Family Planning

Inspiring Married Adolescent Girls to Imagine New Empowered Futures (IMAGINE)

Each year around the world, almost 13 million girls under the age of 20 give birth, nearly 1 million of whom are younger than 15 (1). Child marriage is a strong indicator of early birth; 90% of adolescent pregnancies in the developing world are to girls who are already married; and married adolescents are more likely to experience frequent and early pregnancies than their unmarried peers (2, 3). Adolescent girls who undergo early marriage (often defined as prior to age 18) and subsequent rapid birth are more likely to experience a host of negative physical, mental and economic outcomes, including complications during pregnancy and delivery, higher rates of maternal mortality, and poor educational and economic outcomes for both themselves and their children (2-5). Read More...

Strengthening Approaches for Maximizing Maternal and Newborn Health (SAMMAN)

The use of the family planning method enables people to achieve their desired number of children and helps to reduce unintended and high-risk pregnancies and unsafe abortions, which contributes to saving the lives of many women. The main objective of this study is to examine the post-intervention impact on the use of family planning methods among married women of reproductive age in Nepal. Read More...

PROMOTION DE LA SANTE DE LA MERE ET DE L’ENFANT (PSME)

La vaccination et les services de planification familiale sont deux composantes importantes des soins de santé primaire. La plupart des femmes en période post-partum prolongée souhaitent retarder ou éviter d’autres grossesses mais beaucoup d’entre elles n’utilisent pas de méthode moderne de contraception. Une analyse des données provenant de plusieurs pays a montré que les besoins de contraception non satisfaits chez cette population étaient très importants, allant de 45 % à plus de 80 % des femmes en post-partum (Borda and Winfrey, 2008). La planification familiale permet aux couples d’avoir le nombre d’enfants qu’ils désirent et de choisir le moment et l’espacement des grossesses, ce qui permet d’améliorer la santé de la mère et de l’enfant. Les grossesses trop rapprochées peuvent représenter un danger pour la santé de la mère et de l’enfant (OMS, 2007a). Les grossesses espacées de moins de 18 à 24 mois ont été associées à des risques plus élevés de naissance prématurée, de faible poids de naissance, de décès fœtal, néonatal ou du nourrisson, et d’effets négatifs sur la santé maternelle (Conde-Agudelo et al. 2012). La vaccination des enfants est l’un des services de santé les plus équitables et les plus utilisés dans le monde. Le calendrier de vaccination et de soins de santé primaire recommandé pendant la première année de vie de l’enfant donne lieu à de nombreux contacts pour des soins de santé. Veiller à ce que des services et conseils de planification familiale soient liés aux contacts pour la vaccination des enfants via des services de santé primaire bien gérés peut permettre de proposer aux mères des informations et des services de planification familiale pendant la période critique des 12 mois suivant l’accouchement. Une modélisation à partir de données provenant de cinq pays d’Afrique subsaharienne a montré que le fait d’entrer en contact avec les femmes en post-partum au moment de la vaccination infantile pouvait faire diminuer les besoins de planification familiale non satisfaits de 3,8 à 8,9 points de pourcentage (Gavin et al. 2011). Dans ce contexte, CARE Benin/Togo, sur financement de la Fondation GSK en collaboration avec le Ministère de la Santé et de l’Hygiène Publique du Togo, a mis en œuvre depuis Décembre 2018 une initiative de renforcement du système de santé et d'intégration des services de vaccination et de planification familiale dans 11 Formations Sanitaires du district de la Binah dans la Région de la Kara au Togo, dénommée « Promotion de la Santé de la Mère et de l’Enfant (PSME) [48 Pages]. Read More...

The Final Evaluation of the Opportunities for Mother and Infants Development Project

The Opportunities for Mother and Infant Development (OMID) is a three year project (from 2018 to 2021), funded by The Glaxo Smith Kline (GSK). The current phase of the project has been implemented in the two districts (16th and 17th) in Kabul city. The main purpose of the project is to improve the health and reduce the mortality among mothers, newborns and children in the most vulnerable communities through community-based interventions facilitated and delivered by Community Health Workers (CHWs) and Community Midwives (CMWs).

Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.

This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there

And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason

The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...

PROMOTION DE LA SANTE DE LA MERE ET DE L’ENFANT (PSME) Final

La vaccination et les services de planification familiale sont deux composantes importantesdes soins de santé primaire. La plupart des femmes en période post-partum prolongée souhaitent retarder ou éviter d’autres grossesses mais beaucoup d’entre elles n’utilisent pas de méthode moderne de contraception. Une analyse des données provenant de plusieurs pays a montré que les besoins de contraception non satisfaits chez cette population étaient très importants, allant de 45 % à plus de 80 % des femmes en post-partum (Borda and Winfrey, 2008). La planification familiale permet aux couples d’avoir le nombre d’enfants qu’ils désirent et de choisir le moment et l’espacement des grossesses, ce qui permet d’améliorer la santé de la mère et de l’enfant [48 pages]. Read More...

Hinnou Vivo Final Evaluation

The project HINNOU VIVO, which kicked off in January 2015, drew to its close on 20 December 2019 following the implementation of its phase II. The purpose of this final evaluation is to measure the progress made and the results obtained following its implementation, in terms of improving family planning and immunization services with regard to the evolution of the contraceptive prevalence rate within the Adjohoun-Bonou-Dangbo healthcare zone (ABD/HZ) and across the healthcare areas (health centres and beneficiary communities) within the said healthcare zone. The evaluation also aims to determine the factors of the project which proved to be determining factors in this improvement of the contraceptive prevalence rate, to assess the effectiveness of the project implementation strategy (i.e. the immunization/FP activities’ integration strategy) and to assess the attitudes of healthcare providers in relation to the project results obtained. Read More...

The NGO Health Service Delivery Project 2012 – 2018 – Final Report

From 2012 to 2017, USAID supported the Surjer Hashi (SH), or Smiling Sun, network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Development (DfID) provided additional funding beginning in the second project year. A consortium led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million people through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers (CSPs). In its five years of implementation, the SH network made 251,490,942 services contacts, 8,237,567 of which were for antenatal care (ANC) and 42,577,833 were adolescents or youth. More than three million visits to SH clinics for children under five years of age integrated activities to monitor children’s growth and promote healthy nutrition. By providing 7,839,430 Couple Years' Protection, the SH network averted 2,000 maternal and 10,000 child deaths and 1.9 million unwanted pregnancies. Read More...

RAPPORT FINAL D’EVALUATION: PROGRAMME PLANNING FAMILIAL ITINERANT (PFI) DE CARE-SERA

Ce rapport est l’évaluation finale du projet de SERA ROMANIA ‘Planning Familial Itinérant’ (PFI), dont le but global était de développer des services itinérants de planning familial afin de limiter le nombre de grossesses non désirées et dans le cas de grossesses, d’en améliorer le suivi en Roumanie. L’évaluation a été commanditée par CARE France. [25 pages] Read More...

évaluation à mi-parcours maman lumière

This 57 page document shows the mid-term findings from CARE Niger's Maman Lumiere program on reducin... Read More...

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