GHSP: Implementation and Scale-Up of the Standard Days Method of Family Planning

8 February, 2020

Dear HIFA colleagues,

CITATION: Implementation and Scale-Up of the Standard Days Method of Family Planning: A Landscape Analysis

Julianne Weis, Mario Festin

Global Health: Science and Practice, 7 February 2020

'Pilot introductions of the Standard Days Method (SDM) of family planning demonstrated its potential to meet unmet contraceptive needs in key populations, strengthen male involvement, and increase overall contraceptive uptake. Few countries had implemented national scale-up due to barriers, such as competing resource priorities and uneven stakeholder engagement. Demand-side user barriers, including insufficient fertility awareness knowledge, were also constraints. Policy makers should determine the SDM’s added value to the contraceptive method mix and identify potential barriers to its implementation.'


'Reported knowledge of the SDM also varied considerably in Demographic and Health Surveys, from less than 1% in India to 82% in Rwanda, with a median of 26%'

'many women may agree to use the SDM without having proper knowledge of their own history of cycle irregularity'

'A study from Bihar, India, demonstrated that “couple-based fertility awareness education is effective in increasing demand for contraception and improving knowledge of fertility overall.”'

'A study in Rwanda demonstrated that... 89% of clients reported knowledge of all key steps in the SDM after being counseled by the community health worker.'


Best wishes, Neil

Joint Coordinator, HIFA Project on Family Planning

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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: