Family Planning Revolution Movement

WHAT IS THE FAMILY PLANNING REVOLUTION MOVEMENT

The idea of the  Family Planning Revolution is the spirit and concept with movement strategy in order to restore the Family Planning program into sexual and reproductive health with a passion for equality and diversity in the context of the households, romantic relationships, and society at large/as a whole.

WHY A FAMILY PLANNING REVOLUTION

The idea of ​​the Family Planning Revolution emerged from PKBI DIY’s deep reflection of several fields in family planning services and noted as follows:

• Maternal Mortality rates are increasing as demonstrated by data released by the Indonesia Demographic and Health Survey in 2012: maternal mortality rates in Indonesia have increased from 228 deaths/100, 000 births in 2007 to 359/ 100 000 births in 2012
• High numbers of young people and teenagers claim to have had sexual intercourse. Adolescent Reproductive Health Research conducted by Women’s Empowerment Agency and Society DIY in 2011 stated that 10.4% of teenagers in the Yogyakarta Special Region have engaged in a sexual relationship. This was also proven to result in the still high numbers of Early Marriages in Yogyakarta’s 5 districts.
• The number of women in household contexts who’ve been exposed to HIV/AIDS is rising; in December 2013, 291 cases of HIV in women were recorded. This figure is doubled for female sex workers.
• The high rate of sexual and gender-based violence in the Special Region of Yogyakarta demonstrates the existence of still numerous female victims

These facts push PKBI DIY to advance towards restoring the Family Planning program to its roots and original ideology. PKBI DIY sees that family planning should return to its central mandate of protecting women’s health, especially in regards to reproductive health and more substantial sexual health. That is, Family Planning that is not intended to solely regulate population issues.

THE TWO DIMENSIONS OF THE FAMILY PLANNING REVOLUTION

Firstly, there is the dimension of sexual equality that demands equality and balance of rights, responsibilities, opportunities, access, benefits, and agency in sexual relations in order to achieve and maintain sexual well-being and reproductive health for both partners. The second dimension is that of sexual diversity: recognition, respect, and appreciation for the diversity of the roles, attitudes, expressions, orientations, and sexual and gender identities of others without facing discrimination or stigma.

THE FIVE PILLARS OF THE FAMILY PLANNING REVOLUTION MOVEMENT

1. A significant engagement program for men to take responsibility for reproductive health, gender equality, and diversity that establishes a network of men who are concerned about sexual and reproductive health through the Sexual Health for Men program.
2. Policies and services that prevent not only unwanted pregnancy, but also the spread of STIs and HIV/AIDS, that ensure sexual equality, and sexual hygiene. The key tool being condoms. The operation principle must be ‘whatever may be the chosen contraceptive, condoms must still be provided. To allow for this, family planning counselling should also involve sexuality counselling for couples
3. Comprehensive sexual and reproductive health education and services are needed to protect young people (age 10-24) from sexual and reproductive risks and achieve demographic dividends by 2025
4. Community-based program policies and movements to reward diversity of seuality and gender for universal sexual well-being
5. Strengthening the Movement and Service Network by encouraging the PPTCT (Preventing Parent to Child Transmission) network model by focusing on intervention programs and services that enable partners to prevent HIV transmission from an early age, i.e. whensexual behaviour is first agreed upon or committed.

WHAT SOLIDIFIES THE FAMILY PLANNING REVOLUTION MOVEMENT

– Administration at the Adhiwarga PKBI DIY Clinic provide condoms for each client as an effort to reduce the stigma of condom usage and to increase the role of men in sexual equality in the household context, which, in turn, positively affects the maintenance of women’s sexual and reproductive health status.

• The implementation of Voluntary Counselling and Testing services to villages through the Griya Lentera Clinic by targeting pregnant women, adolescents and men in collaboration with the 5 PKBI Branches in DIY as an effort to make HIV and AIDS a more widely appreciated issue, rather than an issue exclusive to certain people and demographics, and additionally including transmission prevention efforts throughout the village community. This can be seen in the following table:

PKBI DIY VCT Services

Year	Location	Number	Information
2010	Clinic	70	Tuesday & Friday
	Mobile Clinic	231
2011	Clinic	69	Tuesday & Friday
	Mobile Clinic	271
2012	Clinic	92	Tuesday & Friday
	Mobile Clinic	865
2013	Clinic	86	Tuesday & Friday
	Mobile Clinic	296
2014	Clinic	29	Tuesday & Friday
	Mobile Clinic	125

– LGBT community organising program for strengthening community organisations and simultaneously building cultural dialogue with 30 village-based communities to reduce stigma, discrimination, and homophobia.

– Sexual and Reproductive Health Education for adolescents in 54 high schools and 10 middle schools partnered with PKBI DIY by producing qualified modules to educate adolescents about

responsible behaviour and attitudes, and life skills in regards to sexual and reproductive health issues.

• A comprehensive Reproductive and Sexual health service for young people, based in PKBI DIY’s Youth Centre with a verified access model that can be accessed online.
• Sexual Health for Men program and male intervention strategies in the context of preventing exposure to STIs and HIV/AIDS, and reducing the potential risks for sexual and gender based violence.

EDUCATION

This Family Planning Revolution Movement is a strategy that has the ability to bridge the gap between the orientation of family planning programs, sexual diversity, and sexual and reproductive health programs, which are considered separate endeavours. The community empowerment aspect as mandated by PKBI planning strategies has increased in acceleration, which is strongly supported by services, advocacy, HIV/AIDS prevention, and institutional strengthening of the PKBI branch.

Starting with the involvement of men in the family planning program, it’s time for PKBI to reignite the spirit of equality, and diversity of sexuality and gender.