MONITORING REPORT

FOR
Innovative Family Planning Service Delivery for the Poor in Punjab Rahim Yar Khan, Family
Planning and Reproductive Health Scale up Integration, District RYK (FP/RH)

IRC

5 to 13 December 2020

Rahim Yar Khan

Submitted to

125 Abu-Bakar Block, New Garden Town, Lahore

By

No 5, Block 7, Peace Homes, G-8/4, Islamabad

+92 51 228 8416 (Ph) +92 51 228 8417 (Fax)
[email protected]

Notations
Project name: Innovative Family Planning Service Delivery for the Poor in Punjab Rahim Yar Khan, Family
Planning and Reproductive Health Scale up Integration, District RYK (FP/RH)

Location: Four Tehsils of District Rahim Yar Khan

Implementing Partner: IRC
Project Start Date: 1st December 2019
Project End Date: 31 May 2021
Reporting Month / Quarter: 5 to 13 December 2020
Period: 5 to 13 December 2020
TPM Organization: Development Strategies Associates

Ownership
All the ideas, know-how, processes, information, drawings, documents, designs, models, inventions, copyrightable
material and other tangible and intangible materials included in this document, including without limitation
computer programs, computer systems, data and documentation, (collectively, the “Works”) are the sole and
exclusive property of PPIF Punjab. All rights for the Works are reserved. No part of the Works may be reproduced or
transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any
information storage or retrieval system, without the written permission from PPIF, except for the inclusion of
quotations in a review.

Disclaimer
The Development Strategies has made every effort to provide the most accurate information, data, statistics, facts,
figures, drawings and procedural descriptions contained in this document. The limitations of the accuracy of the
information at the source, however, remain. The document may thus contain human or mechanical errors or
omissions. No liability for such errors, or omissions, or un-intentional misrepresentations will be accepted. The
Development Strategies reserves the right to make corrections and changes in any information contained in this and
in subsequent versions of this document.

Either as part of this document or any other written material produced by Development Strategies Pakistan,
wherever a reference is made to any person using ‘He’ please read it as ‘He/She’.

All communications to:

Dr. Moazzam Khalil

Chief Executive
Development Strategies
No 5, Block 7, Peace Homes, G-8/4, Islamabad, Pakistan
Ph: +92 51 2288416 Fax: +92 51 2288417 Cell: +92 321 5008091
Email: [email protected]
Contents
1 INTRODUCTION.....................................................................................................................4
1.1 Punjab Population Innovation Fund (PPIF)..................................................................................4
1.2 The Project in Brief.......................................................................................................................4
2 Field verification of Private practitioners..................................................................................6
2.1 Findings of field verification.........................................................................................................7
1 INTRODUCTION
1.1 Punjab Population Innovation Fund (PPIF)
Punjab Population Innovation Fund (PPIF) is a non-profit, public sector company, established to
render financial and technical assistance to innovative projects for population planning and
improving access and generating demand for family planning services. PPIF also works for
replication of successful models to enable Punjab to achieve its vision for growth and prosperity.
Recently PPIF has awarded BISP, by International Rescue Committee (IRC) in district Rahim Yar Khan
of Punjab province. The project is aligned with the overall strategic objectives of PPIF, which are;
1. Increase Accessibility of Family Planning services;
2. Strengthen Male Engagement;
3. Promote Youth centered information and services; and
4. Social and behavior change communication; and 5) Quality Assurance.
Out-of-the-box, scalable, and sustainable solutions, to:
1. Mitigate information related obstacles among current and potential users, that lead to
lower the demand for and access to modern family planning methods;
2. Increase the uptake of modern methods through advisory services and counseling that
help address concerns related to usage;
3. Deliver contraceptive products and services to users at their doorstep in communities not
adequately served by community health workers;
4. Enable private health service providers, including non-physician and male cadres, to
initiate and sustain provision of an adequate range of quality family planning services for
underserved communities and households with unmet need;
5. Identify any other innovations that address the acceleration of efforts to address unmet
need for modern family planning services.
1.2 The Project in Brief
The Punjab Population Innovative Fund (PPIF) desires to finance innovative and potentially scalable
pilot approaches to build evidence of what works to decrease fertility in Punjab 1. This project
specifically aims at playing a role in reducing the number of women with unmet need for family
planning services in Punjab, especially in the rural, poor and underserved areas and to convert users
of traditional contraceptive methods to modern contraceptive methods. The project is a pilot project
of PPIF where, in order to make it sustainable and scalable, they have partnered with an existing
programme, namely the Benazir Income Support Programme (BISP). The BISP currently does not
specifically cover provision of FP related services to MWRAs. BISP is functioning in the poorer areas
of Rahim Yar Khan will provide the perfect opportunity to determine the impact of this kind of
intervention where the beneficiaries are provided FP services, free of cost at an established health
service providers’ premises. Additionally, the beneficiary will be given transportation cost as well as
service providers will receive cost of their services. Cost of vouchers will cover FP commodity cost,
service charges and transportation cost.

1
Review of the Background Paper on Punjab Population Innovation Fund available at www.ppif.org.pk/downloads3
18 Months will offer the necessary timeframe to test this model of service delivery since the impact
can be determined through a decrease in pregnancies in those particular areas. The provision of this
incentive, in the form of vouchers, will demonstrate the willingness of MWRAs to use FP services and
fulfill their unmet need. Third Party Monitoring Firm will be serve to validate all outputs generated
and to record and report evidence based.
Development Strategies as third party monitoring firm is to utilize to monitor social/ community
mobilization awareness and message of modern contraceptives to the MWRAs residing in the
identified communities who have an unmet need for contraceptive usage that lead to many
unwanted pregnancies and termination of the pregnancies through unsafe methods. Firm will also
monitor dissemination exercise (door to door household’s visits/ awareness raising workshops and
sessions in the community) through spot checking.
30% verification of FP users served by each service providers during the reporting period at private
and public provider level. To monitor availability of FP commodities at private providers level
through record (mainly through mobile application) at nearby health providers of the beneficiaries to
avoid hassle.
Project will cover following impairment that cause hindrance in improvement of contraceptive
usage:
 Lack of awareness
 Lack of access to information and services
 Limited access to contraception, particularly among poorer segments of population through
provision of vouchers;
 Limited choice of method (preferred methods are not available)
 Poor quality of available services;
 Public Private sector engagement integration of contraceptive services, knowledge of
contraceptive services
Withdrawal has the highest rate of failure at 8.8%, following by Condoms at 7.4% while pill
has failed 6.4% of the times (PDHS 2017-18). According to latest PDHS the reasons for
discontinuation include:
 Side effects management
 Lack of knowledge and the correct use of method
 Lack of proper counselling for using alternative method.
To achieve the above stated results, PPIF funded project a joint effort with Population Council and
BISP. The projects aimed at reducing fertility by through provision vouchers to BISP beneficiaries,
improving service delivery, highlighting best practices in terms of adopting/ practicing family
planning in communities (behavioral change communication).
2 Field verification of Camps - Private practitioners
During 5th to 13th December 2020 in family planning camps conducted by IRC under PPIF funded project.
Following clients have been verified by field monitors of TPM.
Number of TPM Target % of
Beneficiaries 30% Clients Clients
S# Name of SP CNIC served verification verified verified
43 Aasia 3130164004190 89 27 27 100%
39 Aasia munir 3130391446730 5 2 2 100%
32 Abida mukhtar 3130130001138 395 119 119 100%
45 Alia mumtaz 3130145742758 74 22 22 100%
25 Aminakousar 3130207830790 199 60 60 100%
4 Asia Parven 3130358436582 57 17 17 100%
5 Ayesha saddiqa 3130342780892 27 8 8 100%
38 Bushra khanum 3130259883694 28 8 8 100%
12 Farhat nawaz 3130198137076 103 31 31 100%
36 Farzana Naqsh 3130322904930 82 25 25 100%
8 Farzana quyyom 3130366412238 86 26 26 100%
30 Hina saleem 3130161591324 110 33 33 100%
46 Iqra Irum 3130216387984 57 17 17 100%
26 Kishwar awaisi 3130270672168 162 49 49 100%
2 Mureedan.parveen 3130408798276 108 32 32 100%
27 Nadia hussain 3130228010406 442 133 133 100%
3 Najma tahira 3130323173400 116 35 35 100%
33 Nazia mukhtar 3130173047566 64 19 19 100%
47 Ome E Aeman 3130132636568 321 96 96 100%
28 Parveen akhtar 3130278768694 273 82 82 100%
22 Rabia aqeel 3630229027260 64 19 19 100%
16 Rukhsana munir 3130478872202 209 63 63 100%
34 Saadia rabnawaz 3130171049588 1 0 0 100%
42 Saba mushtaq 3130485356360 168 50 50 100%
31 Saba shoukat 3130269830574 336 101 101 100%
18 SADAF AZIZ 3130403009370 317 95 95 100%
41 Sameea malik 3130298708170 124 37 37 100%
20 Samina yasmeen 3130257738720 213 64 64 100%
7 Samra fida 3130129032932 47 14 14 100%
11 Sayyadah Mehvish Riaz 3220316030818 40 12 12 100%
15 Shahnaz Akhtar 3130492457240 99 30 30 100%
24 Shahnaz akhter 3130236750512 97 29 29 100%
44 Shahnaz Nadeem 3130128028100 7 2 2 100%
14 Shaista noreen 3130461474460 233 70 70 100%
9 Shazia Jahangir 3130326144612 30 9 9 100%
21 Shazia Rani 3130221630436 40 12 12 100%
1 Shazia Shazad 3130186149082 153 46 46 100%
29 Shehna Akhter 3120126079702 32 10 10 100%
23 Sonia Bakht 3130175286082 214 64 64 100%
 17 Sughra bibi 3130419759216 39 12 12 100%
37 Sumaira 3130142550446 167 50 50 100%
6 Surraya Perveen 3130323073198 2 1 1 100%
10 Tahira yasmeen 3130378677834 75 23 23 100%
40 Tehmina sadiq 3130350161230 47 14 14 100%
35 Zahida bibi 3130319261642 84 25 25 100%
19 Zahida Perveen 3130495341050 306 92 92 100%
13 Zebunisa Tubbasssm 3130495201904 303 91 91 100%
6245 1874 1874 100%

2.1 Findings of field verification

1. 100% of PP’s clients have been verified, recommendation of payment of all PPs.
2. 96% of clients reported that they are satisfied with the services provided by the private
practitioners.
3. 93% of clients interviewed reported with good behavior of health work.