Assessment of Family Planning and Immunization Service Integration in Malawi

NCT03404284 | Completed

• 1 other identifier: IRB00007595
• Study Type: observational
• Target: 43
• Locations: 0 countries
• Sites: N/A

Brief Summary

This is a mixed methods process evaluation of a programmatic intervention to integrate family planning and immunization services at health facilities and through outreach services in Dowa and Ntchisi districts of Malawi. The study involved qualitative methods (in depth interviews and focus group discussions with service providers, mothers and fathers of infants \<1 year, and supervisors and program managers) as well as secondary analysis of service statistics for family planning and immunization services and of supervision reports.

Conditions

Contraception; Contraceptive Usage; Contraception Behavior; Infant, Newborn, Diseases

Keywords

Immunization

Outcome Measures

Primary Outcomes (3)

• Number of modern family planning users

  June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)

• Number of Penta 1 doses administered

  June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)

• Number of Penta 3 doses administered

  June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)

Study Arms (1)

Intervention facilities

Includes 43 health facilities and their associated outreach sites

Behavioral: Family planning and infant immunization service integration

Interventions

Family planning and infant immunization service integration BEHAVIORAL

The approach involved integration of services through health surveillance assistant (HSA) outreach as well as through the health facility platform. The HSAs provided door to door FP services in their designated communities as well as provided integrated FP and Immunisation services at village clinics and outreach sessions. At outreach sessions, mothers were offered both routine infant immunization and family planning services (pills, condoms, injectables plus referrals for other methods). At health facilities, mothers who sought routine infant immunization services were offered same-day family planning services and those who seek family planning services are also screened for infant immunization schedule completion / need for infant immunization services. HSAs and health facility providers were trained on FP-immunization service integration and were monitored through regular supportive supervision visits.

Intervention facilities

Eligibility Criteria

• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

43 health facilities and associated outreach sites in Ntchisi and Dowa districts of Malawi

You may qualify if:

• All health facilities and associated outreach sites in Ntchisi and Dowa districts implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program

You may not qualify if:

• All health facilities and associated outreach sites not implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program

Sponsors & Collaborators

• Jhpiego: lead
• John Snow, Inc.: collaborator

MeSH Terms

Conditions

Contraception Behavior; Infant, Newborn, Diseases

Interventions

Family Planning Services

Condition Hierarchy (Ancestors)

Reproductive Behavior; Behavior; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Community Health Services; Health Services; Health Care Facilities Workforce and Services; Reproductive Health Services

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 11, 2018
• First Posted: January 19, 2018
• Study Start: June 1, 2016
• Primary Completion: September 1, 2017
• Study Completion: September 1, 2017
• Last Updated: January 19, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share