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  Innovations Family Planning Services Project

Innovations in Family Planning Services (IFPS) Project 
April 2009 – March 2012 


The Innovations in Family Planning Services (IFPS) project is implemented through a bilateral agreement between the Government of India (GOI) and the U.S. Government. The project was originally designed in 1992 to assist GOI in revitalizing family planning services in Uttar Pradesh (UP). IFPS I (1992-Sept 2004) efforts were concentrated in UP, with operations beginning in Uttarakhand towards the end of IFPS I. This was followed by IFPS II (Oct 2004-Sept 2008) with geographic expansion from UP to include Uttarakhand and Jharkhand. IFPS II focused primarily on demonstration of public private partnership (PPP) models which would complement NRHM implementation in the three states. Additionally, the project also provided important assistance to the states during the start up of NRHM.

IFPS-I - (1994-2004)
To assist UP (undivided) in reducing its rate of population growth to a level consistent with its socio-economic objective

IFPS –II (2004-2009) 
Objective remained same namely increase CPR, Condom/OCP usage, IFA consumption etc. 

Key approaches included:
Testing of PPP models, 
Providing technical assistance through state societies, 
BCC activities, 
Strengthening public sector service delivery through technical assistance and 
Supporting the roll-out and implementation of NRHM.

Staff under UKHFWS

Executive Director
Director (National Program)
Senior Consultant (IFPS)
Program Support Officer (IFPS)

IFPS II - (2004-09) is supporting RCH/NRHM in four key areas – 

 Documenting and 
 Leveraging expansion of PPP

For provision of high quality RCH services in the State. 

USAID in collaboration with the Deptt of MH&FW, GoUK, identified a series of interventions to successfully meet the project challenges. These identified interventions are framed as benchmarks for the purpose of monitoring and evaluating the achievements. 

Since its inception in 2004 there have been following four set of benchmarks that were implemented in the State. 

The activities and achievements under IFPS-II



Completed in


C      Creation/Establishment of an Autonomous Body

C      It’s Organizational Framework

C      Hiring of the Staff

Aug 2004


C      ASHA Plus Model developed, Work initiated,

C      Capacity building, M&S and Fund flow systems estab.

C      Establishment of Health Resource Centre

Feb 2006


C      ASHA Plus

C      Mobile Van

C      Voucher Scheme on Pilot basis in HDR

C       Contracting Out of Health Facilities

C       Mass media Campaign to promote RCH services

Feb 2007


C      ASHA Plus, Mobile Van and Voucher in HDR

C      Up-Scaling of Voucher in four more district

C      ARSH

C      Quality Assurance Initiatives




C      Strengthening of State Asha Resource Centre.

April 2009

C      Strengthening of ASHA Support System

C      Strengthening of IPC skills in ASHAs

C      Up-Scaling VS.

C      Strengthening of State Health Resource Centre

C      Monitoring of mobile van providing RCH services in Nainital district.

C      BCC support for 15 mobile vans to promote off take of RCH services.

C      Program addressing ARSH issues of youth piloted in four districts of Uttarakhand.



Key Achievements under IFPS

Some of the key contributions of the IFPS project in the state of Uttarakhand include:

Building the capacity of state institutions: Uttarakhand Health and Family Welfare Society (UAHFWS) and State Health Resource Center (SHRC) were formed and supported

Implemented successful PPP models: 

 Haridwar voucher scheme: A demand-side financing scheme for increasing access to RCH services amongst BPL clients. 14209 women have accessed services to date (ANC services-8434, Delivery-3307, PNC-2082 and FP- 206). 

 ASHA plus scheme: The ASHA-plus scheme was implemented in 6 blocks of 3 upper Himalayan districts of UA. It focused on IPC skill building, supporting supervision and monitoring by NGOs along with additional incentives to ASHAs for better performance. 

 Mobile health clinic: The project has piloted a mobile health clinic to increase access to RCH services in remote, hilly areas of the state. To date, 273 clinics have been provided and 24587 clients have received RCH services from the mobile clinic.

Quality assurance: The project introduced a more systematic approach to quality assurance in 7 districts. The initial two project districts were funded through IFPS, and later, five additional districts were added through NRHM funding.

Adolescent Health: An adolescent health project (UDAAN) has been initiated in 4 districts of the state. The project includes a comprehensive, multi-sectoral approach to adolescent health, addressing societal and cultural issues in the family and at the community level, service delivery at the health facility and policy and advocacy with state policy makers.

IFPS-III 2009-2012

Priority Areas of Focus for IFPS III
A. NRHM Support
• Support to Facilitate NRHM Structures: Strengthening the technical assistance capacity of state and national institutions: 

B. Behavior Change Communication
• Creating behavior change and building state and national-level capacity for BCC. 

C. Capacity Building
• Support to Facilitate NRHM Management: 
• Training: Improving the quality of providers delivering FP/RH services. 
• Training Institutions: Building capacity of training institutions for FP and RCH. 

D. Integration of Post-partum Family Planning and Safe Delivery
• Technical assistance to support achievement of NRHM FP/MH results. 

E. Taking Innovations to Scale
• Operations Research: Maximize learning from and scale up of current IFPS interventions. 
• Supporting NRHM implementation through innovation. 
• Supporting introduction of new FP methods or those less utilized: 

F. Vulnerable Populations
• Addressing Needs of Scheduled Caste and Tribal Populations: 
• Adolescent Reproductive and Sexual Health (ARSH): Increasing youths access to health services
• Health Financing: Increasing access to health services by the poor. 

F. Building Evidence
• Surveys: Technical assistance to states in conducting surveys which provide evidence in Family Planning and Maternal Health. 

Evaluation and Assessment: Evaluations, assessments, formative research and information gathering activities are necessary to ensure that programs are well designed from the beginning, are producing results, and are cost-effective. These studies can identify key factors that lead to the success of a project or identify obstacles that need to be modified if a project is to be maintained. Through IFPS III, operations research, rapid assessments, evaluations and information gathering activities will be conducted for the purpose of designing programs, assessing impact, making revisions to programs once they have been implemented for some time, and evaluating overall impact prior to scale up. The primary purpose of any study will be to inform decision-making at the state and center as it relates to NRHM programs or policy. For instance, focus groups discussions with adolescents have helped to shape the design of the Adolescent Health project in UP. The 24x7 Facility Survey, conducted under IFPS II in three states, was instrumental in highlighting deficiencies in service delivery at these facilities, which then informed state government action to upgrade these facilities. Formative research is a best practice in designing relevant BCC campaigns that “speak” to the target audience. The targeted purpose of these information gathering activities will be to improve the data available to government for decision making. 


Innovations Family Planning Services Project


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