Introduction

The national population program started in 1965, passing through changes in its approach and initiatives; In 2002 the program has been decentralized under the administrative control of province. The approved population policy in year 2002. Is on ground to reduce the unmet need and enhance accessibility to family planning services.

Many initiatives have been taken by the department to enhance the accessibility. Increase the Contraceptive Prevalence Rate. Lowering Total Fertility Rate (TFR) and population growth rate:

• The programme is having three main components i.e. Administrative Organization Component (Provincial set-up. District set-up and Tehsil set-up)
  
• Service Delivery Component (Reproductive Health Services Centers, Mobile Service Units. Family Welfare Centers and Male Mobilizers)
  
• Support component (Information Education and Communication, Training, Logistic. Monitoring/Evaluation and Management Information System)
  

The Family Planning /Reproductive Health services are provided by the programme/non-programme service delivery i.e. Family Welfare Centers. Reproductive Health Services Centers/ Training centre. Mobile Service Units. Male Mobilizers and the non-programme service delivery i.e. Outlets of the Provincial Line Departments.(Health & NGOs), Registered Medical Practitioners, Hakeem and Homeopaths.

Keeping in view the demographic indicators of the province, the network of service delivery is being increased with emphasis on underserved rural and periurban areas to meet the challenges of MDGs regarding fertility reduction, Increasing the contraceptive prevalence rate, and reducing, the population growth rate as envisaged in the current plan

To ensure coordination and reviews of the programme. Provincial Technical Coordination Committee headed by Secretary and a District Technical Committee in each district headed by the DCO & Executive District Officer Health are functional and meet periodically to review the performance and take measures for further improvements.

The main focus areas are implementation of standard operating procedures (SOPs), focused advocating FP services to gain political and opinion leaders support, strengthening monitoring/evaluation, Enhancing public private partnership, intersect oral coordination to expand services to meet FP International Conference goal 2020 of universal accessibility to FP services.

Pakistan FP 2020 commitments:

• Work toward achieving universal access to reproductive health and raising the Contraceptive prevalence Rate to 55% by 2020
  
• Pakistan will continue its 2011 commitment with the provinces for all public and private health facilities to offer birth spacing services
  
• The amount spent on family planning, estimated as US $ 151 million in 20011/12 will be increased to nearly US $ 200 million in 2012-13, and further in future years
  
• The federal government accesses the contraceptive requirements as US $ 186 million over the period 2013 to 2020, which will need to be provided for Contraceptive Services will be included in the essential service package of two provinces in the 2012, with the others following in 2013. Supply chain management, training and communication campaign will be strengthened
  
• Family planning will be priority for over 100,000 Lady Health Workers, who cover 70% of rural areas
  
• Public-private partnerships and contracting out mechanisms will help scale up success and work with religious leaders and men to promote the benefit of birth spacing will continue.
  

The strategic plan aims at decreasing TFR, increasing the CPR and supports improvement in existing structure and system being implemented with the outputs i.e. policy planning, administration and management. Monitoring and evaluation system enhanced technical capacity and addressing socio-cultural issues. To achieve this implementation plan has been developed. Budget provision proportionally made with maximum share to the service delivery component particularly and management followed by support components as a strategic intervention as reflected in the Integrated Development Strategy KP.