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POLICY
RECOMMENDATIONS
FOR FAMILY
PLANNING
FOR INCLUSION
IN NATIONAL HEALTH POLICY
Setting the Context
the department, and that of third-party surveys.
While the world is coming together to review the failure of achieving Health for
In 1952, Pakistan was the thirteenth most populous country. Pakistan All since it has been 40 years to the Alma Ata Declaration, this is a national
committed to control fertility by becoming a member of International Planned crisis where experts, stakeholders, academicians, program managers,
Parenthood Federation and initiated its first family planning scheme in the researchers and workers need to come together the discuss the widening
country’s Third Five Year Plan (1965-1970). Sixty-five years later, today chiasm between our family planning commitments and performance, and the
Pakistan’s population has increased by 372 percent since then, where Sri drivers behind this constantly increasing gap.
Lanka has grown by 114 percent, and India by 239 percent since 1960s. Our
population growth has slowed down by merely 5 percent since the 1960s, There are challenges like unmet need, leaking buckets, minimal male and youth
whereas India and Sri Lanka have brought it down by 41 percent and 113 engagement, access issues, provider and societal biases, supply chains and
percent respectively, and are below the world average growth rate. On the end-user experiences that need to be resolved. Punjab specifically, housing 53
other hand, today with a population of 207 million, Pakistan is the sixth most percent of the national population, is in dire need of a provincial plan of action
populous country. Punjab, is the most populous of Pakistan’s provinces with a to accelerate family planning, developed in consensus with relevant
population of 110 million. The demographic transition is disappointing specially stakeholders.
when the comparisons are seen with other countries of similar socioeconomic
and development standing. There is a need to address this challenge on war-footings, understand the
barriers unique to our social fabric, and opportunities related to family planning
Pakistan signed the FP2020 in 2012, committing to increase contraceptive that we may be missing by design.
prevalence rate (CPR) by 50 percent by 2020. The Pakistan Demographic and
Health Survey recorded the CPR at 35 percent in 2012. Today we stand at This action brief is a summary of policy and programmatic recommendations
34.2 percent, with modern CPR being 25 percent. The situation is mirrored in put together after extensive brain-storming by sector experts, subject
Punjab Province, where the CPR has come down to 38.3, from 40.7 in 2012- specialists, leading clinicians, eminent researchers, senior colleagues from
13. The modern CPR for Punjab recorded in 2018 is 27.2, which is national and international organizations who have dedicated their lives to
approximately 30 percent lower than the 38.9 percent reported in the population control.
Contraceptive Performance Report 2015-16 issued by the Pakistan Bureau of
Statistics. DISCLAIMER: The logos used on the cover of this action brief are to acknowledge all those experts and their organizations who participated in the consultative
workshop organized by the Government of Punjab.
The presentation of the material in this publication do not necessarily reflect the policies or views of the Government of Punjab, nor of any particular Program or
This is in contrast to other health and social development targets like Office or Organization. The mention of specific departments or programs or organizations does not imply that they are endorsed or recommended by the PMU-
PPHA in preference to others of a similar nature that are not mentioned. Errors and omissions excepted. All reasonable precautions have been taken by the PMU-
Develop and strengthen in house expertise for Revive the cadre of LHWs to continue effective
undertaking demographic studies; promoting use of community outreach
information; and developing evidence-based program
interventions and policy advice Policy, Legislation and Power
Institutionalize impact assessment to document lessons
Interest
learnt and devise appropriate corrective measures Develop & promulgate law to prevent under-age
marriages
Ensure regulation of quality and provision of FP services
in private sector health care establishments through Formulate a Provincial Family Planning Task Force to
Punjab Healthcare Commission ensure implementation of family planning strategies,
with quarterly meetings chaired by the Chief Minister
Institutionalize monitoring systems for effective supply
chain management and regular supply of family planning Commodity Security
commodities by creating strong linkages with the
private sector Devise FP commodities security policy encompassing
both public and private sector
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