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Revitalizing family planning inChristian Health Associationsthrough community healthworkers and religious leadersLauren Va...
Reach of CHAs across Africa
CHAK’s dream:•   That family planning (FP) education and options    will become easily accessible through a    community-b...
Mobilizing FBOs to expand access  to and choice in FPDonor                                        World Bank              ...
Project Objectives1. Strengthen FP service delivery  –    TOT for master trainers  –    Facility-based Trainings  –    Com...
Pilot introduction of community-based FP through CHAK facilities•   67 community health workers (CHWs)    trained to provi...
Capacity Building Strategycomponents                                                                                      ...
Establish Supply ChainMust Haves:•   Pills, condoms, and    CycleBeads at the    community level•   Stakeholder    involve...
TrainingMust Haves:               Tools:• Work with existing      • CHW Curriculum  cadre of CHWs           • Presentation...
Establish Reporting                  MechanismMust Haves:                Tools:• Tested reporting forms   • Reporting form...
Create a Supportive                   EnvironmentMust Haves:                  Tools:• Pastors willing to share   • Bible s...
Ongoing Supervision of                  CHWsMust Haves:             Tools:• Stakeholder           • Supervision checklist ...
Capacity Building Strategycomponents                                                                                      ...
Change in Pill Use and  SDM/CycleBeads Use Pre and Post  Community-based FP Provision   3500                              ...
Changes in Injectable, IUD, and   Implant Use Pre and Post   Community-based FP Provision1300                             ...
Lessons Learned• No Product, No Program• Lay the ground work:  advocacy and stakeholder  involvement is crucial• Expanding...
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Revitalizing family planning in Christian Health Associations through community health workers and religious leaders

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  • You can see here the 5 components of the strategy which are outlined in greater detail in a forthcoming report.
  • You can see here the 5 components of the strategy which are outlined in greater detail in a forthcoming report.
  • No Product, No Program. This couldn’t be more applicable for community-based family planning programs. Success hinges on the availability of family planning supplies, and CHWs rely on supervisors and project managers to ensure their availability. Stockouts are a common problem in most countries and even moreso within most CHAs. Special attention must be paid to addressing stockouts before the project begins, not after/during because then it is too late. If no formal CHW training program exists in-country, special attention must be given to communicating with ALL stakeholders about the project. Emphasis the credibility of CHWs to provide FP and distribute supplies. Ensure that facilities incorporate CHW reports into facility statistics submitted to the district and national level. This is especially important if CHWs in church-based networks visit government facilities rather than CHA facilities to pick up supplies and turn in reports.Introducing SDM in project sites brought renewed interest to family planning use. Project results showed that use of pills more than tripled as compared to the previous year, and uptake of CycleBeads--which was added to the method mix for the first time--was high. Use of implants and injectables also increased, indicating that the CHWs are referring clients to health facilities for methods they are not able to provide at the community level.
  • Transcript of "Revitalizing family planning in Christian Health Associations through community health workers and religious leaders "

    1. 1. Revitalizing family planning inChristian Health Associationsthrough community healthworkers and religious leadersLauren VanEnk, MPHInstitute for Reproductive HealthGeorgetown University
    2. 2. Reach of CHAs across Africa
    3. 3. 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
    4. 4. 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.
    5. 5. 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
    6. 6. 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
    7. 7. 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 relies on a training curriculum supervisors must supportive supervision visits successful, CHWs for CHWs based on the WHO ensure CHWs are able environment for FP monthly to submit must have access to flipchart for FP provision. to complete FP reports. provision at the reporting FP supplies. community level, a forms, receive Activities Supervisors are equipped to It is equally important one-day workshop resupplies of FP provide this training as well as that facilities readily with pastors is commodities (if ongoing supervision to CHWs. receive CHW reports conducted. possible), and and record them in receive support and their service statistics. Pastors create action refresher plans detailing how instruction on they will use this knowledge gaps. 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
    8. 8. Establish Supply ChainMust Haves:• Pills, condoms, and CycleBeads at the community level• Stakeholder involvement
    9. 9. TrainingMust Haves: Tools:• Work with existing • CHW Curriculum cadre of CHWs • Presentations, including HTSP • WHO flipchart for FP provision • Client cards
    10. 10. Establish Reporting MechanismMust Haves: Tools:• Tested reporting forms • Reporting forms• Facility staff understands their role• MOH buy-in
    11. 11. 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
    12. 12. Ongoing Supervision of CHWsMust Haves: Tools:• Stakeholder • Supervision checklist involvement • Knowledge• Incentive for CHWs Improvement Tool• Capable supervisors equipped to support CHWs
    13. 13. 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 relies on a training curriculum supervisors must supportive supervision visits successful, CHWs for CHWs based on the WHO ensure CHWs are able environment for FP monthly to submit must have access to flipchart for FP provision. to complete FP reports. provision at the reporting FP supplies. community level, a forms, receive Activities Supervisors are equipped to It is equally important one-day workshop resupplies of FP provide this training as well as that facilities readily with pastors is commodities (if ongoing supervision to CHWs. receive CHW reports conducted. possible), and and record them in receive support and their service statistics. Pastors create action refresher plans detailing how instruction on they will use this knowledge gaps. 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
    14. 14. 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
    15. 15. 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
    16. 16. 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
    17. 17. Thank you!
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