Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Lopez melanie-briefing-2016

196 views

Published on

Ensuring mothers are provided appropriate antenatal and delivery care, and offering the proper information and services for mothers to time and space their pregnancies are essential to building healthy families. World Vision will describe their work with religious leaders in Garba Tulla, Kenya to help pregnant moms thrive during their childbearing years.

Published in: Healthcare
  • Be the first to comment

  • Be the first to like this

Lopez melanie-briefing-2016

  1. 1. Sub- awardee logo here Melanie Lopez, MPH 21 June 2016 www.worldvision.org/our-impact/health The GarbaTulla HealthyTiming & Spacing of Pregnancy Project: Increasing Contraceptive Uptake in Northern Kenya Healthy Mothers, Healthy Children: The Role of Faith Communities Washington DC
  2. 2. Sub- awardee logo here Background/Context: Garba Tulla, Kenya Garba Tulla is a USAID-funded program, integrated into a larger Maternal and Child Health project (funded by WV Canada). Goal:To increase access to and use of voluntary Family Planning (FP) services through integration of Healthy Timing & Spacing of Pregnancies (HTSP) into a Maternal and Child Health (MCH) project in Garba Tulla District, Kenya • SO1: Increase access to FP services in the community • SO2: Increased knowledge & interest in HTSP/FP • SO3: Improved social & policy environment for FP services and positive Reproductive Health behaviors
  3. 3. Sub- awardee logo here Healthy Timing & Spacing of Pregnancies (HTSP). What does it mean? • An intervention that focuses on healthy fertility to help women, men and families, time and space their pregnancies to achieve desired family size and the healthiest outcomes for newborns, children, and women. • HTSP works within the context of free, informed and voluntary contraceptive choices.
  4. 4. Sub- awardee logo here Where in the world is GarbaTulla, Kenya? KENYA ISIOLO GARBA TULLA
  5. 5. Sub- awardee logo here Points of integration to increase utilization for HTSP/FP • Antenatal care: 73% of women get tetanus toxoid coverage during the fourth antenatal care visit • Immunization: High immunization coverage (72.6 percent) for fully immunized children under 2
  6. 6. Sub- awardee logo here Points of integration to increase utilization for HTSP/FP • Faith Leaders: Sheiks and Imams • Male Leaders: Chiefs, teachers, husbands, elders • Community HealthVolunteers (CHVs) and Community Health ExtensionWorkers (CHEWs)
  7. 7. Sub- awardee logo here SO: Community Mobilization – Faith Leaders, Male involvement
  8. 8. Sub- awardee logo here Results 0 100 200 300 400 500 600 Capacity Building, Male-FP counseling/services for CHWs Capacity Building, Male-FP counseling/services for other providers working in health facilities Cacacity Building, Female-FP counseling/services for CHWs Capacity Building, Female-FP counseling/services for other providers working in health facilities Number of community health workers (CHWs) and/or other health providers trained or supported, disaggregated by gender
  9. 9. Sub- awardee logo here Results 0 200 400 600 800 1000 1200 1400 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Number of community members reached with family planning messages by type of provider By CHEW (Other service providers in health facilities) By CHVs (Community health workers (CHWs)
  10. 10. Sub- awardee logo here Successes 0 50 100 150 200 250 300 350 400 450 500 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 # of clients receiving FP services integrated into MNCH services at the same location and time, disaggregated by sex Male Female
  11. 11. Sub- awardee logo here Successes 2870 0 1867 184 3 0 45 1098 1 605 0 514 724 0 500 1000 1500 2000 2500 3000 Male condom, Male Male Sterilization, Male SDM, Male Emergency Contraception, Female Female condom, Female Female Sterilization Implants, Female Injectables, Female IUD, Female Female Lactational Amenorrhea Male condom, Female Oral Contraceptive Pills, Female Standard Days Method (SDM), Female # of current users, disaggregated by sex and method # of current users by gender and method
  12. 12. Sub- awardee logo here Successes 18 89 376 179 451 757 0 200 400 600 800 1000 1200 Sep-14 Dec-14 Mar-16 Jun-16 Sep-16 Dec,2015 Male condom, Male Male Sterilization, Male SDM, Male Emergency Contraception, Female Female condom, Female Female Sterilization Implants, Female Injectables, Female IUD, Female Female Lactational Amenorrhea Oral Contraceptive Pills, Female Standard Days Method (SDM), Female # of current users over time, disaggregated by sex and method
  13. 13. Sub- awardee logo here Lessons Learned • The pivotal importance of men in FP programs In traditional societies, where men are the gate-keepers who control all access to resources, the initial focus of FP programs must be on men – chiefs, elders, imams and fathers • Increasing Contraceptive Use in conservative rural societies takes time In cultures with no tradition of contraceptive use, the initial step succeeds when it focuses on culturally compatible hormonal methods. • Socio-cultural factors like early child marriage must be taken into consideration Need to work on issues underlying child marriage through social norm-change interventions as well as economic interventions
  14. 14. Sub- awardee logo here Acknowledgements Project Staff: • Cynthia Nyakwama – WV Kenya • Shano Guyo – WV Kenya • Adrienne Allison – WVUS We thank: • USAID • Advancing Partners & Communities • Ministry of Health – Gov’t of Kenya

×