Improving access, integration, and utilization of family planning and reproductive health services in the DRC.

Why is family planning in the DRC important?

Increasing coverage of family planning in the DRC is one of the most effective ways to reduce infant and maternal mortality. DRC’s annual population growth rate of 3.4% ranks among the highest in the world and it is high fertility rates that drive this growth.

The vast majority of women (88%) and men (95%) are familiar with at least one modern method of contraception. However, only 20% of married women are using any method of contraception and only 8% are using a modern method. In fact, the preliminary 2013-14 DHS results further show that 28% of married women have an unmet need for family planning.


1.68 million new acceptors during ASSP

IMA DRC’s Approach to Family Planning

Family planning is critically important for ensuring the survival of children and women. Thus ASSP‘s ultimate goal was to increase the overall contraceptive prevalence rate, or CPR, from five to at least 10 percent in the project’s health zones. The CPR measures the percentage of women who are using (or whose partners are using) any method of contraception. In the end, ASSP was able to increase coverage to 22% in its project health zones.

ASSP achieved this by first improving access, integration, and utilization of Family Planning and Reproductive Health (FP/RH) services.

Then ASSP generated local demand for high-quality FP/RH services using innovative behavior change communication activities.

Simultaneously, ASSP integrated “youth-friendly services” into selected project-supported health centers to promote sexual reproductive health services for youth and adolescents.

Finally, ASSP improved the quality and sustainability of FP/RH services through health systems strengthening and service delivery strategies.

ASSP’s Key Achievements

New Acceptors

1,680,128 million new acceptors of modern methods of family planning.

Couple Years of Protection

1,231,490 couple years of protection provided through provision of family planning services (99% of target).

increased coverage

22% of women of reproductive age are now using a modern method of family planning. Of these, 11% are less than 20 years of age.

implant method

More than 525,000 implant procedures performed over the life of the project.

ASSR’s Key Achievements

Continuing the Work

ASSR is continuing the work of ASSP in four provinces: Kasaï, Kasaï Central, Maniema, and Nord-Ubangi, supporting 9.7 million people across 50 health zones.

Couple Years of Protection

An additional 240,308 couple years of protection have been achieved since the start of ASSR.

Quick Facts

  • ASSP and the Ministry of Health provided over 525,000 implants.
  • 1,680,128 new acceptors of modern methods of family planning are now enrolled.
  • IMA DRC's programs have provided 1,471,798 Couple Years of Protection since 2013.
  • ASSP-trained staff conducted 3,418  fistula repair surgeries with a general success rate of 93%.
  • 1,848,043 births have been attended by skilled health personnel at ASSP health facilities since the start of the project. 
  • 195 health centers are trained and offering emergency obstetric and neonatal care.
  • 3,738 PEP kits distributed within 72 hours of rape



Real-time data sourced from the DHIS2 data management system on the rate of acceptance of family planning in ASSP-assisted health areas from 2014 to 2017.


Learn more about how ASSP helped the MOH improve routine health data by implementing DHIS2 in its health zones and beyond.

read more about our work in family planning


Family Planning & Reproductive Health

ASSP Family Planning & Reproductive Health Brochure - September 2019
(English version)
(version française)


    1730 M Street, NW, Suite 1100        Washington, DC 20036


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