High Impact Practice Briefs

HIP Briefs are designed to develop consensus around what works in family planning. The HIPs describe family planning practices that have demonstrated impact, are applicable across settings, and are scalable, sustainable, and cost-effective. HIPs are classified as either Service Delivery, Enabling Environment, Social and Behavior Change, or HIP Enhancements. Service Delivery and Social and Behavior Change HIPs are further categorized according to the strength of the evidence base for each practice – proven or promising. The main audience of HIP briefs are policymakers and implementers.
high impact evidence-based family planning practices
HIPs

List of High Impact Practices in Family Planning

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Community health volunteer who shares information in her very remote village in Cambodia
Service Delivery

Community Health Workers

By systematically selecting and training CHWs and providing them with sustainable financial, administrative, and regulatory support, national health systems can extend benefits of CHWs to large populations and improve overall equity in knowledge of and access to health care, including family planning.

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A nurse shows students the variety of contraceptive methods available to them outside of an MSI mobile health clinic
Service Delivery

Family Planning Mobile Outreach Services

Mobile outreach service delivery provides a wide range of family planning services and methods, including short-acting, long-acting, reversible, and permanent methods, in locations chosen to reach populations with diverse access challenges and barriers.

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Service Delivery

Immediate Postpartum Family Planning

Offer contraceptive counseling and services as part of facility-based childbirth care prior to discharge from the health facility.

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Postabortion family planning care and services
Service Delivery

Postabortion Family Planning

Proactively offer voluntary contraceptive counseling and services at the same time and location where women receive facility-based postabortion care to reduce unintended pregnancies.

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Social Marketing Programs © 2012 Okwen Patrick Mbah, Courtesy of Photoshare
Service Delivery

Social Marketing

Use marketing principles and techniques to shape the provision of contraceptive services and products to improve access, choice, and use for target populations.

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Pharmacies and Drug Shops expanding contraceptive choice and acccess
Service Delivery

Pharmacies and Drug Shops

Expand choice and access in the private sector by training and supporting pharmacies and drug shops to provide family planning information and a broad range of quality contraceptive methods.

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Family Planning and Immunization Integration Women with babies around a desk with a nurse filling out documents
Service Delivery

Family Planning and Immunization Integration

Offer family planning information and services proactively to women in the extended postpartum period during routine child immunization contacts to promote healthy birth spacing and reduce unintended pregnancies.

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Enabling Environment

Enabling Environment Overview

Describes the set of interlinked groups of practices that provide the framework for FP: (1) policies, legislation, financing; (2) institutions, governance, and management; and (3) social and economic factors.

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Domestic Public Financing: Building a sustainable future for family planning programs
Enabling Environment

Domestic Public Financing

Increase allocation and efficient use of domestic public financing for voluntary family planning at national and subnational levels to ensure sustainability and resilience of family planning programs.

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Educating Girls Creating a foundation for positive sexual and reproductive health behaviors
Enabling Environment

Educating Girls

Keep girls in school as a foundation for positive sexual and reproductive health behaviors and to promote broader health and development.

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Galvanizing Commitment: Creating a supportive environment for family planning programs
Enabling Environment

Galvanizing Commitment

Galvanize commitment through advocacy, evidence, and accountability to create a supportive environment for family planning programs.

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Leaders and Managers: Making Family Planning Programs Work
Enabling Environment

Leading and Managing

Strengthen capacity for leading and managing for excellence in family planning programs and help ensure resources are used effectively to achieve results.

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Enabling Environment

Comprehensive Policy Processes

Comprehensively develop, implement, and monitor policies to support high-quality family planning at scale.

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young people in rwanda
Enabling Environment

Social Accountability to improve family planning information and services

Engage communities and health sector actors to jointly identify problems, and to implement and monitor solutions to hold each other accountable for improvements in the quality and responsiveness of family planning services.

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Supply Chain Management: Investing in the supply chain is critical to achieving family planning goals © 2014 John Kihoro/Tupange(Jhpiego Kenya), Courtesy of Photoshare
Enabling Environment

Supply Chain Management

Invest in supply chain management by increasing data visibility and use, accelerating product flow, professionalizing the supply chain workforce, and capitalizing on private sector capacity to make modern contraceptives available.

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Social and Behavior Change:A critical part of effective family planning programs

SBC Overview

Describes how SBC helps understand and address determinants of FP behavior and identify channels for programming.

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Community Group Engagement Changing Norms to Improve Sexual and Reproductive Health

Community Group Engagement

Engage and mobilize communities in group dialogue and action to promote healthy sexual relationships and change norms to improve sexual and reproductive health.

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Digital Health for Social and Behavior Change New technologies, new ways to reach people

Digital Health for Social and Behavior Change

As part of an evidence-based multichannel social and behavior change strategy, use digital technologies to support, maintain, and adopt healthy sexual and reproductive behaviors.

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Mass Media Reaching audiences far and wide with messages to support healthy reproductive behaviors

Mass Media

Use mass media channels to reach audiences far and wide with messages to support healthy reproductive behaviors.

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USAID Flickr

Promoting healthy couples’ communication to improve reproductive health outcomes

Implement interventions to encourage couples to discuss family planning/reproductive health and make equitable, joint decisions to reach fertility intentions.

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social norms

Social Norms

Implement interventions that address social norms to support an individual’s or couple’s decision-making power to meet their reproductive intentions.

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Knowledge, Beliefs, Attitudes, and Self-efficacy

Implement interventions to strengthen an individual’s ability to achieve their reproductive intentions by addressing their knowledge, beliefs, attitudes, and self-efficacy.

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Three African women in colorful traditional dresses raise their fists as a symbol for women’s strength and gender equality.
HIP Enhancement

Contraceptive Self-Care

Approaches to contraceptive self-care encompass a range of technologies, practices, delivery channels, and social and behavior changes to facilitate greater control over one’s reproductive health.

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Adolescent-Responsive Contraceptive Services © 2013 Arturo Sanabria, Courtesy of Photoshare
HIP Enhancement

Adolescent-Responsive Contraceptive Services

Apply a systems approach to make existing contraceptive services responsive to the needs and preferences of adolescents.

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An Information-communication Revolution in the Pacific
HIP Enhancement

Digital Health to Support Family Planning Providers

Use digital technologies to support service providers' knowledge and capacity in delivering quality contraceptive services.

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Digital Health for Systems Strengthening Family Planning Systems Through Time and Resource Efficiencies
HIP Enhancement

Digital Health for Systems

Use digital technologies to support health systems and service delivery for family planning and achieve time and resource efficiencies by helping to bridge physical distance and increase the accuracy and speed of data collection and reporting.

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A young woman and her child in Madagascar
HIPs

Previous Brief Versions

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HIP briefs are updated based on current evidence and information. View the previous versions of now updated HIP briefs.