CCIH 2012 Conference, Breakout 3, Lauren VanEnk, It Takes a Village: Engaging the Christian Community in Family Planning Success, Revitalizing Family Planning in CHAs

Revitalizing family planning inChristian Health Associationsthrough community healthworkers and religious leadersLauren VanEnk, MPHInstitute for Reproductive HealthGeorgetown University

Reach of CHAs across Africa

CHAK’s dream:• That family planning (FP) education and options will become easily accessible through a community-based distribution system• That FP will cease to be restricted to hospitals where it is offered as medical treatment but instead will be transformed into an opportunity for Family Centered Health Care• That FP will become a right for every woman and family - Dr. Samuel Mwenda, Director of CHAK and ACHA Platform

Mobilizing FBOs to expand access to and choice in FPDonor World Bank ChristianPartners Christian Institute for Connections Health Reproductive for Association of Health (IRH) International Kenya (CHAK) Health (CCIH) Strengthen the capacity of Christian Health Associations toGoal improve access to FP information and services, emphasizing opportunities for regional scale-up.

Project Objectives1. Strengthen FP service delivery – TOT for master trainers – Facility-based Trainings – Community-based Trainings2. Sensitize Religious Leaders – Develop IEC materials for FBO context – Informational workshops for pastors3. Strengthen reporting process – Develop CHW reporting tools – Ensure supportive supervision provided to CHWs4. Develop capacity building strategy for regional implementation – Introduce project at regional conference in Ghana – Disseminate model at an end of project workshop

Pilot introduction of community-based FP through CHAK facilities• 67 community health workers (CHWs) trained to provide FP information and methods• CHWs distributed pills, condoms, Standard Days Method® (SDM)/ CycleBeads®, Lactational Amenorrhea Method (LAM), referrals to facility for all other methods• SDM was introduced for the first time as a new method, bringing new users to FP

Capacity Building Strategycomponents Establish Create a Ongoing Establish Supportive Training Reporting Supervision 5 Supply Chain Environment Mechanism of CHWs Capacity Building Strategy In order for project This capacity building strategy Project managers/ To create a CHWs attend to be successful, relies on a training curriculum supervisors must supportive supervision visits CHWs must have for CHWs based on the WHO ensure CHWs are able environment for FP monthly to submit access to FP flipchart for FP provision. to complete FP reports. provision at the reporting forms, supplies. community level, a receive resupplies Activities Supervisors are equipped to It is equally important one-day workshop of FP commodities provide this training as well as that facilities readily with pastors is (if possible), and ongoing supervision to CHWs. receive CHW reports conducted. receive support and and record them in refresher their service statistics. Pastors create action instruction on plans detailing how knowledge gaps. they will use this information with their congregations. • CHW Curriculum • Reporting forms • Bible Study guide • Supervision • Presentations, including • WHO flipchart for checklist • Knowledge Tools HTSP FP provision • WHO flipchart for FP • HTSP Improvement provision presentation Tool • Client cards

Establish Supply ChainMust Haves:• Pills, condoms, and CycleBeads at the community level• Stakeholder involvement

TrainingMust Haves: Tools:• Work with existing • CHW Curriculum cadre of CHWs • Presentations, including HTSP • WHO flipchart for FP provision • Client cards

Establish Reporting MechanismMust Haves: Tools:• Tested reporting forms • Reporting forms• Facility staff understands their role• MOH buy-in

Create a Supportive EnvironmentMust Haves: Tools:• Pastors willing to share • Bible study guide health information with • WHO flipchart for FP their congregations provision • HTSP presentation

Ongoing Supervision of CHWsMust Haves: Tools:• Stakeholder • Supervision checklist involvement • Knowledge• Incentive for CHWs Improvement Tool• Capable supervisors equipped to support CHWs

Capacity Building Strategycomponents Establish Create a Ongoing Establish Supportive Training Reporting Supervision 5 Supply Chain Environment Mechanism of CHWs Capacity Building Strategy In order for project This capacity building strategy Project managers/ To create a CHWs attend to be successful, relies on a training curriculum supervisors must supportive supervision visits CHWs must have for CHWs based on the WHO ensure CHWs are able environment for FP monthly to submit access to FP flipchart for FP provision. to complete FP reports. provision at the reporting forms, supplies. community level, a receive resupplies Activities Supervisors are equipped to It is equally important one-day workshop of FP commodities provide this training as well as that facilities readily with pastors is (if possible), and ongoing supervision to CHWs. receive CHW reports conducted. receive support and and record them in refresher their service statistics. Pastors create action instruction on plans detailing how knowledge gaps. they will use this information with their congregations. • CHW Curriculum • Reporting forms • Bible Study guide • Supervision • Presentations, including • WHO flipchart for checklist • Knowledge Tools HTSP FP provision • WHO flipchart for FP • HTSP Improvement provision presentation Tool • Client cards

Change in Pill Use and SDM/CycleBeads Use Pre and Post Community-based FP Provision 3500 350 3000 300 2500 250 2000 200 Jan-Feb 1500 150 2011 100 Jan-Feb 1000 2012 500 50 0 0 Pills dispersed CycleBeads dispersedStatistics from Chogoria Presbyterian Hospital

Changes in Injectable, IUD, and Implant Use Pre and Post Community-based FP Provision1300 25 201250 20 151200 151150 10 101100 51050 5 01000 0 Implants Injectables IUDs dispersed dispersed dispersed Statistics from Chogoria Presbyterian Hospital

Lessons Learned• No Product, No Program• Lay the ground work: advocacy and stakeholder involvement is crucial• Expanding the method mix at the community level can increase method use and bring new users to FP

Thank you!

CHAK FP Supply Chain

CCIH 2012 Conference, Breakout 3, Lauren VanEnk, It Takes a Village: Engaging the Christian Community in Family Planning Success, Revitalizing Family Planning in CHAs

by Christian Connections for International Health on Jul 04, 2012

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CCIH 2012 Conference, Breakout 3, Lauren VanEnk, It Takes a Village: Engaging the Christian Community in Family Planning Success, Revitalizing Family Planning in CHAs Presentation Transcript

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