Family Planning

Ten Best Public and Private Sector Practices in Reproductive Health and Family Planning in the Europe and Eurasia Region

This brief synthesizes best practices in achieving reproductive health and family planning (RH/FP) goals for the Europe and Eurasia region, and highlights the role of the private sector in meeting these goals. [from author]

Increasing Access to Contraception for Clients with HIV: a Toolkit

The toolkit was developed to facilitate improved access to appropriate and effective contraception for clients with HIV, especially through the strategic integration of family planning with HIV prevention, care, and treatment services.

Feasibility, Acceptability, Effect and Cost of Integrating Counseling and Testing for HIV within Family Planning Services in Kenya

This document summarizes a project to design, implement and compare two models of integrating CT for HIV within FP services in 23 health facilities in Kenya in terms of their feasibility, acceptability, cost and effect on the voluntary use of CT, as well as the quality of FP services. [adapted from summary]

Elements of Success in Family Planning Programming

This issue offers an overview of the core factors contributing to the success of family planning programs. Family planning professionals around the world helped to identify these 10 crucial program elements. This report highlights program experiences, best practices, and evidence-based guidance derived from nearly six decades of experience in international family planning. [adapted from author]

Sections of the report that address HRH include “High-Performing Staff” (p. 16).

Improving Quality, Increasing Access to Reproductive Health Care in African Urban Slums

JHPIEGO has been focused on improving the quality and availability of reproductive health and family planning services for slum residents, both by targeting the facility-based health care providers and the community members who access these services. This document outlines several lessons that have been learned from this experience. [adapted from author]

Decentralization of Postabortion Care in Senegal and Tanzania

In developing countries, postabortion care (PAC) programs are frequently available only in urban or regional health facilities, placing rural women at greater risk for mortality and morbidity from complications because they lack access to services. This technical brief evaluates efforts to decentralize PAC activities in Senegal and Tanzania that show PAC can be safely and successfully decentralized with services capably provided by mid-level personnel in health centers, dispensaries, and some health posts when providers are trained and supervised and equipment and supplies are available.

Susan's Story: Keeping Secrets and Promoting Family Planning in Rural Kenya

This Voices discusses the experiences of nurse hired through the Emergency Hiring Plan in Kenya in providing family planning services, and the importance of confidentiality in the successful provision of these services.

Healthy Timing and Spacing of Pregnancy: a Trainer's Reference Guide

This guide is a resource for trainers in developing in-service training for facility-based healthcare providers and community health workers (CHWs) who already have some basic experience with and understanding of RH/FP. This is not a training manual, but a reference guide which can be used and adapted by trainers based on whether or not trainees are facility-based or community-based. [from author]

Global Knowledge/Local Bodies: Family Planning Service Providers’ Interpretations of Contraceptive Knowledge

This paper examines Tanzanian service providers’ perceptions of contraceptives to shed light on questions of local level dissemination of population knowledge and shaping of identities. The findings suggest that the family planning program serves in a process of differentiation between two groups of local women: the service providers and their clients. [adapted from abstract]

Cost Effectiveness of Standard Days Method Refresher Trainings Using the Knowledge Improvement Tool in Guatemala

The Knowledge Improvement Tool (KIT) was created to allow family planning supervisors to quickly identify gaps in knowledge of Standard Days Method (SDM) providers, allowing them to provide targeted, effective support during routine supervisory visits. This study was designed to compare the effectiveness and the cost benefit of KIT to other methods of reinforcing SDM provider knowledge. [adapted from author]

Has the Navrongo Project in Northern Ghana Been Successful in Altering Fertility Preferences?

This document evaluates the expected change in the reproductive preferences of women due to the presence of volunteers and community health workers providing health service delivery in the communities through the Community Health and Family Planning project. In the communities where there is intervention, women seem to show that their fertility preferences are generally shifting towards small family sizes although the fertility levels are still high. [adapted from author]

Provision of Injectable Contraception Services through Community-Based Distribution: Implementation Handbook

Produced in collaboration with Save the Children USA, this step-by-step guide explains how to introduce injectable contraceptives

Introducing Family Planning Services into Antiretroviral Program in Ghana: an Evaluation of a Pilot Intervention

This report documents the assessment of a family planning training program for providers to enable them to offer family planning counseling and methods, and make referrals where needed as part of antiretroviral therapy services in Ghana. [from summary]

Integrating HIV Services in Local Family Planning: the Expanded Community-Based Distribution Model and Zimbabwean Experience

This brief is a best practice model for improving the quality and accessibility of family planning and HIV services in rural communities in Zimbabwe. [from author]

Provider Selection of Evidence-Based Contraception Guidelines in Service Provision: a Study in India, Peru, and Rwanda

This study evaluated biases in guideline untilization of evidence-based practice concerning contraception perscription. It was found that in India, Peru, and Rwanda, health care providers underutilize evidence-based practice guidelines as they prescribe contraceptives. This article ends with recommendations for providers to most effectively utilize evidence-based practice. [adapted from abstract]

Enhanced Access to Reproductive Health and Family Planning

This report details the impact of Pathfinder Interational’s community-based approach to reproductive health and family planning in Ethiopia.

Looking to the Future: Improving Family Planning Access and Quality in Rwanda

The Capacity Project is applying an integrated strategy to strengthen family planning (FP) and reproductive health. The project is helping the Ministry of Health develop the capacity of the clinical workforce to provide a full range of FP methods and services at 13 hospitals and 146 health centers. [adapted from author]

Maximizing Private Sector Contribution to Family Planning in the Europe & Eurasia Region: Context Analysis and Review of Strategies

This paper looks at reproductive health and family planning programs in the Eastern Europe and Eurasian region. It includes: a methodology to analyze the RH/FP market; an overview of opportunities and constraints to the private sector region; a description of current practices in the region that foster a greater private sector role in the provision of FP services and products; and recommendations for leveraging and maximizing private sector contribution to RH/FP goals. [adapted from author]

Integrating Family Planning Services into Voluntary Counseling and Testing Centers in Kenya: Operations Research Results

Providing contraceptive services at VCT centers is an opportunity to prevent unintended pregnancies among clients whose needs may not be met through traditional family planning services. Operations research in Kenya suggests that integrating family planning into VCT services is feasible and acceptable. An integration intervention improved providers’ discussions about fertility desires and contraceptive methods with clients, without compromising the length of client-provider interaction or client waiting time.

Safety and Feasibility of Community-Based Distribution of Depo Provera in Nakasongola, Uganda

In both Asia and Latin America, community-based health workers have been trained in safe injection techniques and routinely provide injectable contraception. However, the African continent still resists this service delivery mechanism with the rationale that it is unsafe for clients to receive injections from paramedical personnel. This argument is weakening, however, as non-reusable syringes become the norm and with the recent development of a checklist, based on the latest WHO Medical Eligibility Criteria, for safe provision of DMPA by community-based agents.

Performance Needs Assessment for IUD Revitalization

One of the most important steps in the Performance Improvement Approach is the performance needs assessment (PNA). The PNA focuses on understanding the environment in which service providers work, i.e. the different systems within an organization that affect their performance, as well as the client and community perspectives which influence their family planning access. The performance factors, or those elements that providers need to be able to perform well, are the framework that guides the PI approach and what the PNA is geared to capture. [author’s description]

Challenges and Successes in Family Planning in Afghanistan

Although misconceptions about family planning and cultural factors such as son preference presented some obstacles to progress, [two MSH] projects found that religion in Afghanistan is not a barrier to expanding family planning services. It was critical to engage clinicians and communities in culturally sensitive ways. Emphasizing the use of birth spacing to protect the health of mothers and children was especially effective. Activities to empower women

Community-Based Distribution of Depo-Provera: Evidence of Success in the African Context

In much of sub-Saharan Africa, a significant portion of the population lives in rural areas, leaving many women with limited access to clinic-based family planning services. Thus CBD of contraceptives remains an important service delivery mechanism in this region. The primary aim of this study was to assess the safety, quality, and feasibility of Depo-Provera provision by community reproductive health workers.

Family Planning: A Global Handbook for Providers

The practical, up-to-date guidance in this new handbook will help to improve the quality of family planning services and maximize people’s access to them. It can help family planning providers to assist clients choosing a family planning method, to support effective use, and to solve clients’ problems. [from foreword]

Family Planning Choices for Women with HIV

Women with HIV have much the same reasons to have children or to prevent pregnancy as everyone else, but they have important additional issues to consider. These women’s health care providers have the responsibility to help them make well-informed and well-considered choices and carry out their decisions with the least risk.

Impact of Private Clinic Networks on Client Service Access and Quality: Evidence from Ethiopia, India and Pakistan

This presentation is from PSP-One’s GHC Expert Panel - Expanding Health Service Access, Quality, and Equity in Developing Countries: The Role of the Private Sector. It presents franchise models for delivering family planning and reproductive health services by the private sector.

Family Planning - Integrated HIV Services: a Framework for Integrating Family Planning and Antiretroviral Therapy Services

This document focuses on FP integration with HIV services, more specifically with HIV care and treatment services. It encourages supervisors or planners, service providers, and community-based personnel to consider opportunities for operationalizing client-responsive integration of FP and HIV services.

Improving the Use of Long-Term and Permanent Methods of Contraception in Guinea: a Performance Needs Assessment

This report describes a performance needs assessment of family planning and other health care providers in three regions of Guinea. Its purpose was to identify performance gaps or problems and determine the most appropriate interventions to improve providers’ performance and clients’ and communities’ access to and use of long-term and permanent methods of contraception (LTPMs)—specifically, male and female sterilization and the intrauterine device (IUD). [adapted from author]

Integrating Family Planning with Antiretroviral Therapy Services in Uganda

As strides are made in the prevention and treatment of HIV, it is important to take advantage of opportunities to expand and integrate reproductive health services. Integration is an approach that uses a client visit as an opportunity to address other health and social needs beyond those that prompted the current health visit.

Improving the Performance of Primary Providers in Family Planning and Reproductive Health: Results and Lessons Learned from the PRIME II Project, 1999-2004

A foundation of collaborative partnership, strong technical staff and field presence, and practical monitoring and evaluation anchored the PRIME II Project’s successful efforts to improve the performance of primary providers of family planning and reproductive health (FP/RH) services. PRIME II’s global achievements and lessons learned are summarized in the first section; an overview of project results in each technical leadership and focus area is presented in Chapter 2. [author’s description]