Family planning implementation example documentation

[MaxDiz]

Family planning is a workflow deployed across 25%+ of CHT projects. We should provide a detailed example on the documentation site for implementing partner reference. Proposed structure of the documentation:

• intro
• problem being addressed
• solution overview
• user roles
• reporting hierarchy
• care / app workflow
• impact metrics (or reference to related documentation)

cc: @helizabetholsen

[helizabetholsen]

relevant impact logic: https://docs.google.com/document/d/16G9nrPSL4FD6QLKcPJj9Jtkhbu5D-qT6M4e8BFY-AsU/edit

relevant impact metrics: https://docs.google.com/spreadsheets/d/1xDceEiV1gLbIqDwov5Km_8iCGcRibhUJRAnrfcjdkaQ/edit#gid=1928790561

[helizabetholsen]

Introduction

Access to family planning resources is a critical component of achieving the Sustainable Development Goals and ensuring that all women have access to care and resources to manage their reproductive health and the health of their families. For health systems supported by the Community Health Toolkit, community health workers (CHWs) and other frontline health workers are able to use digital tools to counsel women on their options, provide long-term or short-term contraceptive options, and follow-up to ensure that women are using the right method for them and their families.

Problem Being Addressed

As reported by the World Health Organization (WHO), over 200 million women of reproductive age in low- and middle-income countries (LMICs) who want to avoid pregnancy are not using a modern contraceptive method. Closely spaced, ill-timed, and unwanted pregnancies contribute to some of the world’s highest maternal mortality and infant mortality rates (WHO 2018).

Solution Overview

Need input from service design team

The Family Planning workflow for the Community Health Toolkit assists CHWs in advising men and women on their family planning options when the time is opportune. This means integrating family planning activities into existing touch points (i.e. pregnancy screenings, postnatal care assessments, household registration and routine household visits). Key aspects of this workflow include: 1) Identification of eligible women to receive family planning counseling (of reproductive age, not pregnant, 2) Counseling provided & potential outcomes, and 3) Follow-up according to the health system protocol.

A successful family planning workflow seeks to accomplish the following:

• Assess demand for family planning services in their catchment area
• Counsel women and men on family planning method selection, including identification of risk factors and preferred methods
• Deliver contraception to the household, if able and requested
• Refer women to a health facility for long-term methods
• Ensure that proper and on-time follow-up occurs via tasks and schedule within the CHT

User Roles

Need input from service design team, likely similar to the PHC monitoring content

Reporting Hierarchy

Need input from service design team, likely similar to PHC monitoring content

Workflow Diagram

Can only find sketch included in Impact Logic document

Impact Metrics

There are a few key impact metrics that we use to track activity and impact across deployment of the CHT that include the Family Planning workflow. These are intended for cross-project learnings across model-building partners, informing product feature updates, and other research purposes. Our prioritized metrics aim to answer the question “Are CHWs interacting with the family planning workflow? If so, how?”

These metrics include:

• number of CHWs participating in family planning
• number of women counseled on family planning
• number of women newly using family planning after CHW counseling session
• number of women switching methods after CHW counseling session
• number of family planning follow-ups
• number of women receiving contraceptives at home

For more information, please refer to our Impact Metrics & Monitoring documentation.