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Inciting The Power of Positive Disruption

Day three of the PPFP Global Meeting kicked off with Jose “Oying” Ramon from the Gates Institute delivering a powerful talk on the role of positive disruption in postpartum family planning. Oying challenged the crowd to disrupt things at scale and fundamentally change things for good. He spoke of Melinda Gates, Margaret Sanger, Johns Hopkins University’s checklist revolution and PMA2020 as examples of promoters of positive disruptions. “Positive disruptions don't have to be new technologies, they have to be new ideas,” he said.

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Reimagining and Revolutionizing PPFP

Following the challenge Oying issued to the crowd, the day was spent in several group activities with catalysts assisting in identifying barriers, developing problem statements and creating innovative, transformative solutions to accelerate PPFP. Game-changing ideas ran the gamut from "shock and awe" communications and advocacy campaigns that include sending a text message to policy makers every time a death occurs, to organizing site visits for them to see the tragic realities of the situation. The development of mother and child tracking systems, inter-sectoral approaches that involve the ministries of finance, education, women's affairs and conducting evaluations of the quality of counselling that couples receive were also discussed. Additional game-changing ideas involved using the "Coca-Cola" approach to marketing PPFP, the creation of a culture of data use and transparency, the development of "user watchgroups" for accountability, and finally a provocative idea to change the definition of skilled birth attendants to include the provision of PPFP. The session left attendees feeling determined to make PPFP aspirational!

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Meet Claudine Monganza, Project Officer, EngenderHealth, Democratic Republic of the Congo

I decided to become a doctor when I was very young; I loved doctors – their clothes, their voices, their manners. I said to myself, I am going to do a job which will help me to help others. Some day, I would like to have an NGO to help people access general health services for free, including family planning. In the DRC, children are considered a gift. So of course men don’t encourage family planning and this is a problem. People just don’t have information. Women must be informed about their options. But the government is moving fast with its commitment to family planning, so there is hope. We have chosen one of our trainers in Kinshasa to implement postpartum family planning; when I go back, I will help that person with strategy, and tell everyone what I have learned here.

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Marketplace Highlight: Mama-U Supports Training in Postpartum IUD Insertions

Laerdal Medical, the nonprofit arm of Laerdal Global Health, was on hand at the PPFP Global Meeting to demonstrate its teaching model, Mama-U. Mama-U is a postpartum uterus model that supports training in postpartum IUD and uterine balloon tamponade insertions. Mama-U can also be used for training for vaginal and cervical inspection and gauze packing. The product's light-weight design makes it portable and easy to carry. Mama-U can be used as a tabletop model or inside the MamaNatalie birthing simulator. Mama-U, as a part of Jhpiego’s project “Reinvigorating the PPIUD using a low-cost simulation model” in Pakistan, won a prestigious Saving Lives at Birth grant funded by USAID, the Bill & Melinda Gates Foundation, the UK Department for International Development and a number of other donors.

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Participants Shake, Shimmy and Share their Enthusiasm for Postpartum Family Planning!

The high energy on day three of the PPFP Global meeting was apparent when more than a 170 participants jumped out of their chairs and showcased their dance moves. The crowd moved to the beats and sang along with Angela Mutunga from Jhpiego and Advance Family Planning.

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Fast Facts

A postpartum woman has >98% protection from pregnancy if she remains amenorrheic and fully breastfeeds.

Ovulation can take place as early as day 21 in the postpartum period.

According to many DHS surveys:
- 92-97% of women do not want another child within two years of giving birth
- 35% of women had their children spaced at two years apart or less 
- 40% of women who intend to use an FP method in the first year postpartum are not actually using one

Survey results from participants at the PPFP Global Meeting: - Jhpiego received 73 responses from 15 countries
- 96% of respondents fully support contraception, family planning and postpartum family planning for all women and men
- Respondents think 38% of women want to start a family planning method immediately after birth at the clinic/service/practice but do not leave with a method
- Only 25% of respondents think there is widespread support for modern family planning

Top #ActionPPFP Tweets

"When men are not informed, women are not empowered" @Jhpiego #Kenya @FP2020Global #ActionPPFP

Positive disruptions don't have to be new technologies, they have to be new ideas! Let's revolutionize postpartum FP! #ActionPPFP @GatesJHU

Lets start by asking what women&couples really want? Put the user first and help them achieve their PPFP needs. @#ActionPPFP @FP2020Global

Women welcome the family planning convo right after they deliver a baby. It WORKS everywhere! @AnnePfitzer @Jhpiego @MCSPglobal #ActionPPFP


Day Three: June 10, 2015

Plenary: The Power of Bold Ideas

Isaac Malonza, Jhpiego

Jose "Oying" Ramon, Gates Institute

Angela Mutunga, Jhpiego, Advance Family Planning

Biran Affandi, University of Indonesia

Anne Pfitzer, MCSP/Jhpiego

Maryjane Lacoste and Patricia MacDonald, Gates Foundation and USAID



FP2020 Invite Postpartum Partners