Digital Commons Network^™

Proposed Metrics To Measure Quality: Overview, Anrudh K. Jain, John Townsend, Saumya Ramarao

Reproductive Health

The first quality-of-care framework in family planning was articulated over 25 years ago and a considerable amount of work has been done since then to measure quality in the context of routine service delivery, yet, we do not have agreed-upon indicators to measure quality that can be applied uniformly across different health systems and social contexts. This paper takes a slightly different approach and uses a common definition of quality from the outset. Indicators of quality are required for describing the nature of family planning services and quality of care offered by a health service delivery program, and for improving …

Exploring The Potential For Private Pharmacies To Provide Family Planning Services In Senegal, Fatou Mbow, Sara Chace Dwyer, Nafissatou Diop

Reproductive Health

In Senegal, the National Action Plan for Family Planning (NAPFP) 2012–2015 and the National Strategic Framework for Family Planning 2016–2020 adopted a multi-sectoral approach to broaden access to family planning (FP) services and to reach 45% modern contraceptive prevalence (mCPR) by 2020 (NAPFP, 2012). The private sector and community actors are key partners with the public sector in implementing this approach. However, private pharmacies have not been actively involved in the provision of FP services due to legal and nonlegal barriers that limit their role to selling contraceptives and providing method-specific advice. As Senegal seeks to involve the private sector …

Reducing Early And Unintended Pregnancies Among Adolescents, Francis Obare, Caroline W. Kabiru, Venkatraman Chandra-Mouli

Reproductive Health

Interventions to reduce unmet need for contraception and early and unintended pregnancies among adolescents should be critical components of family planning programs in developing countries. This evidence brief highlights evidence and provides research and program considerations for improving access to family planning and reducing unintended pregnancy. It describes the following five elements that must be in place in order to apply evidence to large-scale, national-level programs: collect, analyze, and use accurate and up-to-date data; formulate or revise national laws and policies; develop national adolescent sexual and reproductive health strategies; implement strategies with careful monitoring; and conduct periodic program reviews.

Accelerating Uptake Of Voluntary, Rights-Based Family Planning In Developing Countries, Kazuyo Machiyama, Francis Obare, Venkatraman Chandra-Mouli, Doris Chou, Mario Festin, Rajat Khosla, James Kiarie, Lale Say, Nandita Thatte

Reproductive Health

This brief summarizes evidence on the benefits of family planning for girls and women, their children, families, and societies. It also provides evidence on the cost-effectiveness of family planning programs; discusses reasons for unmet need for contraception and identifies ways to reduce unmet need and discontinuation; and describes progress in meeting FP2020 and the Sustainable Development Goals (SDGs). To meet the FP2020 and SDGs, significant investments are required by countries and donors in the following priority areas: sustainable financing, reaching all adolescents, expanding availability of services to the poorest and hard-to-reach populations, improving the quality of services, increasing the range …

Using Evidence To Improve Quality Of Pharmacy-Delivered Medical Abortion, Katharine Footman, Nancy Termini Lachance

Reproductive Health

The goal of family planning and reproductive health operations research is to generate evidence that helps policies and programs maximize access to and quality of services for women and their families. Yet the crucial step of ensuring the utilization of that evidence often receives inconsistent or inadequate attention. The goal of this case study is to document an activity of Marie Stopes International (MSI) in Kenya, part of the STEP UP research program consortium, which resulted in successful evidence utilization. STEP UP research on quality of care for medical abortion, particularly on pharmacy provision of medical abortion, has provided the …

Exploration Du Rôle Potentiel Des Pharmacies Privées Dans L’Offre De Services De Planification Familiale Au Sénégal: Revue Documentaire Sur Les Aspects Juridiques, Fatou Mbow, Ndeye Dome Fall, Nafissatou Diop, Sara Chace Dwyer

Reproductive Health

Related publications:

• Synthesis brief: English | French
• Revue documentaire sur les évidences non juridiques
• Analyse secondaire es données de ADEMAS
• Recherche qualitative

Financement De La Planification Familiale, Moazzam Ali, Benjamin Bellows

Reproductive Health

Ce document fait partie de l’un des sept Résumés des preuves sur la planification familiale préparés dans le cadre du Sommet de la planification familiale tenu à Londres le 11 juillet 2017. Les résumés mettent en exergue les éléments de preuve et fournissent des considérations sur la recherche et les programmes pour améliorer l’accès à la planification familiale et réduire les grossesses non désirées. Les considérations relatives aux programmes sont basées sur les opinions expertes des auteurs, qui ont procédé à des examens documentaires sur la base des preuves existantes.

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This is one of seven Family Planning Evidence Briefs …

Ensuring Adequate Financing Of Family Planning Commodities And Services, Moazzam Ali, Benjamin Bellows

Reproductive Health

Increasing efficient and effective investment in family planning (FP) through the public and private sectors is key to meeting the FP2020 goal of helping 120 million additional women become modern contraceptive users. This policy brief identifies several policy and program considerations to ensure adequate financing of family planning commodities and services: sustained fundraising, pooling, and strategic purchasing; reaching new users and improving continuation rates among current users; and conducting further research on family planning quality performance metrics to test their correlation with higher continuation rates. Future efforts to reduce unmet need for FP must consider consumers’ out-of-pocket costs, programmatic cost-effectiveness, …

Changes In Household Well Being And Resilience: The Role Of Population, Family Planning And Reproductive Health In The Tuungane Project, Kristen P. Patterson

Reproductive Health

Both the family planning sector and the environmental sector will be interested in this synopsis of findings from a study of the first four years of the Tuungane integrated population, health, and environment (PHE) project in Tanzania. The objectives of the Tuungane Project are to achieve healthier families, healthier forests, and healthier fisheries, using an integrated, cross-sectoral approach. Analyses of the 2011 baseline and 2016 midline quantitative data, and additional qualitative data from 2016, measured the project’s progress and shed light on the contribution of the project interventions to building resilience, and on the links between family planning and other …

Strengthening The Integration Of Family Planning And Hiv Services At The Community Level In Kenya, Wilson Liambila, Sara Chace Dwyer, Brian Mdawida, Charlotte E. Warren, Melsa Lutomia, Jane Koech, Elizabeth Washika, Aparna Jain

Reproductive Health

Study findings reveal that many Kenyan women living with HIV are comfortable receiving family planning (FP) services from community health volunteers and with proper training and support, community health volunteers have the potential to provide integrated FP/HIV services. Community-based integrated FP/HIV services could help connect women living with HIV who want to prevent or postpone a pregnancy to contraceptive services, which can reduce unintended pregnancies and in turn maternal mortality and vertical transmission of HIV. This implementation research study offers evidence of the feasibility, quality of care, and acceptability of using community health volunteers to integrate family planning into HIV/AIDS …

Rights-Based Family Planning: 15 Resources To Guide Programming, Jan Kumar, Karen Hardee

Reproductive Health

The ambitious FP2020 goal of providing family planning services to 120 million more women and girls that emerged from the Family Planning Summit in London in 2012 has refocused attention on the need to ensure that family planning programs respect, protect and fulfill individual’s human rights and that programs are implemented using a rights-based approach. The current challenge is how to operationalize human rights in existing family planning programming. A number of resources are available to do so and the purpose of this paper is to review 10 key resources currently available to guide family planning programming.

Élargissement Du Choix Des Contraceptifs, Heather Clark, Saumya Ramarao, Catherine Unthank, Kazuyo Machiyama, Nandita Thatte

Reproductive Health

Ce document fait partie de l’un des sept Résumés des preuves sur la planification familiale préparés dans le cadre du Sommet de la planification familiale tenu à Londres le 11 juillet 2017. Les résumés mettent en exergue les éléments de preuve et fournissent des considérations sur la recherche et les programmes pour améliorer l’accès à la planification familiale et réduire les grossesses non désirées. Les considérations relatives aux programmes sont basées sur les opinions expertes des auteurs, qui ont procédé à des examens documentaires sur la base des preuves existantes.

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This is one of seven Family Planning Evidence Briefs …

Réduction Des Grossesses Précoces Et Involontaires Chez Les Adolescents, Francis Obare, Caroline W. Kabiru, Venkatraman Chandra-Mouli, Matti Parry

Reproductive Health

Ce document fait partie de l’un des sept Résumés des preuves sur la planification familiale préparés dans le cadre du Sommet de la planification familiale tenu à Londres le 11 juillet 2017. Les résumés mettent en exergue les éléments de preuve et fournissent des considérations sur la recherche et les programmes pour améliorer l’accès à la planification familiale et réduire les grossesses non désirées. Les considérations relatives aux programmes sont basées sur les opinions expertes des auteurs, qui ont procédé à des examens documentaires sur la base des preuves existantes.

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This is one of seven Family Planning Evidence Briefs …

Exploration Du Rôle Potentiel Des Pharmacies Privées Dans L’Offre De Services De Planification Familiale Au Sénégal: Analyse Secondaire Es Données De Ademas, Fatou Mbow, Amadou Korka Diallo, Nafissatou Diop, Sérigne Momar Kane, Cheikh Saad Bou Sarr, Sara Chace Dwyer

Reproductive Health

No abstract provided.

Findings From The Workerhealth Post-Intervention Qualitative Assessment, Ashish Bajracharya

Reproductive Health

This end-of-project presentation summarizes the Evidence Project's WorkerHealth intervention results among female garment factory workers in Cambodia.

Exploration Du Rôle Potentiel Des Pharmacies Privées Dans L’Offre De Services De Planification Familiale Au Sénégal: Recherche Qualitative, Fatou Mbow, Nafissatou Diop, Sara Chace Dwyer, Fatou Ndiaye, Bocar Mamadou Daff

Reproductive Health

No abstract provided.

Health Education Materials For The Workplace: Implementation Guide For Workplaces, David Wofford, Suzanne Brockman, Carolyn Rodehau

Reproductive Health

No abstract provided.

Accélérer L’Adoption De La Planification Familiale Volontaire Et Fondée Sur Les Droits Dans Les Pays En Développement, Kazuyo Machiyama, Francis Obare, Venkatraman Chandra-Mouli, Doris Chou, Mario Festin, Rajat Khosla, James Kiarie, Lale Say, Nandita Thatte

Reproductive Health

Ce document fait partie de l’un des sept Résumés des preuves sur la planification familiale préparés dans le cadre du Sommet de la planification familiale tenu à Londres le 11 juillet 2017. Les résumés mettent en exergue les éléments de preuve et fournissent des considérations sur la recherche et les programmes pour améliorer l’accès à la planification familiale et réduire les grossesses non désirées. Les considérations relatives aux programmes sont basées sur les opinions expertes des auteurs, qui ont procédé à des examens documentaires sur la base des preuves existantes.

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This is one of seven Family Planning Evidence Briefs …

Expanding Access To Family Planning For Married Adolescent Girls In The Urban Slums Of Dhaka, Fauzia Akhter Huda, Nancy Termini Lachance

Reproductive Health

Early pregnancy is associated with adverse health, social, and economic consequences for girls, and Bangladesh has an adolescent fertility rate that is among the highest in the region. Poor, slum-dwelling girls are especially vulnerable. This policy brief outlines a project that icddr,b, a STEP UP project partner, initiated to test three innovative strategies aiming to support the unmet family planning needs of these girls. This brief concludes with government-level policy and program recommendations based on the evidence of this project for leveraging existing government health programs to better serve the needs of married adolescent girls and reduce their risks of …

Expanding Contraceptive Choice, Heather Clark, Saumya Ramarao, Catherine Unthank, Kazuyo Machiyama, Nandita Thatte

Reproductive Health

Expanding the range of contraceptive options helps individuals to make choices appropriate to their needs and circumstances, allows them to switch from one method to another if desired, and reflects a program focus on quality and rights. This policy brief outlines policy and program considerations in order to establish and maintain well-functioning supply chains for an expanded choice of contraceptives: introducing new contraceptive technologies to satisfy the diverse preferences of women and their partners; overcoming access barriers to existing methods such as adverse economic and social circumstances, including gender norms; and maximizing the potential of expanded contraceptive choice by ensuring …

How Are Educated Women In Ghana Regulating Fertility Without High Levels Of Modern Contraceptive Use?, Kazuyo Machiyama, Cicely Marston, Nancy Termini Lachance, Terence Adda-Balinia, Placide Tapsoba

Reproductive Health

While Ghana has made striking gains in enabling its women to use family planning to reduce family size—the total fertility rate shifted from 7.0 to 4.2 children per woman from the 1970s to the 2010s—the Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP) studies found that educated women in Ghana are achieving their fertility goals by limited use of highly effective contraceptive methods. Their fertility regulation strategies involve contraceptive method mosaics that have not been captured by the DHS. This evidence summary aggregates research from the STEP UP Research Programme Consortium along with other related evidence to explore this …

Examining And Strengthening The Role Of Patent And Proprietary Medicine Vendors In The Provision Of Injectable Contraception In Nigeria, Salisu Mohammed Ishaku, Kayode Afolabi, Sara Chace Dwyer, Faizah Okunade, Chiamaka Uzomba, Adedamola Adebayo, Elizabeth Tobey, Aparna Jain

Reproductive Health

Results from an implementation research study in Nigeria found that with training, Patent and Proprietary Medicine Vendors (PPMVs), regardless of their previous health care experience, could competently administer injectable contraceptives and that clients reported receiving quality services from trained PPMVs. From 2015 to 2018, the Evidence Project conducted a study to better understand the role of PPMVs in offering voluntary injectable services (e.g., selling, counseling, referring to health centers, and administering). The study was conducted in response to Nigeria's family planning context and the role of PPMVs in the informal health sector. | In Nigeria, the bulk of contraceptive services …

Investigating The Feasibility And Acceptability Of Sayana® Press Self-Injection In Ghana, Evidence Project

Reproductive Health

At the request of the Ghana Health Service (GHS), the Evidence Project, through the Population Council and with funding from USAID/Ghana, is studying the feasibility and acceptability of Sayana® Press self-injection, and by extension, informing its introduction in Ghana. The primary objectives of the seven-month study are to assess the feasibility of introducing Sayana® Press self-injection and its acceptability among both health workers and injectable clients. Results from the study are expected to inform the national strategy, including procurement and scale-up of Sayana® Press in the public and private sectors. | The Ghana Health Service has a strong commitment to …

Lessons Learned From The Cambodia Enterprise Infirmary Guidelines Development Process, Bunmey Yat, David Wofford

Reproductive Health

Women of reproductive age in Cambodia, and many other developing countries, comprise a large part of factories’ workforce. Integrating family planning and reproductive health information and services into factories can improve workers’ health and help countries achieve FP2020 commitments. This case study looks at the process of how the Cambodian Ministry of Labor and Vocational Training launched, as formal policy, a set of workplace health infirmary guidelines for enterprises. What made this policy process unique for Cambodia—and what can be replicated by health advocates elsewhere—is that a group of organizations typically focused on public health policy successfully engaged on labor …

Exploration Du Rôle Potentiel Des Pharmacies Privées Dans L’Offre De Services De Planification Familiale Au Sénégal: Revue Documentaire Sur Les Évidences Non Juridiques, Alou Diaby, Fatou Mbow, Mohamadou Sall, Sara Chace Dwyer

Reproductive Health

No abstract provided.

Exploration Du Rôle Potentiel Des Pharmacies Privées Dans L’Offre De Services De Planification Familiale Au Sénégal : Synthèse De L’Étude, Fatou Mbow, Sara Chace Dwyer, Nafissatou Diop

Reproductive Health

No abstract provided.

Rights-Sizing Family Planning: A Toolkit For Designing Programs To Respect, Protect, And Fulfill The Rights Of Girls And Women, Fp2020

Reproductive Health

This toolkit was developed primarily to provide guidance and background on rights-based family planning with the aim of helping stakeholders in FP2020 Commitment Countries develop a Costed Implementation Plan (CIP) that includes a rights frame calling for respectful and client-focused care. We have found that the material in the toolkit is useful to those who want a clearer understanding of what is meant by rights and how this can be operationalized.