Reproductive Health

For decades, family planning programs and other public health programs have utilized community health workers (CHWs) as a way to reach and serve disadvantaged populations, often immigrants leery of government sponsored programs.Despite decades of experience, however, and a substantial body of evidence documenting their effectiveness and cost-effectiveness, these efforts continue to be hampered by the lack of a dedicated funding stream—a problem now being addressed by individual states and potentially by a little-noticed provision in the federal health care reform legislation that could provi

Quality of care is at the heart of any health care program, and yet it is defined in different ways and is difficult to measure. It is determined not only by the capabilities of health facilities and health providers but also by many other variables. Even among formal research studies, the variables measured differ from study to study. [from introduction]

Performance-based incentives (PBIs) aim to counteract weak providers’ performance in health systems of many developing countries by providing rewards that are directly linked to better health outcomes for mothers and their newborns. This paper analyzes and synthesizes the available evidence from published studies on the impact of supply-side PBIs on the quantity and quality of health services for mothers and newborns. This paper reviews evidence from published and grey literature that spans PBI for public-sector facilities, PBI in social insurance reforms, and PBI in NGO contracting.

To determine whether home visits for neonatal care by community health workers can reduce infant and neonatal deaths and stillbirths in resource-limited settings. [from abstract]

In efforts to improve the quality of FP (Family Planning) services in Tanzania, including provider skills, this study sought to identify gaps in pre-service FP teaching and suggest opportunities for strengthening the training. [from abstract]

This guide provides direction to programs that want to forecast for new and underused methods (NUMs) of family planning. It supports program managers and others involved in forecasting as they plan to (1) introduce a contraceptive technology for the first time in a country, and/or (2) position an underused method for scale up. [from introduction]

To examine linkages between family planning and health and development outcomes, the CSIS Global Health Policy Center led a delegation to Ethiopia in February 2014.

The integration of family planning (FP) and HIV services improves sexual and reproductive health outcomes by providing both services under one programmatic umbrella. This type of integration refers to the delivery of health services, and it is a subset of closely related but broader linkages between family planning and HIV policies, funding, programs, and advocacy. [from authors]

WHO policy brief that includes recommended policy and program actions for expanding access to Family Planning.

This document summarizes the WHO recommendations on the cadres ranging from lay health workers to mid-level providers that may be trained and supported to provide the following contraceptive methods safely: tubal ligation, vasectomy, intrauterine device (IUD), implants, injectables, as well as promotional activities. The process of enabling additional cadres to provide a specific health intervention is referred to here as ‘task shifting’ but is also widely known as ‘task sharing’. [from introduction]

[T]oday, more than 222 million women in developing countries want to delay or stop childbearing but lack access to an effective method of contraception. For these women and their families, FHWs could serve as an invaluable resource, providing education, counseling, and other essential family planning services within their local communities. [adapted from introduction]

In 2005, India embarked on the National Rural Health Mission, an extraordinary effort to strengthen the health systems. However, coverage of priority interventions remains insufficient, and the content and quality of existing interventions are suboptimum.

Between 2006 and 2010, the following increases in coverage took place as compared to 2000–2005, particularly in rural areas, where most poor women live: births with skilled attendance (77% increase vs. 26%), institutional delivery (146% increase vs. 8%), and contraceptive prevalence (351% increase vs. 150%). The primary factors in these improvements were increases in the health workforce and their skills, performance-based financing, community-based health insurance, and better leadership and governance.

Argentina’s Plan Nacer provides insurance for maternal and child health care to uninsured families. This paper analyzes the impact of Plan Nacer on birth outcomes. The analysis uses data from the universe of birth records in seven Argentine provinces for 2004 to 2008 and exploits the geographic phasing in of Plan Nacer over time. [adapted from abstract]

The purpose of this paper is to share the case study of developing and implementing an IPE programme at Kamuzu College of Nursing (KCN). Included in the discussion are: the background to Kamuzu College of Nursing; the process of developing
the Master of Science (MSc) in Reproductive Health; the curriculum implementation model; and lessons learned and recommendations. [from introduction]

Low birth weight (LBW) is a major risk factor for neonatal death. However, most neonates in low-income countries are not weighed at birth. This results in many LBW infants being overlooked. Female community health volunteers (FCHVs) in Nepal are non-health professionals who are living in local communities and have already worked in a field of reproductive and child health under the government of Nepal for more than 20 years. The effectiveness of involving FCHVs to detect LBW infants and to initiate prompt action for their care was studied in rural areas of Nepal. [from abstract]Amano S

This report presents the findings from a qualitative study conducted in January 2014 in Lango and Teso regions of Uganda among Arise Project beneficiaries and service providers. The purpose of the study was to elicit in-depth perspectives and
experiences about the effectiveness of Arise interventions and suggest ways for improving future interventions in the target districts. [from summary]

Sub-Saharan Africa is burdened by high rates of unintended pregnancy and HIV. Yet little is known about the relationship between these two health risks in the region. Understanding the associations between HIV status and pregnancy decision making may benefit strategies to reduce unintended pregnancy. [from abstract]

Using longitudinal data on more than 2,500 rural Bangladeshi women in 128 villages, this study links women’s contraceptive adoption and experience of unwanted pregnancy between 2006 and 2009 to their unmet need status and their stated intention to use contraceptives in 2006. [from abstract]

In order to ensure continued strong political and financial support for the global AIDS response in the post-2015 era, it is crucial to advocate for the inclusion of strong targets and indicators related to AIDS, sexual and reproductive health and rights and human rights under the new post-2015 health goal and other relevant goals. This paper is a helpful tool to influence your governments as they start developing their positions on the new post-2015 Framework. [from introduction]

This pocket card, created with input from the South African National AIDS Council (SANAC) Men’s and Women’s Sectors, is designed to build support for a gender-integrated microbicides rollout among both community members and policy makers. [from introduction]

The purpose of this program guide is to assist readers in thinking through a successful and efficient plan for [Family Planning and Antiretroviral Therapy] service integration, but the principles apply for integrating core and additional services, whatever they may be.[adapted from background]

A facility-based endline survey was conducted as part of a program evaluation to assess the Arise—Enhancing HIV Prevention for At-Risk-Populations project in Uganda. The base
line and endline surveys used the same approach, interviewing women aged 15–49 years who
sought HIV care and treatment at a sample of health facilities covered by Arise. [adapted from summary]

After providing a brief introduction about the outcomes of the pilot phase as well as goals and outcomes of national scale up, this article provides lessons learned about how to successfully scale up health interventions. [from introduction]

This article describes the value of applying modern [Quality Improvement] methods to improve service quality and to facilitate the integration of health services in a resource-constrained setting. [from introduction]

There has not been a systematic attempt to examine the effects of barriers to health care on under-five mortality in Nigeria. This study is designed to address this knowledge gap. [from abstract]

The main objectives of this study were to establish the views of medical students on learning about women’s and children’s health in low-income countries, to identify the nature and extent of learning already experienced, and to assess the demand for such learning. [from abstract]

To validate a new training module for skilled and semiskilled birth attendants authorized to provide care at birth—Helping Mothers Survive: Bleeding After Birth (HMS:BAB) [from abstract]

The objective was to study (a) the utilization of an emergency obstetric transportation service among women delivering in health facilities, (b) factors associated with usage, (c) the timeliness of the service. [adapted from abstract]

The aim of this study was to explore the knowledge of key newborn danger signs among mothers in southwestern Uganda. [from abstract]