With finite resources to invest in family planning programming, FP2020 countries need to be able to draw on proven interventions with the broadest reach and the greatest impact. High Impact Practices (HIPs) are a set of evidence-based family planning interventions that have been vetted by experts and documented in easy-to-use briefs. Endorsed by more than 25 organizations, HIPs reflect consensus around our current understanding of what works in family planning.


Visit the High Impact Practices website at: fphighimpactpractices.org

The HIP initiative was launched in 2010 and is now facilitated by five core partners: USAID, UNFPA, WHO, IPPF, and FP2020. The HIP Partnership, which includes endorsing organizations as well as the core partners, plays a vital role in developing, reviewing, disseminating, and implementing the HIPs. The HIPs are also supported by a Technical Advisory Group (TAG), made up of experts in family planning research and implementation, policy makers, and representatives from donor agencies. The TAG provides an impartial review of evidence to determine which practices meet the criteria to be a HIP.


One month after Nepal joined the FP2020 partnership in 2015, the country was struck by a devastating earthquake. The past two and half years have been challenging, but Nepal remains committed to meeting its FP2020 goals. This year the government renewed its FP2020 commitment with a revitalized pledge that builds on the original commitment and incorporates lessons learned from the earthquake disaster.

For maximum effectiveness, Nepal is making good use of HIPs (bolded below) throughout its family planning strategy:

ENABLING ENVIRONMENT: Nepal’s policy initiatives include advocacy for family planning at all levels of government, improvements to the regulatory framework to promote public-private partnerships, and the formulation of policies to eliminate barriers to contraceptive use. The government is financing commodities and services through increased domestic allocation and diversification of external development partners. Supply chain management is being strengthened with the introduction of an electronic Logistics Management Information System (eLMIS).

SERVICE DELIVERY: Nepal’s community health workers provide contraceptive supplies, information, and referrals. Nepal also plans to revive a private providers’ network to enable social marketing of contraceptive services. Mobile outreach services include family planning camps and satellite clinics. The government is developing an integrated care strategy that includes family planning and immunization integration. Progress is being made on ensuring that post-abortion family planning is regularly offered.

SOCIAL AND BEHAVIOR CHANGE: Nepal is committed to employing mass media to reach youth, ethnic minorities, and marginalized and disadvantaged groups with family planning information.

HIP ENHANCEMENTS: Nepal’s youth strategy includes training and certifying service providers on adolescent-friendly contraceptive services.

A total of 17 HIPs have been documented to date, organized into three categories:

  • Enabling Environment
  • Service Delivery
  • Social and Behavior Change

In addition, the HIPs provide evidence and implementation tips on HIP Enhancements (technologies or practices that are not typically standalone interventions but are implemented in conjunction with HIPs) and Evidence Summaries (practices that do not yet meet the criteria of a HIP). All of the HIP materials can be found on the High Impact Practices website.

The practices identified in the HIP briefs are not new; many have been implemented for decades. FP2020 works with countries to identify HIPs currently in use and explore additional opportunities for HIP implementation.