Zimbabwe
National Family Planning Council
Objective
The Zimbabwe National Family
Planning Council (ZNFPC), a parastatal body in the Ministry of Health
and Child Welfare (MOH), has the mandate of coordinating and providing
FP services in the country.
Scope
The strategy is to encourage
the private sector and urban health services system to continue providing
FP services in the urban areas while the ZNFPC concentrates on the rural
population. Community mobilization and participation have been identified
as the cornerstone for the success of this strategy.
Background
Since 1980 after independence
from Britain, the GOZ's emphasised development to the neglected
rural communities. The strategy was to organize the communities so that
they could mobilize local resources, plan and implement their own programmes,
in designing and supervising, motivating and maintain their own programme
sustainability.
The communities, through
the Ministry of Community Development (MOCD), women's organizations
and the local political structures, are responsible for selecting CBD
workers for their areas and the supervision of these workers once they
have been deployed. As a result, the community-based distributors are
accountable and answerable to the community which selected them. Through
community development committees the FP programme keeps in constant
touch with the communities as well as inform them on recent developments
in the FP programme.
The biggest challenge was
to reach the dispersed and sparsely populated rural areas with appropriate
services. The terrain differs over most of the country and makes the
static clinic system not so readily accessible to the majority of the
rural population. Thus, outreach services offer the most viable alternative.
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Main Activities
Mobile Clinic Services
The ZNFPC operates mobile
clinics in underserved rural areas providing mainly FP and some primary
health care services. Using a one-tonne van equipped with a tent, an
examination couch and pelvic examination equipment, a nurse visits a
number of venues each month delivering these services. These mobile
clinics provide clinic methods, treatment of minor ailments and providing
back-up services to the community-based distributors operating within
the catchment areas.
Community-Based Distribution
Programme
The CBD workers bring FP
information and services to the rural population. The bulk of
the CBDs are employed by ZNFPC but some private companies and a non-governmental
organization (NGO) named Population Services Zimbabwe, have started
their own CBD projects serving also rural communities. The ZNFPC has
a total of 760 CBDs covering the rural communities with an estimated
population of two million women of reproductive age.
Management Features
Strategy: A number of
community leadership workshops and seminars have already been conducted
throughout the country to get support at the grassroots level.Community
mobilization and participation have been identified as the cornerstone
for the success of this strategy.
Human Resource Management:
The backbone of the Zimbabwean FP programme's service delivery is
the community-based distribution (CBD) programme. The CBD workers bring
FP information and services to the doorsteps of the rural population
of Zimbabwe. The features of Zimbabwe CBD programme are:
- selection and recruitment
of CBD workers
- CBD training
- supervision
- medical back-up to the
CBD programme
- record keeping
- funding of the CBD programme
- monitoring & evaluation
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