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Encuesta De Conocimientos, Actitudes Y Prácticas Del Covid-19: Informantes Clave En 10 Municipios Con Población Indígena De Guatemala, Population Council Jun 2020

Encuesta De Conocimientos, Actitudes Y Prácticas Del Covid-19: Informantes Clave En 10 Municipios Con Población Indígena De Guatemala, Population Council

Poverty, Gender, and Youth

No abstract provided.


Guatemala Indigenous Municipalities: Covid-19 Knowledge, Attitudes, And Practices, Population Council May 2020

Guatemala Indigenous Municipalities: Covid-19 Knowledge, Attitudes, And Practices, Population Council

Poverty, Gender, and Youth

This presentation recounts findings on COVID-19 knowledge, attitudes, and practices in Guatemala’s indigenous municipalities. A total of 144 phone-based key informant interviews were conducted from April 14–18, 2020, in ten municipalities. Key informants included indigenous women, heads of households, teachers, community leaders, municipal officers, and frontline health workers. Recommendations include: 1) intensifying government efforts to deliver accurate information on the prevention of COVID-19 to indigenous communities with a focus on developing a COVID-19 roadmap for community action after the first case is identified in a given municipality, and considering alternatives for self-isolation for the poorest households; 2) conveying tailored, actionable …


Guatemala: Covid-19 Knowledge, Attitudes And Practices—Perspectives From 144 Key Informants In 10 Indigenous Municipalities, Population Council May 2020

Guatemala: Covid-19 Knowledge, Attitudes And Practices—Perspectives From 144 Key Informants In 10 Indigenous Municipalities, Population Council

Poverty, Gender, and Youth

NOTE: This brief represents research in progress. Content has not been peer reviewed, and this version may be updated with additional analyses in subsequent publications.

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The Population Council has a longstanding partnership with indigenous communities through the Abriendo Oportunidades program. Our experience working in indigenous settings has allowed us to witness a lack of indigenous inclusion in government activities. To better understand indigenous knowledge, perspectives, and needs related to the COVID-19 pandemic in Guatemala, we conducted 144 key informant interviews using mobile phones in ten municipalities from April 14–18, 2020. This brief describes highlights of the key informant interviews; …


Valoriser Le Potentiel Des Mentores : Recrutement, Formation Et Soutien Des Mentores Pour Des Programmes Dédiés Aux Adolescentes, Miriam Temin, Eva Roca Jan 2019

Valoriser Le Potentiel Des Mentores : Recrutement, Formation Et Soutien Des Mentores Pour Des Programmes Dédiés Aux Adolescentes, Miriam Temin, Eva Roca

Poverty, Gender, and Youth

Les mentores sont une partie importante de nombreux programmes efficaces pour les filles, mais on dispose de peu d’informations sur les aspects pratiques du développement et du soutien d’un cadre de mentore efficace. Cette boîte à outils rassemble des leçons, des conseils et des idées qui peuvent être adaptés et utilisés pour trouver, former, surveiller, soutenir et évaluer les mentores. Les informations sont basées sur des documents provenant de programmes pour les adolescentes mis en œuvre par le Population Council. Les ressources sont applicables aux planificateurs de programmes, aux superviseurs de mentores et aux mentores. Toutes les ressources peuvent être …


Making The Most Of Mentors: Recruitment, Training, And Support Of Mentors For Adolescent Girl Programming—Toolkit, Miriam Temin, Eva Roca Jan 2019

Making The Most Of Mentors: Recruitment, Training, And Support Of Mentors For Adolescent Girl Programming—Toolkit, Miriam Temin, Eva Roca

Poverty, Gender, and Youth

Mentors are an important part of many effective programs for girls, yet little information is available about the practical aspects of developing and supporting a successful mentor cadre. This toolkit pulls together lessons, tips, and insights that can be adapted and used to find, train, monitor, support, and evaluate mentors. The information is based on materials from programs for adolescent girls implemented by the Population Council. The resources are applicable to program planners, mentor supervisors, and mentors. All resources may be adapted to local contexts.


More Than A Backdrop: Understanding The Role Of Communities In Programming For Adolescent Girls—Action Guide, Sarah Blake, Miriam Temin Jan 2019

More Than A Backdrop: Understanding The Role Of Communities In Programming For Adolescent Girls—Action Guide, Sarah Blake, Miriam Temin

Poverty, Gender, and Youth

The structural and social features of a girl’s community play a critical role in determining what effects programs for adolescent girls can achieve. Girls’ communities include both the physical spaces girls must navigate and adults and peers who shape their beliefs about marriage, work, and education. This action guide focuses on key questions to ask when designing programs: How many girls live in a given community? Is the community urban, peri-urban, or rural? Is it formal or informal? How stable or cohesive is a community? Who is considered a “community member”? What resources exist for girls in the community, and …


Charity: A Health Volunteer Success Story, Amy Dempsey Jan 2017

Charity: A Health Volunteer Success Story, Amy Dempsey

Reproductive Health

Results from Ending Eclampsia’s landscape analysis of seven states in Nigeria served as the catalyst for a training with Community Health Extension Workers (CHEWs) in Nigeria. Researchers conducted observations of client–provider interactions during antenatal care (ANC) visits and assessed healthcare providers’ knowledge of proven risk factors for pre-eclampsia, including chronic hypertension, previous history of PE/E, obesity, pre-existing diabetes or diabetes in pregnancy, advanced maternal age, sickle cell diseases, and connective tissue diseases. The training’s objective was to teach CHEWs how ANC providers can prevent pregnancy-related complications like pre-eclampsia and eclampsia (PE/E). Following the training the CHEWs felt that they can …


Community Engagement In Sgbv Prevention And Response: A Compendium Of Interventions In The East And Horn Of Africa And The Great Lakes Region, Zahra Mirghani, Joanina Karugaba, Nicholas Martin-Achard, Chi-Chi Undie, Harriet Birungi Jan 2017

Community Engagement In Sgbv Prevention And Response: A Compendium Of Interventions In The East And Horn Of Africa And The Great Lakes Region, Zahra Mirghani, Joanina Karugaba, Nicholas Martin-Achard, Chi-Chi Undie, Harriet Birungi

Reproductive Health

This document captures efforts by UNHCR and its partners in promoting community engagement to combat sexual and gender-based violence (SGBV) in the East & Horn of Africa and the Great Lakes Region. The compendium of tools reflected here is drawn from the responses of several actors to various forms of SGBV. The diversity of these efforts involves a range of demographic groups (in terms of gender and age), geographic contexts (rural, urban), and intended outcomes (SGBV prevention, response, or both). The interventions described are also at various stages of development or maturity, and varied in scope, with a few having …


Training Locally Elected Representatives To Act As Change Agents To Promote Egalitarian Gender Norms: Lessons Learned From The Do Kadam Barabari Ki Ore Programme—Policy Brief, K.G. Santhya, Shireen J. Jejeebhoy Jan 2017

Training Locally Elected Representatives To Act As Change Agents To Promote Egalitarian Gender Norms: Lessons Learned From The Do Kadam Barabari Ki Ore Programme—Policy Brief, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

This policy brief describes an intervention, the Do Kadam Barabari Ki Ore (Two Steps Towards Equality) project in Patna district, India that sought to train locally elected representatives to act as change agents to promote egalitarian gender norms among men and women in their communities, and the effects of exposure to the project among members of the Panchayati Raj Institutions (PRIs, local self-governance bodies) and men and women from the community. The project was undertaken by the Population Council, together with partners, the Centre for Catalysing Change and the London School of Hygiene and Tropical Medicine, and with support from …


Does Shifting Gender Norms On The Community Level Lead To Increased Hiv Services Uptake?, Project Soar Jan 2016

Does Shifting Gender Norms On The Community Level Lead To Increased Hiv Services Uptake?, Project Soar

HIV and AIDS

Project SOAR and partners are building on an ongoing National Institute of Mental Health–funded randomized controlled trial being conducted in South Africa—Community Mobilization for Treatment as Prevention. Specifically, the study aims to strengthen and expand the gender content of the intervention to engage both women and men in critically examining gender norms and power inequalities. This brief presents the particularly timely study that will address a key question in the field as to how gender norms may operate to affect HIV service utilization. Building the evidence base in this area is vital for improving care outcomes as well as creating …


Participatory Research Results From Training With The Mabinti Tushike Hatamu Out-Of-School Girls Program: Tanzania 2015, Kelly Hallman, Ilan Cerna-Turoff, Neema Matee Jan 2015

Participatory Research Results From Training With The Mabinti Tushike Hatamu Out-Of-School Girls Program: Tanzania 2015, Kelly Hallman, Ilan Cerna-Turoff, Neema Matee

Poverty, Gender, and Youth

The Mabinti Tushike Hatamu (Girls let’s be leaders!) program is designed to test and evaluate strategies for reducing the vulnerability of out-of-school adolescent girls in Tanzania aged 10–19 years to HIV/AIDS, pregnancy, and unfavorable life outcomes. MTH is led by the Tanzania AIDS Commission, implemented by Restless Development, and supported by UNICEF. The Population Council developed a strategy for Restless Development to capture the richness of its activities. The Council designed a training session and a companion toolkit in participatory action research for community volunteers, aged 19–23 years, to use within their girl groups. This report describes the findings from …


Reaching The Unreached Through Community Mobilization In An Innovative And Sustainable Way, Arupendra Mozumdar, M.E. Khan, Subrato Mondal Jan 2014

Reaching The Unreached Through Community Mobilization In An Innovative And Sustainable Way, Arupendra Mozumdar, M.E. Khan, Subrato Mondal

Reproductive Health

This study shows the potential of Self Help Groups (SHGs) to deliver health messages that increase women’s knowledge. The intervention for this operations research (OR) study included a day-long training for Swasth Sakhis in the experimental area. A total of 11 trainings were organized, all conducted by Population Council staff. Before the intervention, at baseline, 803 women from eligible households were interviewed for the quantitative assessment. At endline, 470 women were followed up. Additionally, 16 in-depth interviews with women, Swasth Sakhis, and Rajiv Gandhi Mahila Vikas Pariyojana staff were conducted in the experimental area to understand how the intervention was …


Implementing Incentive-Based Hiv Interventions In Zambia: The Compact Model, Sam Kalibala, Waimar Tun, Chabu Kangale, Jill Keesbury, Ray Handema, Mwaka Monze Jan 2013

Implementing Incentive-Based Hiv Interventions In Zambia: The Compact Model, Sam Kalibala, Waimar Tun, Chabu Kangale, Jill Keesbury, Ray Handema, Mwaka Monze

HIV and AIDS

The Population Council received a cooperative agreement from USAID to implement the Community Mobilization for Preventive Action (COMPACT) project, to develop and determine the feasibility of “community compacts” as an innovative approach to prevent HIV in Zambian communities. The aim is to mobilize the communities through a capacity-building process that enables them to identify HIV prevention targets, develop interventions to achieve those targets, and measure the results. This study determined baseline levels of key indicators related to HIV, sexual behaviors, gender-based violence, alcohol abuse, and reproductive health. These baseline measures will be compared with midline and endline levels to assess …


The Community Mobilization For Preventive Action (Compact) Project In Zambia: A Midline Evaluation, Waimar Tun, Chabu Kangale, Scott Geibel, Meredith Sheehy, Ray Handema, Mwaka Monze Jan 2013

The Community Mobilization For Preventive Action (Compact) Project In Zambia: A Midline Evaluation, Waimar Tun, Chabu Kangale, Scott Geibel, Meredith Sheehy, Ray Handema, Mwaka Monze

HIV and AIDS

The Population Council and its partner, Project Concern International, implemented the Community Mobilization for Preventive Action (COMPACT) HIV-prevention program in Zambia. The program works with communities to develop “compacts” through a participatory, community-led process, and assists them in working toward reaching HIV-related “benchmarks,” intended to result in a reduction in HIV-related risk behaviors and harmful norms and ultimately contribute over time to the reduction of HIV incidence. This mid-term evaluation in four of six COMPACT communities indicates that COMPACT is improving some HIV-related behaviors and attitudes, particularly those related to gender norms, multiple sex partnerships, and alcohol abuse. The report …


Replication Of The Community Mobilization For Postabortion Care (Commpac) Model In Naivasha District, Rift Valley Province, Kenya: An Evaluation Report, Chi-Chi Undie, Francis Obare, Saumya Ramarao Jan 2012

Replication Of The Community Mobilization For Postabortion Care (Commpac) Model In Naivasha District, Rift Valley Province, Kenya: An Evaluation Report, Chi-Chi Undie, Francis Obare, Saumya Ramarao

Reproductive Health

The Population Council’s RESPOND project worked with districts and communities in Kenya to: strengthen service delivery points to provide postabortion care (PAC) services; conduct community mobilization to improve involvement in and knowledge of the prevention and treatment of postabortion complications; build community capacity to address needs related to PAC; and encourage involvement in community action of those most marginalized and most affected by postabortion complications. The program succeeded at increasing knowledge of critical danger signs; enabling providers to effectively offer PAC services; and raising awareness of PAC, among other goals. The intervention was less successful in increasing FP knowledge, current …


Process Evaluation: The Filles Eveillées ('Girls Awakened') Program For Migrant Adolescent Girls In Domestic Service In Urban Burkina Faso, Leah Jarvis, Gisele Kaboré Jan 2012

Process Evaluation: The Filles Eveillées ('Girls Awakened') Program For Migrant Adolescent Girls In Domestic Service In Urban Burkina Faso, Leah Jarvis, Gisele Kaboré

Poverty, Gender, and Youth

The Filles Éveillées (“Girls Awakened”) program provides migrant adolescent domestic workers in Burkina Faso with the skills, knowledge, and social capital to reduce their vulnerability and increase their opportunities. The program consists of three elements: a safe space for girls to meet, access to same-sex peers to develop social networks, and a female mentor. This report summarizes the results of an evaluation of Filles Éveillées aimed to improve the program in its second cycle. The assessment evaluated: elements of the program that were or were not implemented as planned and obstacles to implementation; and improvements to the structure, implementation, and …


Informe Años Dos Movil.Com: Evaluación De La Línea Final Resumen De Hallazgos Principales, Annik Sorhaindo, Xipatl Contreras, Kate S. Wilson, Sandra G. Garcia Jan 2011

Informe Años Dos Movil.Com: Evaluación De La Línea Final Resumen De Hallazgos Principales, Annik Sorhaindo, Xipatl Contreras, Kate S. Wilson, Sandra G. Garcia

Reproductive Health

This report highlights the findings of the endline evaluation of a two-year leadership project aimed at indigenous youth in Oaxaca, Mexico: Movil.com. Movil.com is a community project headed by peers and built on elements of other models. It is similar to a cascaded peer education and training model, in which nuclear leaders are trained who, in turn, train facilitators of larger groups. The Population Council office in Mexico evaluated the project at the request of the social organization that implements it, the Rosales Castellanos Women's Study Group, an NGO that has worked for more than 30 years with indigenous communities …


Filles Éveillées: Programme Pour Les Adolescentes Employées De Maison—Guide Du Mentor, Population Council Jan 2011

Filles Éveillées: Programme Pour Les Adolescentes Employées De Maison—Guide Du Mentor, Population Council

Poverty, Gender, and Youth

Ce curriculum est une composante du programme «Filles Éveillées» de renforcement des compétences et de création d'espaces sûrs pour les adolescentes migrantes engagées comme employées de maison dans les zones urbaines du Burkina Faso. L'approche du programme consiste à donner aux filles, un espace sûr qui leur est spécialement dédié et où elles peuvent rencontrer des amies et apprendre des sujets importants sous la direction d'un mentor de sexe féminin. Les séances sont conçues pour être réalisées dans l'ordre indiqué, en commençant par les compétences de vie courante, avant de passer aux capacités financières, puis à la santé et l'hygiène, …


Social Mobilization Strategy, Family Advancement For Life And Health (Falah) Jan 2011

Social Mobilization Strategy, Family Advancement For Life And Health (Falah)

Reproductive Health

This document outlines social mobilization strategies at the national and community levels of the Family Advancement for Life and Health (FALAH) project in Pakistan. The project aims to improve the health and well-being of women, men, and their children through tackling the major obstacles in adoption of birth spacing to improve maternal and child health outcomes and family well-being, by increasing knowledge of the benefits of birth spacing as well as knowledge, increased demand for, and effective use of contraceptive methods. The strategy aims to achieve a significant increase in couples’ knowledge and understanding of the need for and benefits …


Process Evaluation Of Community Mobilization Activities, Zakir Hussain Shah Jan 2010

Process Evaluation Of Community Mobilization Activities, Zakir Hussain Shah

Reproductive Health

This report presents the findings of a process evaluation by the Population Council of community mobilization (CM) activities implemented under the PAIMAN project in Pakistan. PAIMAN developed a comprehensive communication, advocacy, and mobilization (CAM) strategy to increase knowledge and awareness of harmful practices among women and their family and to improve their health-seeking behaviors. The CAM roadmap acknowledges the importance of engaging communities in order to achieve behavior change and links clients with providers and services. The main objective of this evaluation was to assess the process of CM implementation and to identify its gaps in order to develop corrective …


Community Mobilization For Postabortion Care In Kenya: Baseline Evaluation Report, Chi-Chi Undie, Saumya Ramarao Jan 2010

Community Mobilization For Postabortion Care In Kenya: Baseline Evaluation Report, Chi-Chi Undie, Saumya Ramarao

Reproductive Health

Maternal health complications, including those arising from unsafe abortion and miscarriage, are a leading cause of morbidity among women in Kenya. These realities necessitate interventions to prevent unintended or unwanted pregnancies and to ensure access to quality care for women with postabortion complications. In response to this need, the RESPOND Project designed an intervention package aimed at increasing awareness and use of postabortion care (PAC) services and improving family planning, reproductive health, and maternal health outcomes. As part of the intervention, RESPOND works with districts and communities to: strengthen service delivery points to provide PAC services; conduct community mobilization to …


Youth Participation In Civil Society And Political Life In Jharkhand, International Institute For Population Sciences (Iips), Population Council Jan 2009

Youth Participation In Civil Society And Political Life In Jharkhand, International Institute For Population Sciences (Iips), Population Council

Poverty, Gender, and Youth

Youth participation in civil society and political life is increasingly recognized as an important development objective. The opportunities for participation that young people experience in their communities may influence their development and the kind of transitions they make to adulthood. Behaviors and attitudes relating to community participation that individuals adopt as young people predict their lifelong civic affiliations and perspectives. In India, the National Youth Policy 2003 has underscored the role of India’s youth in political decision-making, and has argued for greater representation of youth in appropriate bodies as well as more extensive youth participation in the design and implementation …


Youth Participation In Civil Society And Political Life In Bihar, International Institute For Population Sciences (Iips), Population Council Jan 2009

Youth Participation In Civil Society And Political Life In Bihar, International Institute For Population Sciences (Iips), Population Council

Poverty, Gender, and Youth

Youth participation in civil society and political life is increasingly recognized as an important development objective. The opportunities for participation that young people experience in their communities may influence their development and the kind of transitions they make to adulthood. Moreover, behaviors and attitudes relating to community participation that individuals adopt as young people predict their lifelong civic affiliations and perspectives. In India, the National Youth Policy 2003 underscored the role of India’s youth in political decision-making and argued for greater representation of youth in appropriate bodies as well as more extensive youth participation in the design and implementation of …


Manual For Designing Community Based Interventions For Preventing Postpartum Hemorrhage (Pph) Using Misoprostol: Standardized Pilot-Test Training Manual, Saumya Ramarao, Tekle-Ab Mekbib, Sarah Raifman Jan 2009

Manual For Designing Community Based Interventions For Preventing Postpartum Hemorrhage (Pph) Using Misoprostol: Standardized Pilot-Test Training Manual, Saumya Ramarao, Tekle-Ab Mekbib, Sarah Raifman

Reproductive Health

This manual is a comprehensive, standardized, step-by-step guide for Population Council staff to use when designing and implementing community-based pilot interventions for the prevention of postpartum hemorrhage using misoprostol. The introduction and background section provide basic information about maternal mortality, normal and abnormal pregnancy, and postpartum hemorrhage. This section also describes prevailing methods of prevention and treatment for postpartum hemorrhage, active management of the third stage of labor, and use of misoprostol for the prevention and control of postpartum hemorrhage. The second half of the manual focuses on how to develop a protocol for an intervention study on misoprostol. It …


Youth Participation In Civil Society And Political Life In Tamil Nadu, International Institute For Population Sciences (Iips), Population Council Jan 2009

Youth Participation In Civil Society And Political Life In Tamil Nadu, International Institute For Population Sciences (Iips), Population Council

Poverty, Gender, and Youth

Youth participation in civil society and political life is increasingly recognized as an important development objective. The opportunities for participation that young people experience in their communities may influence their development and the types of transitions they make to adulthood. Behaviors and attitudes relating to community participation that individuals adopt as young people predict lifelong civic affiliations and perspectives. In India, the National Youth Policy 2003 has underscored the role of India’s youth in political decision-making, and has argued for greater representation of youth in appropriate bodies as well as for more extensive youth participation in the design and implementation …


Youth Participation In Civil Society And Political Life In Rajasthan, International Institute For Population Sciences (Iips), Population Council Jan 2009

Youth Participation In Civil Society And Political Life In Rajasthan, International Institute For Population Sciences (Iips), Population Council

Poverty, Gender, and Youth

Youth participation in civil society and political life is increasingly recognized as an important development objective. The opportunities for participation that young people experience in their communities may influence their development and the kind of transitions they make to adulthood. Behaviors and attitudes relating to community participation that individuals adopt as young people predict their lifelong civic affiliations and perspectives. In India, the National Youth Policy 2003 has underscored the role of India’s youth in political decision-making, and has argued for greater representation of youth in appropriate bodies as well as more extensive youth participation in the design and implementation …


Evaluation Of The Long-Term Impact Of The Tostan Programme On The Abandonment Of Fgm/C And Early Marriage: Results From A Qualitative Study In Senegal, Nafissatou J. Diop, Amadou Moreau, Helene Benga Jan 2008

Evaluation Of The Long-Term Impact Of The Tostan Programme On The Abandonment Of Fgm/C And Early Marriage: Results From A Qualitative Study In Senegal, Nafissatou J. Diop, Amadou Moreau, Helene Benga

Reproductive Health

In 1998–99, a village empowerment program was implemented in the Thiès/Fatick and Kolda regions of Senegal by the nongovernmental organization Tostan, to mobilize communities to hold public declarations in support of abandoning harmful traditional practices, including female genital mutilation/cutting (FGM/C) and child marriage. The information presented in this report indicates that many did end the practices following a public declaration, however, the lack of follow-up in the field and the absence of support mechanisms pose a large obstacle. Nevertheless, the program achieved significant results: knowledge of life skills resulting in positive changes and a shift in the perception of FGM/C …


Improving Communication Between Parents And Adolescents On Reproductive Health And Hiv/Aids, Nafissatou J. Diop, Alioune Diagne Jan 2008

Improving Communication Between Parents And Adolescents On Reproductive Health And Hiv/Aids, Nafissatou J. Diop, Alioune Diagne

Reproductive Health

Cette recherche opérationnelle avait pour but d’évaluer la fonctionnalité et l’efficacité d’un modèle d’intervention destiné à prendre en charge les besoins d’informations des adolescent(e)s en matière de santé de la reproduction et cela à travers le renforcement et l’amélioration de la communication entre les parents et les enfants/adolescent(e)s. Les résultats ont montré la faisabilité de mettre en place un programme qui est spécifiquement destiné à améliorer le niveau et la qualité de la communication entre les parents/tuteurs et les adolescent(e)s sur les questions de SR/VIH/SIDA et cela malgré le caractère encore sensible de cette question dans le contexte socioculturel sénégalais. …


Highlighting Marital Hiv Risk And Promoting Premarital Vct In Nyanza Province, Kenya, Ben Ochieng, Annabel Erulkar Jan 2008

Highlighting Marital Hiv Risk And Promoting Premarital Vct In Nyanza Province, Kenya, Ben Ochieng, Annabel Erulkar

Reproductive Health

This report describes a project undertaken in Kenya by the Population Council, in collaboration with PATH and Kendu Adventist Hospital, whose objectives were: 1) to design and implement educational strategies to raise awareness of the risks of HIV and early marriage; 2) to promote voluntary counseling and testing (VCT) for couples; and 3) to support and empower newly married girls through community-based clubs. The report notes that the strong technical support and leadership provided by the partners led to successful implementation of most project activities. The partnership enabled scarce resources to be shared, and has ensured that the comparative advantages …


Acceptability And Sustainability Of The Who Focused Antenatal Care Package In Kenya, Harriet Birungi, Washington Onyango-Ouma Jan 2006

Acceptability And Sustainability Of The Who Focused Antenatal Care Package In Kenya, Harriet Birungi, Washington Onyango-Ouma

Reproductive Health

The objectives of this study were to assess the Kenyan Ministry of Health’s capacity to adapt focused antenatal care (ANC) at the service delivery level so that it can be sustained, and to examine the extent to which adaptation of the package has increased coverage and quality of key ANC services and the overall quality of care received by pregnant women. The study showed that focused ANC is acceptable to both clients and providers and the approach has also received tremendous support from both the government and health development partners. However, the sustainability of the focused ANC package is contingent …