Government Ownership and Adaptation in Scale-Up: Experiences from Community-Based Family Planning Programme in the Democratic Republic of the Congo

Murtala Mai, Elham Hassen, Alexis B. Ntabona, Jacqueline Bapura, Meera Sarathy, Rachel Yodi, Zenon Mujani


A systematic approach to scale-up was applied to expand an integrated package of family planning and primary healthcare services from the Democratic Republic of the Congo‘s South Kivu province to health zones in Lomami, Lualaba, and Kasai Central provinces. This approach was based on recommendations from the ExpandNet/WHO guide Beginning with the end in mind. The approach emphasized application of three recommendations: engaging government stakeholders, ensuring the relevance of the intervention, and tailoring the innovation to the setting. This approach led to successful scale-up of community-based family planning, increasing access to and uptake of contraception and demonstrating potential for sustainability; 231,566 new acceptors were recruited and 149,826 couple-years of protection were generated. The systematic scale-up approach led to integration of community-based family planning indicators in the national health information system and transferred ownership of the interventions to the government, creating and strengthening government platforms with potential to sustain the interventions. (Afr J Reprod Health 2019; 23[4]:35-45).

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Guttmacher Institute. Adding It Up: Investing in

Contraception and Maternal and Newborn Health,

up-contraception-mnh-2017#seenote. Accessed

November 21, 2017.

Ministère du Plan et Suivi de la Mise en Oeuvre de la Révolution de la Modernité (MPSMRM), Ministère de

la Santé Publique (MSP) et ICF International. Enquête Démographique et de Santé en République

Démocratique du Congo 2013-2014.

Published 2014.

Population Reference Bureau. 2015 World Population Data Sheet.

content/uploads/2015/12/2015-world-population-data sheet_eng.pdf. Published 2015.

―Commodities.‖ Family Planning in the DRC. Tulane University. http://www.familyplanning Accessed November 2018.

Ministre de la Santé Publique. Planification Familiale Plan Stratégique National à vision multisectorielle (2014-


%20officielle.pdf. Published 2014.

Mpunga D, Lumbayi JP, Dikamba N, Mwebo A, Mapatano MA and Webiondinga G. Availability and Quality of Family Planning Services in the Democratic Republic of the Congo: High Potential for Improvement. GHSP.

; 5(2):274-285.

Ministry of Public Health. Plan National de Développement Sanitaire: 2011-2015. http://www.familyplanning Published 2010. Accessed

October 31, 2018.

ExpandNet and the World Health Organization. Beginning with the end in mind: Planning pilot projects and other programmatic research for successful scaling up. %20beginning%20with%20the%20end%20in%20mind %20-%202011.pdf. Published 2011. Accessed June 12, 2017.

Evidence to Action Project. Bibliography: Systematic approaches for scale of bestpractices. Published March 2017. Accessed June 12, 2017.

Aichatou B, Seck C, Anne TSB, Deguenovo GC, Ntabona A

and Simmons R. Strengthening Government Leadership in Family Planning Programming in Senegal: From Proof of Concept to Proof of Implementation in 2 Districts. GHSP. 2016; 4(4):568-581.

Keyonzo N, Nyachae P, Kagwe P, Kilonzo M, Mumba F, Owino K, Kichamu G, Kigen B, Fajans P, Ghiron L,

and Simmons R. From Project to Program: Tupange‘s Experience with Family Planning Interventions in

Urban Kenya. Reproductive Health Matters. 2015; 23(45):103-111.


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