Reference number : 064-2020-2021-Q4-00314, amendment number : 1, agreement type : C, recipient legal name : MSI Reproductive Choices, recipient country : GB, recipient province : nan, recipient city : London | Londres, recipient postal code : W1T 6LP, program name english : International Development Assistance Program, program name french : Programme d'aide au développement international, program purpose english : The main purpose on the International Development Assistance Program is to reduce poverty for those living in countries where Global Affairs Canada engages in international development., program purpose french : L’objectif princial du programme d’aide au développement international du Ministère est de réduire la pauvreté pour les populations qui vivent dans les pays où Affaires mondiales Canada se livre au développement international., agreement title english : Ensuring Access to Family Planning Services in Ghana, agreement title french : Garantir l’accès à des services de planification familiale au Ghana, agreement number : 7426891 P009042001, agreement value : 9970000.0, agreement start date : 2021-03-25, agreement end date : 2028-03-31, description english : This project aims to ensure access to high-quality family planning (FP) and comprehensive abortion care (CAC) services for the poorest and most underserved women and girls in 11 of Ghana’s 16 regions. This project focuses on reaching some of the poorest and most underserved women and girls in the country, within the Central, Northern, North East and Savannah regions. This project also contributes to strengthens their decision-making power on issues that affect their health.

Project activities include: (1) supporting local advocacy efforts that call to strengthen policies and guidelines related to sexual and reproductive health and rights (SRHR) services in Ghana, including the adoption of SRHR education in schools and the national rollout of FP services as part of the National Health Insurance Scheme benefit package; (2) strengthening the capacity of the Government of Ghana to provide strong policy leadership and meet the increasing demand for SRHR services via its public health care system; and (3) supporting a national youth-focused campaign on Heath and FP.

This project expects to directly benefit 200,000 women and girls by providing them access to high quality, rights-based and client-centred FP and CAC services. Other direct beneficiaries include: (1) 208 public sector providers, including eight master trainers/supervisors; (2) eight public sector health promoters and 120 community-based volunteers; (3) 100 private sector service providers who are members of the BlueStar Network social franchise; (4) 200 community pharmacists; and (5) 3,600 police officers/recruits who expect to receive training on safeguarding sexual and reproductive health and rights., description french : Ce projet vise à garantir l'accès à des services de planification familiale (PF) et de soins complets d'avortement de haute qualité pour les femmes et les filles les plus pauvres et les plus mal desservies dans 11 des 16 régions du Ghana. Ce projet vise à atteindre certaines des femmes et des filles les plus pauvres et les plus mal desservies du pays, dans les régions du Centre, du Nord, du Nord-Est et des Savanes. Ce projet renforce également leur pouvoir de décision sur les questions qui affectent leur santé.

Les activités du projet comprennent : 1) soutenir les efforts de plaidoyer locaux pour renforcer les politiques et les directives liées aux services de santé et de droits sexuels et reproductifs (SDSR) au Ghana, y compris l'adoption de l'éducation en SDSR dans les écoles et le déploiement national des services de PF dans le cadre du régime national d'assurance maladie; 2) renforcer de la capacité du gouvernement du Ghana à fournir un leadership politique solide et à répondre à la demande croissante de services de SDSR par le biais de son système de soins de santé publique; 3) soutenir une campagne nationale axée sur les jeunes, sur la santé et la PF.

Ce projet compte bénéficier directement à 200 000 femmes et filles en leur donnant accès à des services de PF et des soins complets d’avortements de haute qualité, fondés sur les droits et centrés sur le client. Les autres bénéficiaires directs comprennent : 1) 208 prestataires du secteur public, dont huit maîtres formateurs/superviseurs; 2) huit promoteurs de santé du secteur public et 120 bénévoles communautaires; 3) 100 prestataires de services du secteur privé qui sont membres de la franchise sociale du réseau BlueStar; 4) 200 pharmaciens communautaires; 5) 3 600 agents de police/recrues qui compte recevoir une formation sur la protection de la santé et des droits sexuels et reproductifs., expected results english : The expected outcomes for this project include: (1) increased use of high-quality family planning (FP) and comprehensive abortion care (CAC) services by poor and underserved women and girls; (2) improved support for poor and underserved women and girls to seek high quality services that meet their individual FP and CAC needs; and (3) a more sustainable and supportive environment for fulfilling sexual and reproductive health and rights in Ghana.

Results achieved as of March 31, 2023 include (1)  Cumulatively, 213,245 Family Planning (FP) and 106,957 Couple Years Protection (CYP) procedures were delivered across project communities, while 29,616 comprehensive abortion care services (CACs) were administered. Among the 213,245 clients who received the FP services were 52 women and girls with disabilities. Increased access to FP and CYP services resulted in the prevention of an estimated 204,254 unintended pregnancies while 77,985 unsafe abortions were averted. An estimated 465 maternal deaths were also prevented.
2) Through project activities, an additional 240 (F223: M17) Public Service Providers received training on FP and CACs, making a cumulative total of 440. The newly trained service providers were given starter packs including kits for providing IUD and implant procedures. Within the period, 60 private sector service providers (39 women and 21 men) were trained to provide community-based CACs and FP services. This brings to a cumulative total of 186 (F146: M40).
3) Through technical inputs by the gender officer engaged by MSI, revisions to the national guidelines and protocols on gender-based CACs was completed to ensure gender-sensitive and adolescent-friendly services are provided at the facilities. MSI in consultation with their partners, also helped in completing the revision of the national guidelines on school-based health services to remove barriers to SRHR services through school clinics and nurse-led reproductive health education in schools., expected results french : Les résultats escomptés de ce projet comprennent : 1) une utilisation accrue des services de planification familiale (PF) et de soins complets d’avortement de haute qualité  par les femmes et les filles pauvres et mal desservies; 2) un meilleur soutien aux femmes et aux filles pauvres et mal desservies pour qu’elles recherchent des services de haute qualité qui répondent à leurs besoins individuels en matière de PF et de soins complets d’avortement; 3) un environnement plus durable et favorable à la réalisation de la santé et des droits sexuels et reproductifs au Ghana., additional information english : The value of the agreement is changed to $9,970,000 CAD, The end date is changed to 2028-03-31., additional information french : La valeur de l'entente est modifiée à 9 970 000 $ CAD, La date de fin est modifiée à 2028-03-31., owner organization : dfatd-maecd, owner organization title : Global Affairs Canada | Affaires mondiales Canada