DAFPAK PSSD
DAFPAK-PSSD Initiative

DAFPAK-PSSD Implemented in 20 Districtsby Palladium in partnership with Pathfinder

TSA’s Building Blocks: Delivering Accelerated Family Planning in Pakistan (DAFPAK - PSSD)
TheDelivering Accelerated Family Planning in Pakistan–Public Sector ServiceDelivery (DAFPAK-PSSD)initiative (2019–2024) is a transformative project aimed atstrengthening family planning (FP) systems in Pakistan. Led by Palladium in partnership withPathfinder, and implemented across 20 districts in Sindh, Punjab, and Khyber Pakhtunkhwa,DAFPAK-PSSDis setting new benchmarks in reproductive health services and systemsstrengthening.
Key Achievements of DAFPAK-PSSD
- Comprehensive Training Programs:
- Developed and disseminated training manuals such as theStandardized andComprehensive Family Planning Manualand theProvider-Initiated FamilyPlanning (PIFP) Manual.
- Trained 13,000+ Lady Health Workers (LHWs) and their supervisors in 13Sindh districts.
- Equipped PPHI staff in 30 districts with PIFP skills, enhancing servicedelivery at 400 Basic Health Units.
- Strengthening Provincial and District-Level Systems:
- Established aTechnical Advisory Group (TAG)to ensure strategic guidancefor FP interventions.
- Improved FP data analysis and interpretation systems to enhance decision-making.
- Conducted a rapid assessment of the supply chain to identify gaps andimplement solutions.
- Roadmap Development:
- Provided technical assistance to develop the FP2030 Roadmap for Sindh,aligning goals with globalbest practices.
- Introduced a Results-Based Management (RBM) framework to improveaccountability and performance tracking.
- Community and Provider Engagement:
- Improved FP counseling and referral linkages through targeted trainingprograms.
- Established Village Health Committees (VHCs) to promote localengagement and sustainability.

DAFPAK-PSSD

Geographical Reach
- Sindh:Sujawal, Thatta, Jamshoro, Tharparkar, Umerkot, Khairpur, Matiari, NosheroFeroze, Ghotki, Sukkur.
- Punjab:Muzaffargarh, Khanewal, Layyah, Kasur, Sheikhupura, Gujranwala.
- Khyber Pakhtunkhwa:Nowshera, Swabi, Mardan, Charsadda.
Impactful Collaborations
- Partnered with the Department of Health (DoH), Sindh, to integrate DAFPAK-PSSDpractices into existing programs, endorsed by the Minister of Health and Population,Dr. Azra Fazal Pechuho.
- Facilitated PPHI staff training to implementProvider-Initiated FPservices, ensuringhigh-quality family planning access across Sindh.
Impactful Collaborations
Through its phased implementation, DAFPAK-PSSD emphasizes scalability andsustainability:
- Phase 1:Established foundational structures like TAGs, Skills Labs, and FP-focusedtraining.
- Phase 2:Enhanced provincial-level systems, developed FP2030 strategies, andimproved supply chain mechanisms.
- Phase 3:Focused on district-level interventions, improving FP coordination, data use,and access to quality services.
Building the Future of Family Planning
TheDAFPAK-PSSD initiative exemplifies TSA’s dedication to fostering systemic changes inhealthcare, empowering communities with accessible family planning services, and ensuringsustainability through capacity building and policy integration.





Training Manuals






