FANTA analyzed over 100 programs integrating family planning and nutrition/food security. Most were multisectoral programs in Africa and Asia run by NGOs with USAID funding. Common models included family planning education, counseling, and contraceptive provision integrated at various contact points like antenatal care. Challenges included weak documentation and measuring integration's effectiveness. Promising practices included targeting the first 1,000 days of life, consistent messaging, and engaging men and empowering women. FANTA recommends defining integration success, standardizing indicators, and research on model effectiveness.

1. Food and Nutrition Technical Assistance III Project (FANTA)
FHI 360 1825 Connecticut Ave., NW Washington, DC 20009
Tel: 202-884-8000 Fax: 202-884-8432
Email: fantamail@fhi360.org Website: www.fantaproject.org
How are Programs Integrating Family
Planning with Nutrition and
Food Security?
Reena Borwankar
CORE Group Spring Conference
April 14, 2015

2. FANTA Desk Review
• Synthesis of programmatic experiences, lessons
learned and promising practices
o Models of integration
o Entry points
o Facilitators and barriers
o Case studies
• Grey and published literature
• Primarily USAID-funded development programs
(2003-2013)
Overview
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3. Operational Definitions
Family planning interventions: Could include education,
counseling, provision of contraceptive commodities, or referral.
Food security and/or nutrition program: Measures at least one
food security and/or nutrition outcome as part of program
monitoring and evaluation activities.
Integrated program: Both interventions delivered either (a) at
the same contact/entry point or (b) by the same provider.
Overview
3

4. Methods
Multiple Sources
USAID Targeted Funding
Streams
Call for Programs/
Survey Monkey
Electronic Database Searches
(Popline and Global Health)
Total Number of
Programs
Considered
518
Total
Programs
Included
102
Program Document Examples
Annual Reports, DIPs,
Evaluation Reports,
Technical Briefs
Overview
4
Case
Studies
3

5. Integration Occurs in Both Health
Sector and Multisectoral Programs
Types of
Programs
• Child
survival
• Maternal
and child
health
• Bilateral
• Globally
funded
• Development
food
assistance
• Population,
health and
environment
• Feed the
Future
• Agriculture
45%55%
Multisectoral Health Sector
Family planning
and nutrition/
food security
integration
Family planning
and nutrition
integration
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6. Geographic FocusLocation of
Programs
49%
24%
21%
4%
2%
Africa
Asia
LAC
Middle East
Europe/Eurasia
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7. Child Survival Program in Kyrgyzstan
30%
25%10%
10%
10%
10%
5%
Maternal and Newborn Care Diarrhea Pneumonia STD Immunization
NutritionChild Spacing
Integrated
Programs are
Complex
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8. Development Food Assistance
Program in Haiti
Integrated
Programs are
Complex
Goal: Reduce food insecurity and increased resiliency of vulnerable
and extremely vulnerable rural households
SO1: Improved Nutritional and
Health Status of Targeted
Vulnerable Groups
•IR1.1: Improved nutritional and
health practices of targeted
vulnerable populations
•IR1.2: Improved quality of and
access to health services
•IR1.3: Decreased risks of
communicable diseases among
targeted communities
SO2: Improved Productive and
Profitable Livelihoods
•IR2.1: Increased food production
and household assets
•IR2.2: Enhanced market-based
livelihoods
•IR2.3: Rehabilitated natural
resources resiliency and local
response capacity
•IR2.4: Enhanced program
flexibility and community
response capacity to acute needs.
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9. Integrated Service DeliveryRange of
Platforms
Lifecycle
Contact Points
Platforms Providers
Antenatal
Birth
Postnatal
Childhood
Source: World Vision/Haiti
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10. Model 1: Family Planning
Education
Model 2: Family Planning
Education and Counseling
Model 3: Family Planning
Education, Counseling and
Commodity Provision
63.7%
17.7%
18.6%
* All Models Could Include Referrals
Level of FP
Services
Varies
Integration Models
10

11. Source: Pathfinder International and John Snow, Inc. 2013, pp. 1, 16
Nutrition Family Planning Malaria
Integration
in Action
Integrated Family Health
Bilateral Program in Ethiopia
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12. Integration
in Action
Sak Plen REP
Development Food Assistance Program in Haiti
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13. Limitations
• Weak documentation on integration process
• Information on referral process is limited
• Significant variation in measurement
• Evidence gap on effectiveness of integration models
• Reporting on monitoring compliance with USAID
family planning requirements can be strengthened
Gaps in Program Documentation
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14. Promising
Practices
• Building on existing platforms
• Targeting the first 1,000 days
• Including home visits
• Ensuring consistent messaging at multiple contacts
• Engaging men and empowering women
• Responding to community needs
Promising Practices for Programming
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15. • Define success for integration:
o Family planning and nutrition
o Family planning and food security
• Agree on a limited set of harmonized indicators
• Harmonize reporting requirements
Recommendations Moving Forward…
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16. • Conduct research focused on effectiveness of
integration models
• Provide guidance and technical assistance
• Promote dialogue and cross-learning across
sectors
Moving Forward (2)
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Recommendations

17. This presentation is made possible by the generous support of the
American people through the support of the Office of Health,
Infectious Diseases and Nutrition, and the Office of Population and
Reproductive Health, Bureau for Global Health, U.S. Agency for
International Development (USAID), under terms of Cooperative
Agreement No. AID-OAA-A-12-00005, through the Food and
Nutrition Technical Assistance III Project (FANTA), managed by FHI
360. The contents are the responsibility of FHI 360 and do not
necessarily reflect the views of USAID or the United States
Government.
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