1. FIG 2 – FAMILY PLANNING VISITS BY DEPARTMENT (N=471,264)
Increasing Contraceptive Uptake in Zambia through Family Planning Integration
Authors: Namwinga Chintu1, 2; John Phiri2; Mwanjinga Mwale2; Handson Manda2; Masauso Nqumayo2; Eliphas Mwanza2; Gracious Sishekanu2; Gina Smith1,2; Doris Ngosa Mwape 2; Gertrude Silungwe 2and George Kateteye2
Affiliations: 1Population Services International; 2Society for Family Health-Zambia
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Abstract ID:1578
1. BACKGROUND
FIG 1 - FAMILY PLANNING RELATED VISITS PRE AND POST INTEGRATION INTERVENTION
Zambia has a relatively low modern contraceptive prevalence rate (CPR) of 45%. Routine Family Planning (FP) services at public health facilities is provided for very limited hours [1]. In 2012 at the FP2020 London Summit, Zambia committed to increasing CPR to 58% by To achieve this, the country committed to integrating FP provision into other health services. Through Society for Family Health (SFH) Zambia, USAID funded the Sexual and Reproductive Health for All Initiative (SARAI) a 5 year project (2015 – 2020) with the aim to increase mCPR by 2% annually in three provinces through increased access to and improved quality of integrated family planning and reproductive health services both at facility and community levels.
1 year prior FP integration
FIG 2 – FAMILY PLANNING VISITS BY DEPARTMENT (N=471,264)
2. PROGRAM
SARAI focuses on increasing contraceptive use among women of reproductive age including adolescents
SARAI offers Family Planning (FP) integration using a “one-stop shop” model for the duration of the project
Voluntary FP is integrated into other health services at both facility and community based service provision
Both at facility and community levels, counselling is offered so that clients make informed choices
FIG 3 – FAMILY PLANNING VISITS ONE YEAR POST FP INTEGRATION INTERVENTION (N=604,185)
3. METHODS
FP service provision in 88 public health facility catchment areas targeting women of reproductive age years
FP Integration Officers were seconded to Ministry of Health (MoH) provincial health Office
Trained 167 public sector health care providers in FP integration
MoH Provincial and District staff oriented on FP integration
598 CBDs trained to offer integrated services
SARAI report through MoH mainstream DHIS2. FP data from project sites is used to measure project performance annually
4. RESULTS
5. CONCLUSION
The program recorded 604,185 FP related visits between October 2016 to September 2016
Comparing the number of FP visits one year prior to FP integration, the project recorded a 32% increase in FP related visits.
Nearly quarter of all Family Planning related visits (22%) were made to CBDs
One-third (37%) of the clients seen by CBDs were adolescents and young women aged below 25
CBDs reached 512,487 clients with FP messages
More than half (65%) clients reached with FP messages were below the age of 25 years.
CBDs referred 7,515 clients health facilities to access long-acting reversible contraceptive methods
An Integrated FP service model has the potential to increase uptake of modern contraception.
Provision of FP services in the community through the use of CBDs has potential to reach adolescents and young women.
Provision of FP services by the CBDs has helped to decongest the facilities as FP clients are now able to access services within the communities.
Supportive policies, service delivery guidelines, trained health care providers, supply chain system and broad acceptance by both communities and community health workers are all essential to successful FP integration.
[1] Zambia MoH: Integrated FP Scale up Plan 2013 to 2020
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