Assessment of Family Planning and Immunization Service Integration in Liberia

NCT03571932 | Completed

• 1 other identifier: IRB00007524
• Study Type: observational
• Target: 36
• 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 in Lofa and Grand Bassa counties in Liberia. MCSP used a longitudinal, pair-matched design to monitor the effect of integrating immunization and FP services on utilization of FP and routine immunization services. In Lofa and Grand Bassa counties, 36 facilities were pair-matched to intervention and comparison sites based on predetermined criteria. After approximately 9 months of implementation, MCSP conducted a qualitative study employing key informant interviews (KIIs) and focus group discussions (FGDs) at intervention and comparison sites, and with district-, county-, and national-level MOH supervisors and managers.

Conditions

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

Outcome Measures

Primary Outcomes (3)

• Number of modern family planning users

  November 2016-July 2017

• Number of Penta 1 doses administered

  November 2016-July 2017

• Number of Penta 3 doses administered

  November 2016-July 2017

Study Arms (2)

Intervention Facilities

Includes 18 health facilities

Behavioral: Family planning and immunization service integration

Comparison facilities

Infludes 18 health facilities

Interventions

Family planning and immunization service integration BEHAVIORAL

The approach involved integration of immunization and family planning services at health facilities. Vaccinators provided brief FP messages one-on-one to mothers and offered a referral for same-day, co-located FP services at the end of each routine immunization visit. For women coming directly for FP, if women had an infant with them, FP providers asked to see the child's health card, checked the return date for the next vaccination and reminded the mother of the date to return. For women without their child or the child health card with them, FP providers reinforced the importance of vaccination, and encouraged the mothers to bring their child for all their vaccines and complete the immunization schedule in a timely manner. A job aid, referral cards, and IEC materials were introduced to support the integration process.

Intervention Facilities

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

18 Intervention health facilities and 18 pair matched comparison health facilities in Grand Bassa and Lofa counties.

You may qualify if:

• intervention facilities in Lofa and Grand Bassa counties
• pair matched comparison facilities in Lofa and Grand Bassa counties

You may not qualify if:

• Facilities not included in the intervention or selected for pair matching

Sponsors & Collaborators

• Jhpiego: lead
• United States Agency for International Development (USAID): collaborator
• 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: June 18, 2018
• First Posted: June 28, 2018
• Study Start: November 1, 2016
• Primary Completion: July 1, 2017
• Study Completion: July 1, 2017
• Last Updated: June 28, 2018

Record last verified: 2018-06

Data Sharing

• IPD Sharing: Will not share