Rahnuma-Family Planning Association of Pakistan

Program and Governance:

Family Planning Association of Pakistan was founded in 1953. It affiliated with International Planned Parenthood Federation, London a year later. It faced many ups and downs but continued its pioneering work amidst tough resistance. Starting from one room operations it has now emerged as the largest service provider in the field of RH/FP in Pakistan. Recently, it has renamed itself as RAHNUMA which means a guide (for development and prosperity), while positioning itself to respond to the challenges of the new age.
The FPAP adheres to the Federation's standards of membership responsibility, normative standards and policies. Governance of the organization vests in its volunteers. The democratic Governance structure is based on National Council, National Executive Committee, Regional Councils and Regional Coordinating Committees. The National Council is the supreme policy making body. The Executive Committee is the executing body, which oversees operation on behalf of the National Council. Advisory Committees of volunteers are established, wherever necessary.

The FPAP's Strategic Plan (2010-2014) is based on 5 A's: i) Advocacy for the SRH Rights;  ii) Access to SRH/FP services, particularly for the poor and the marginalized (comprising static and mobile service delivery network; women empowerment, poverty alleviation activities are integral part of this program); iii) Adolescents and catering to their SRH needs (youth help lines, youth resource centers, youth friendly clinics, youth empowerment activities, both for girl children and boys; iv) PAC/MR, minimizing the risk of unsafe abortions and v) AIDS/HIV, combating HIV/AIDS. Sustainability, Leadership and Governance strategy is to provide support to the program. To promote service delivery, organization also implements women empowerment and youth empowerment programs with the provision of micro credits in collaboration with Khushhali Bank. Organization also implements projects in collaboration with Pakistan Election Commission to promote political rights of women and to ensure that women get elected as counselors and in parliaments of the country. Humanitarian efforts are increasingly coming on the agenda of Rahnuma-FPAP.

 

Management and Service Delivery Infrastructure:

The governance structure is complemented by professional management, which is located in five Regional Offices (Sind, KPK, Islamabad/AJK/Gilgit-Baltistan, Punjab and Baluchistan) and Fourteen Program Management Offices (PMOs) which fall under the jurisdiction of the Regional Offices. They are currently located in Rawalpindi/Islamabad, Peshawar, Quetta, Karachi, Badin, Lahore, Faisalabad, Chakwal, Muzzafargarh (Southern Punjab) Turbat, AJK, Gilgit, Kohat, Mardan and Haripur. At the Head Office level, the Chief Executive Officer leads professional team.

Service delivery network is comprised 101 Static Units including 9 Family Health Hospitals and 3 KATO Development Complexes; 193 Associated Clinics; 10 Mobile Service Units; 6 toll-free Youth Help Lines, 6 Youth Friendly Clinics and 50 Youth Resource Centers. Allied Support Structure comprises 2131 Private Practitioners Clinics (PPs); 2275 Community Based Distributors (CBDs); 15,000 volunteers and 60,000 Promoters & supporters including satisfied clients, community based distributors, traditional healers, private practitioners, and traditional birth attendants, besides staff of collaborating NGOs who support the organization in the furtherance of its objectives. At present FPA Pakistan is covering an area of 77910 sq. km. and population of 12,569,000 in all its areas of operations.

In the Public Sector, it has experience of working with Pakistan Army, Pakistan Air Force, City Government Lahore, Pakistan Railways, Government of AJK, Northern Areas Health Department, Cantonment Boards of POF, Wah and Heavy Rebuild Factory, Texila.

 

Accreditation:

Rahnuma-FPAP is regularly accredited by International Planned Parenthood Federation, London (IPPF), starting from October 2003, after every five years. Locally, organization is regularly accredited by Pakistan Center for Philanthropy (PCP) since February 2005.
Financial Transparency and Management:
Rahnuma-FPAP keeps a separate account in a scheduled bank for each other donors projects.  The transactions are made through bank transfers/cheques. A chartered firm with international affiliation audits the FPAP accounts.  Their reports are presented to National Council meeting and fully discussed by its members.  The audit reports are also shared with IPPF and its member associations in South Asia Regions and also with donors and public through FPAP Annual Reports.

System of Internal Control has been established and its operations are being regularly reviewed.  There are nine areas which have been approved for focusing in internal reviews such as i) activities audit, ii) purchase, iii) vehicle running cost, iv) sustainability fund, v) travel and daily allowance, vi) physical verification of assets in all system, vii) legal cases, viii) suppliers evaluation and enlistment at all regions and ix) reporting formats.
Audit Committee has been formed which meets twice a year and reports to NC/NEC. The Committee is presently comprised of Mr. Khalil Mian (Ex Senior Partner AF Fergusson), Chairman; Zulfiqar Ahmad (DG NCHD), Member; Dr. Mahroo Humanyoon (Ex-Director General, Ministry of Population Welfare), Member; Mrs. Shamsa Ali (Advocate), Member. They are all voting members. Non-voting members include Mahtab Akbar Rashdi, President, Rahnuma; Surayya Jabeen, Chairperson, Rahnuma; and Saeed Ahmad Qureshi, Treasurer, Rahnuma-FPAP.
Research/Studies:

Research always provides a basis for initiation and implementation of effective and innovative programs and this strategy has been regularly used by the organization to measure the progress and direction of its programs. Since its inception in 1953, the FPAP has conducted 87 studies to evaluate the programs and even to find solutions to the existing problems related to family planning and reproductive health for new programs. These researches/studies are held in house and with support from outside consultants/agencies. Studies also included the KAP surveys as well.

Achievements:

    • Pioneer of family planning movement in Pakistan.
    • Moved from family planning to Holistic Development Paradigm in 1994.
    • Developed service delivery network of 113 Static Units including 9 Family Health Hospitals and 2 KATO Development Complexes; 199 Associated Clinics; 11 Mobile Units; 6 toll-free Youth Help Lines, 6 Youth Friendly Clinics, 50 Youth Resource Centers, 1 VCT center and 2 DICs.
    • Rahnuma has developed an Allied Support Structure of 2163 Private Practitioners
    • Clinics (PPs) and 2468 Community Based Distributors (CBDs).
    • Up to 2012, organization enrolled 8,208,804 New Acceptors.
    • As Couple Year Protection (CYP) concept was introduced in 1981, since then up to 2012 organization achieved, 13,581,696 CYPs.
    • The FPAP was the first organization to take sterilization to district and sub district level and it has crossed the sterilization performance figure of 512,005 up to 2012 in terms of CYPs.
    • Organization also provided 23,193,086 Reproductive Health and Life Span Services during 1985-2012.
    • Rahnuma-FPAP made 2.1 million IUD insertions up to 2012; one of its doctors has the record to make 15,000 IUD insertions in ten years.
    • Since 2001, with Bank-NGO Model, organization has mobilized 178,271 people, majority being women, and loan worth of Rs. 1698.39 million was disbursed among them to start small businesses and economically empower them in order to enhance their access to reproductive health and family planning services.
    • Organization also initiated social and political empowerment and skill development initiatives for women and youth and has empowered, up to 2012, 663,150 women since 1978; 291,292 girls since 1990; and 1,573,987 boys since 1975.
    • Rahnuma-FPAP has been successful in accessing the poor, marginalized and underserved populations; 69% of all clients visiting R-FPAP service outlets are poor, marginalized and/or underserved.
    • Research always provides a basis for initiation and implementation of effective and innovative programs and this strategy has been regularly used by the organization to measure the progress and direction of its programs. Since its inception in 1953, the FPAP has conducted 111 studies to evaluate the programs and even to find solutions to the existing problems related to family planning and reproductive health for new programs. These researches/studies are held in house and with support from outside consultants/agencies. Studies also included the KAP surveys as well.
    • Rahnuma-FPAP has been accredited by IPPF twice in the last decade and also by the Pakistan Council for Philanthropy (PCP). PCP has ranked the organization second in terms of its systems and operations after Shaukat Khanum Cancer Hospital in Pakistan.
    • Rahnuma-FPAP has also able to attain third position recently in IPPF system worldwide, from amongst 165 Member Associations in terms of performance.
    • Rahnuma-FPAP has been able to establish Independent Audit Committee with all its voting members from outside the FPAP system.
    • Rahnuma-FPAP has established National Youth Network (NYN) to plan and implement youth related initiatives with its own constitution in place. Members of the NYN are democratically elected.
    • Since 2001, with Bank-NGO Model, organization has mobilized 159,658 people, majority being women, and loan worth of Rs. 1512.26 million was disbursed among them to start small businesses and economically empower them in order to enhance their access to reproductive health and family planning services.
    • Organization also initiated social and political empowerment and skill development initiatives for women and youth and has empowered 652,512 women since 1978; 280,707 girls since 1990; and 1,567,250 boys since 1975.

Awards:

 

The FPAP work has always been recognized nationally and internationally and organization has received a number of awards such as:

    •  Global 500 Award of the Earth Summit 1992
    •  Common Wealth Youth Service Award 1996 for promotion of small family norm amongst the newly weds
    •  Common Wealth Award of Excellence 1997 for Girl Child Program
    •  Common Wealth Service Award UK to FPAP
    •  Community Institution Project Faisalabad for its holistic and integrated family planning and reproductive health approach at grassroots 1997
    •  Common Youth Services Award 1998 for Self-Employment Scheme for Youth and Service Delivery.
    •  Performance Excellence Award by the Government of Pakistan (2009).

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