Family Planning and Reproductive Health

Family planning allows women and couples to determine whether and when to have children. The ability to make these choices is fundamental to healthy families and communities worldwide. Improvement methods can help solve the many operational challenges to delivering family planning and reproductive health services in different settings, including integrating family planning with other health services, assuring the availability of a well-balanced mix of contraceptive methods, and increasing the effectiveness of family planning counseling to increase uptake of modern contraceptive methods at both the facility and community levels.

Strengthening integrated family planning/maternal and neonatal health postpartum services and associated health system functions in Niger

Family planning (FP) is known to be one of the highest impact interventions for reducing maternal and child mortality, yet in Niger, there is a high unmet demand for family planning services. With support from the Ministry of Public Health and the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, improvement teams in two hospitals and 14 health centers in Niger incorporated client-centered family planning services in their routine postpartum care, with an eye towards improving client choice and adherence to the selected FP method.

Evaluation of an Intervention to Improve Essential Obstetric and Newborn Care Access and Quality in Cotopaxi, Ecuador

Despite improvements in health-care utilization, disadvantages persist among rural, less educated, and indigenous populations in Ecuador. The United States Agency for International Development-funded Cotopaxi Project created a provincial-level network of health services, including community agents to improve access, quality, and coordination of essential obstetric and newborn care.

Using Collaborative Improvement to Enhance Postpartum Family Planning in Niger

The report describes the ASSIST project intervention in 16 facilities in Niger that led to an improvement in postpartum family planning (PPFP) quality and uptake, and adherence with selected FP methods of choice. The intervention, which happened over a period of eight months, also contributed to the reduction of unmet FP need and achieving healthy timing and spacing of pregnancies (HTSP).

Synthèse de la mise en oeuvre de la planification familiale du post-partum au Mali

Le projet USAID/ASSIST Mali est un projet d’assistance technique pour le renforcement de la qualité des systèmes de santé et de la capacité des gestionnaires de santé au Mali. Il a été sollicité par le Ministère de la Santé pour améliorer la qualité des services de planification familiale dans le post partum dans la région de Kayes. Le projet a démontré dans un premier temps qu’à travers la mise en oeuvre de l’amélioration de la qualité appliquée à la planification familiale dans le post partum, le taux d’utilisation de la PF a connu un accroissement significatif.

Improving Quality of Post-Partum Family Planning in Low-Resource Settings

Postpartum Family Planning (PPFP) aims to prevent the high risk of unintended and closely spaced pregnancies during the first year following childbirth. It is one of the highest impact interventions to avoid increased risk of premature birth, low birth weight, fetal and neonatal death, and adverse maternal health outcomes.

Identification of Challenges and Needs to Improve Community Health Workers Performance: Narratives of Accredited Social Health Activists (ASHA) from Two Indian Districts

Community health workers (CHW) are recognized for their value in providing reproductive, maternal, and child health services at the community level. Although available research points to challenges that they face, discussion on how they perceive these challenges or what they need to improve their work experience is not extensive.  

Scaling up a quality improvement initiative under the Government of India’s RMNCH+A program: Lessons from Chamba District

Praveen Sharma

Head of Programs, India, USAID ASSIST Project/URC

From December 2013, ASSIST’s India team started providing support for quality improvement (QI) initiatives to improve services at health facilities in Chamba District in Himachal Pradesh State. Within a few months, the district government saw good, sustained results from QI initiatives for the Government of India’s RMNCH+A program and with ASSIST’s support, the district government has been very active at all levels (facility, district, state) in scaling up QI.

USAID ASSIST Project Annual Performance Monitoring Report FY15

This annual report for the USAID ASSIST Project summarizes the project's accomplishments and results in FY15 supporting the application of modern improvement methods by host country providers and managers in USAID-assisted countries. During FY15, USAID ASSIST provided assistance in 23 countries through field and core funding.

FY15 Results:

Improving Outcomes for Mothers, Newborns, and Children

This short report describes the approaches used and some of the results achieved by the USAID ASSIST Project to improve care for mothers, newborns, and children.

Addressing Myths and Misconceptions to Increase the Uptake of Contraceptives: The experience of Bukuuku Health Center IV

With support from the United States Agency for International Development (USAID) and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), 18 health facilities in Western Uganda are preventing unintended and high-risk pregnancies and reducing maternal and new-born mortality by increasing the uptake of modern family planning methods.With support from USAID ASSIST and implementing partners, the facilities applied improvement methods to systematically address barriers to the supply of and demand for family planning.

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