Programming Models & Approaches

© 2012 Arturo Sanabria, Courtesy of PhotoshareFamily planning programs can take a number of approaches to providing implants. Implants can be made available in a variety of service delivery settings, including hospitals, clinics, and even mobile clinics. And, in many cases, task sharing can be employed so that different types of providers can offer services related to implant insertion and removal, including counseling.

The addition of long-acting contraceptive methods to any family planning program should be planned and implemented with sustainabiity and the potential for scale-up in mind. To gauge whether a program should be scaled up, it is important to understand the program costs, and cost-effectiveness; to have sustainable funding sources; to ensure there is enough of a demand for services to continue providing them; and to have buy in from key stakeholders, including the Ministry of Health, the communities in which the program will be available, and the health workforce.

The publications in this section of the Toolkit offer information on these various service delivery models, provide evidence supporting the practice of task shifting, or task sharing, to expand access to long-acting contraceptive methods, and set forth guidance for implementing the delivery of contraceptive implants. Several publications in this section can assist with incorporating sustainability measures into your program and planning for scale-up from the beginning of the implementation process. These include costing tools, assessments, and guides for scaling up family planning programs.