rebecca kohler, intrahealth international ppfp technical meeting kuala lumpur may 2013 family...
TRANSCRIPT
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Rebecca Kohler, IntraHealth InternationalPPFP Technical MeetingKuala LumpurMay 2013
Family Planning and Immunization: Integration in Senegal – The First Year
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The Context
Keur Soce Health Post receives about 30 -50 women per week for vaccinations (Monday is vaccination
day).Ministère de la Santé
et l’Action Sociale
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Intervention Areas
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Design of Health Services Integration
• FP fully integrated into services offered by health post
• Remain focused on vaccinations
• Offer information at same time as vaccination
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Process of Integration
• Orientation for manager level buy-in
• Training of clinic providers (nurses, midwives, matrons, CHWs)
• Data collection for vaccinations and FP services
• Data analysis by district health teams
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Results/Key Findings
April 2012 to March 2013:
• 561 FP informational sessions; 200 clinics; 10 regions
• 27% adopted modern method (4,773 women out of 18,000)
54%24
%
18%
4%
Method Mix of Women Accepting Modern Contraception (27%)
InjectablesPillsImplantsIUDs
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Program Implications
• Immunization services good opportunity to deliver services and reduce unmet need for FP
• Integration saves time and money
• Quality interpersonal communication is critical • new user rates vary with the quality of
counseling
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Final thoughts
When replicated nationwide, the integration model could benefit more than 3.1 million women of reproductive age in Senegal to effectively and safely plan their families while reducing maternal and child mortality.