gynaecological problems
                        reproductive and sexual   subfertility or sexual
                        health                    function problems               No. of clients given
                        issues across the         throughout the                  information on sub-fertility
                        reproductive life span    reproductive lifespan           or sexual function issues
                                                                                  No. of clients managed
                                                                                  and/or referred to
                                                                                  external service provider
                                                                                  for subfertility or sexual
                                                                                  function problems

                        Broaden services          Increased ante-and              No. of clients who were            Ante and post natal services
                        into ante-natal and       post-natal services             given advice on ante and           provision
                        post-natal support                                        post natal issues

                        Provide and promote       Increased reach of              Number of calls and                10% increase in Family
                        reproductive and sexual   Family Planning NSW             emails answered by Family          Planning NSW Talkline reach
                        health information and    Talkline services               Planning NSW Talkline
                        referral service

                        Improve responses to      Improved identification         Domestic violence routine    8% increase in domestic
                        sexual, domestic and      of clients at risk of sexual,   screening compliance in line violence screening
                        family violence           domestic and family             with NSW Health policies and
                                                  violence                        procedures
                                                                                  No. of clients who had
                                                                                  domestic violence screening
                                                                                  No. clients provided support
                                                                                  and/or referred to external
                                                                                  service provider

                        Increase services and     Clinical services and           Increase in proportion of          10% increase in priority
                        programs to priority      programs targeted to            client visits by priority          population clients
                        populations               priority populations            populations
                                                                                  No. of community education
                                                                                  sessions by target group
                                                                                  No. of resources distributed
                                                                                  per target group
                                                                                  No. of partnerships
                                                                                  developed and maintained
                                                                                  in each of the priority areas
34

     FOCUS AREA 1: INTEGRATED CLINICAL SERVICES
                    Expert reproductive and sexual health services targeted
            to marginalised communities, through clinical care and health promotion.

                                                   RESULTS:                      SUCCESS                         ASPIRATIONAL
     GOAL              STRATEGY                    By 2018 we will have:         INDICATOR                       GOAL
                       Explore alternative         Piloted alternative clinical Expanded reach into              Pilot mid-life specialised clinic
                       clinical service models     service models to reach      priority populations             completed and evaluated and
                       and staff mix to provide priority population groups                                       provides increased income to
                          reproductive and                                                                       Family Planning NSW
                            sexual health clinical
                             services
  Build innovative,
best-practice delivery        Pilot innovative      Piloted telemedicine         Telemedicine trialled and       Telemedicine implemented
       models                 uses of information initiatives for remote and     evaluated                       across Family Planning NSW
                             technology to          priority population groups                                   sites
                            provide efficient and                                Innovative use of
                         effective service delivery                              technology and online
                                                                                 platforms trialled and
                                                                                 evaluated

                       Expand the role of          Nurses credentialed           No. of nurses credentialed to: Nurses credentialed to
                       nurses in clinical          with extended scope                                          insert and remove implants
                       service delivery            of reproductive and           • implement Standing Orders and IUDs
                                                   sexual health practice        • provide clinical training
                                                                                 • insert and remove IUDs
                                                                                 • insert and remove
                                                                                   contraceptive implants
                                                                                 No. of IUDs/implants inserted
                                                                                 and removed by nurses

    Engage with            Provide outreach         Effective collaborations     No. and profile of partners     10% increase in services to
consumers and build         services to build      and partnerships to                                           priority populations
                             the capacity of       increase service delivery     No. of partnerships per
    partnerships                                                                 priority population group
                             local providers       to priority populations
    that assist us
                                                                                 5% increase in services to
 to better serve the                                                             priority populations
  needs of priority
     populations
35

                                                                                                                                                      Family Planning NSW | Strategic Plan | 2014-2018
      FOCUS AREA 2: EDUCATION AND TRAINING
      Best practice education, training and workforce development to service providers
                                 and our target communities.

                                                 RESULTS:                        SUCCESS                         ASPIRATIONAL
   GOAL               STRATEGY                   By 2018 we will have:           INDICATOR                       GOAL
                      Deliver targeted           All education delivered         5,200 course participants       Tertiary-level accredited
                      courses for doctors,       under the AQF national          with an 80% pass rate           program in reproductive and
                       nurses, disability,       framework                                                       sexual health that meets post
                        health and welfare       Increased targeted                                              graduate standards
                           professionals         vocational training                                             Rebrand our Education
    Broaden the                                                                                                  Services as a College that
range of accredited                                                                                              has a strong reputation in
   education and                                                                                                 its own right and as part of
 training programs                                                                                               Family Planning NSW

                       Implement blended         Expanded education              Increase in number of online 60% of all courses can be
                      and online courses         reach                           courses and enrolments       accessed online

                      Increase education         Education services              NDIS funding for targeted       Funding for targeted
                      services to support        developed to support            education services explored     education services achieved
                      priority population        the NDIS                        Increase in knowledge,
                      groups                     Increased in knowledge          skills and confidence of
                                                 and confidence of               course participants
                                                 professionals supporting        No. of courses completed
                                                 priority populations            per priority population group

                      Review current programs    Increased confidence            No. courses completed           New Parent Sex Education
                      for teacher, parent and    and knowledge of                for teachers, parents and       course developed and
                        student education to     teachers and parents            students                        implemented and provides
                           align with national   to discuss sexuality                                            additional income to
                            curriculum           education                                                       Family Planning NSW
    Establish a
  comprehensive
education program          Expand reach of     An active relationship   No. schools engaged in                   Independent and faith
                           sexuality education with independent schools sexuality education                      based schools provide
    for schools           in schools to                                                                          comprehensive sexual
                        independent and                                                                          education
                       faith based schools

                      Provide targeted           Increased awareness             Increase in engagement          Safe Schools Coalition
                      programs to reduce         of homophobia and               about sexual and gender         implemented in NSW
                      homophobia and             transphobia in schools          diversity for teachers and
                      transphobia in schools                                     students

                       Provide targeted          Balanced clinical service and   16,000 clinical training        10% increase in education
                        clinical training for    clinic education resourcing     hours provided                  funding through increased
                         course participants     Increased educational           Electronic clinical placement   course fees and grants
                                                 funding                         system implemented
 Build our capacity
to meet educational
      demand               Develop saleable      Income producing           Revenue generated through            10% increase in revenue from
                          resources aligned      resources available across sale of program resources            sale of program resources
                         to each education       all education programs
                        program
36

          FOCUS AREA 3: RESEARCH, MONITORING
                   AND EVALUATION
     Increasing the body of evidence for reproductive and sexual health, translating research
                         into practice and evaluating project outcomes.

                                                RESULTS:                       SUCCESS                        ASPIRATIONAL
     GOAL             STRATEGY                  By 2018 we will have:          INDICATOR                      GOAL
                      Provide national        Family Planning NSW              Research Plan implemented      National Reproductive and
                      leadership in           Research Plan implemented                                       Sexual Health Research Plan
                      reproductive and sexual                                  Coordinate one national        developed and implemented
                        health research       Two National reproductive        Reproductive and Sexual
                                              and sexual health research       Health Research forum per      Rebrand our Research pillar
                                              forums coordinated               annum                          as an ‘Institute’ in its own
  Provide leadership                                                                                          right and as part of Family
in setting reproductive                         Reproductive and sexual        At least one research priority Planning NSW
   and sexual health                            health priorities identified   topic identified per annum
   research priorities                          and agreed

                        Provide leadership      Participation in relevant      Number of clinical trial       Participation in at least one
                      in fertility management   clinical trials                participants required by       clinical trial study per annum
                      and contraception                                        sponsor met
                      research                  Expanded external
                                                networks and partnerships At least one new research
                                                                            MOU relating to fertility
                                                New research                management and
                                                collaborations developed contraception signed per
                                                with research institutions, annum
                                                pharmaceutical companies
                                                and universities

                      Provide leadership        Population research and New edition of Reproductive           Family Planning Organisation
                      in population health      data translated into policy and Sexual Health: an             data dictionary and reporting
                      research                  and clinical practice       Australian clinical practice      agreed and distributed to all
                                                                            handbook                          FPOs
                                                Family Planning
                                                Organisations data          New edition of Contraception:     NSW and National
                                                dictionary and reporting an Australian clinical practice      Reproductive and Sexual
                                                framework defined           handbook                          Health Indicator reports
                                                                                                              updated and published
                                                Published state and            Contraception and other
                                                national reproductive and      reproductive and sexual
                                                sexual health data reports     health factsheets updated
                                                to inform planning             and available to public

                      Provide leadership in     Service delivery reflects  Clinical policies, advocacy,       10% increase in formal
                      evaluating health service relevant research findings education and materials            evaluations of service delivery
                      delivery and programs                                reviewed and updated to
                                                                           reflect research findings
                                                                           and feedback from clinic
                                                                           clients, course participants
                                                                           and community education
                                                                           participants
37

                                              RESULTS:                    SUCCESS                         ASPIRATIONAL
  GOAL              STRATEGY                  By 2018 we will have:       INDICATOR                       GOAL
                    Expand our research       Comprehensive list of     12 grants submitted               At least three collaborative
                    funding                   tender and grant programs                                   projects per annum
                                              updated and maintained Three MOUs signed with
                                                                        other partners
                                              Other research funding
   Increase our                               opportunities explored
research funding
  and build our         Build collaborations Participation in national  National reproductive             One national research
research capacity      with research         and international research and sexual health network         collaboration per annum
                       partners              collaborations             established
                                              Partnerships with           International research
                                              universities and research   collaborations explored
                                              institutions to expand
                                              research infrastructure     National meeting held to
                                              developed                   discuss the feasibility of
                                                                          FPOs to be involved in
                                              Reproductive and Sexual     Reproductive and Sexual
                                              Health Cooperative          Health Cooperative Research
                                              Research Centre explored    Centre (CRC) or similar

                    Strengthen our research Trialled visiting local and   Visiting local and              Research internship program
                    workforce               international researcher’s    international researcher’s      established
                                            program                       program trialled and
                                                                          evaluated
                                              Partnership developed
                                              with Universities to        Scholarship program trialled
                                              increase post graduate      and evaluated
                                              student placements

                    Improve our research      Data systems support        Data systems in place           Data informs all service
                    infrastructure            integrated service          support research, operations    planning decisions with
                                              delivery                    and other organisational        NSW Ministry of Health and
                                                                          needs                           other partners

                    Strengthen our            Research Advisory           Research Advisory Committee Low/Negligible ethics approval
                    research governance       Committee established       meets biannually             process incorporated in
                    and strategies to         and meets regularly                                      Family Planning NSW research
                    communicate findings to                               Research, evaluation, ethics governance
                    the broader community     Research and ethics         and data management
                                              governance in line with     governance reviewed and      Eight peer-reviewed
                                              best practice guidelines    updated                      publications
                                              Ethics approval process     90% of ethics submission
                                              in place for the review     approved per annum
                                              of Low/Negligible Risk
                                              Projects                    No. of ethics submissions
                                                                          per annum
                                              Promote our research
                                              excellence                  Two published Family
                                                                          Planning NSW reports
                                                                          Thirty presentations at
                                                                          conferences
                                                                          Fifteen journal club/research
                                                                          seminars conducted
                                                                          Research excellence
                                                                          promoted through
                                                                          newsletters and media
38

     FOCUS AREA 4: INTERNATIONAL DEVELOPMENT
     Working to assist poor and disadvantaged communities in the Asia Pacific region to access
                     comprehensive reproductive and sexual health services.

                                                     RESULTS:                   SUCCESS                         ASPIRATIONAL
      GOAL                 STRATEGY                  By 2018 we will have:      INDICATOR                       GOAL
                       Provide capacity building     Projects implemented to    No. projects completed and      10% increase in funded
                       and support to enable         support the achievement    evaluated                       capacity building grants
          Build         partners to deliver          of universal access to
     the capacity of      high quality family        family planning services
 international partners planning services
   to deliver optimal
reproductive and sexual                              Increased skills, knowledge % increase in skills,          10% increase in funded
  health information,                                and confidence of           knowledge and confidence       capacity building grants
 education and clinical                              clinicians providing family with clinicians trained
                                                     planning services
   services to priority
      populations
                                                     Increased capacity to      No. projects completed and      10% increase in funded
                                                     deliver community based    evaluated                       capacity building grants
                                                     programs to priority
                                                     groups

                           Provide leadership        Expansion of cervical     Three cervical cancer            Outcomes of pilot published
                           and support to improve    cancer screening programs screening pilots completed       in peer review journal and
                           cervical cancer           in areas of defined need                                   presented at international
                           prevention and            in the Pacific                                             conference
                           screening program
                           delivery

                           Explore our role in       Planned and coordinated Needs assessment                   Disability pilot implemented
                           supporting people with    approach to supporting      completed to define            and evaluated in one Pacific
                           disability to access      people with disability to   disability pilot               country
                           optimal reproductive      access optimal reproductive
                           and sexual health         and sexual health services
                           services in the Pacific   in the Pacific

                           Ensure evidence based Current projects expand        Needs assessment completed Evidence base used as basis
                           programmatic approach to other countries of          to inform program priorities for further program priorities
                           to international projects defined need
                                                                                Outcomes of projects
                                                                                disseminated through reports,
                                                                                conference presentations
                                                                                and publications in peer
                                                                                review journals
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