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Political Commitment for Family Planning in Rwanda

Political Commitment for Family Planning in Rwanda. Presented by Dr. Fidele Ngabo MCH Coordinator, Ministry of Health, Rwanda 23 March 2010. RWANDA ECONOMIC DEVELOPMENT & POVERTY REDUCTION STRATEGY, 2008 - 2012.

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Political Commitment for Family Planning in Rwanda

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  1. PoliticalCommitment for Family Planning in Rwanda Presented by Dr. Fidele Ngabo MCH Coordinator, Ministry of Health, Rwanda 23 March 2010

  2. RWANDA ECONOMIC DEVELOPMENT & POVERTY REDUCTION STRATEGY, 2008 - 2012 “High population growth is a major challenge facing Rwanda. Slowing down population growth requires innovative measures, including the strengthening of reproductive health services and family planning and ensuring free access to information, education and contraceptive services.”

  3. RAPID Model in Rwanda • RAPID projections of the social and economic consequences of high fertility and rapid population growth for such sectors as labor, education, health, urbanization and agriculture shared with President, Cabinet, Parliamentarians • Made clear goals of poverty reduction could not be reached with high rates of population growth • Highlighted advantages (access to education, health services) possible with reduced family size

  4. RAPID Model: Key Results for Rwanda

  5. Government of Rwanda Commitment and Actions • Government believes population levels must be addressed to tackle poverty • FP integrated into GoR development strategies: Economic Development and Poverty Reduction Strategy, 2008-2012; Vision 2020; contracts with districts • National Family Planning Policy • National Population Policy • FP integrated into national PBF indicators • The Rwandan Parliamentarians’ Network for Population and Development (RPRPD) established 2002 • National TWG for FP • Government funds portion of contraceptive procurement • Mutuelles de sante increased access to information and services

  6. Multi-Sector and Partner Involvement • Office of the President • Parliament and Senate • Office of the Prime Minister • Ministry of Health • Ministry of Finance • Ministry of Local Administration • Ministry of Education • Ministry of Gender and Family • Ministry of Youth • Ministry of Agriculture Non-governmental Partners: • Civil Society Partners • Profem • Rwanda Women’s Network • Urunana • Network of Rwandans living with HIV • NGOs • Development Partners • UN Agencies

  7. District Level Commitment • Trainers at district level supporting in-service training in FP • FP integrated into District performance contracts, Imihigos: accountability to the President for these efforts • District Mayors and Governors are trained and act as FP Champions • District Hospitals and Health Centers

  8. Community Level Commitment • Decentralization – focus on decisions coming from the community and community-level accountability • Performance contracts (imihigo) from district to sector to cell to umudugudu to household levels • FP sensitization and education provided to the community through Umuganda (monthly community service days) • FP Champions in the community • Health Committees at the Sector level unite community members and health facilities • Community Health Workers

  9. Political Commitment…The First Step Commitment is the essential starting point, but it needs to be supported by: • Advocacy • Supportive policy • Resources • Evidence-based programming • Continuing supervision • Training • Strong monitoring and evaluation

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