Assessment of Family Planning and Immunization Service Integration in Liberia

This is a mixed methods process evaluation of a programmatic intervention to integrate family planning and immunization services at health facilities in Lofa and Grand Bassa counties in Liberia. MCSP used a longitudinal, pair-matched design to monitor the effect of integrating immunization and FP services on utilization of FP and routine immunization services. In Lofa and Grand Bassa counties, 36 facilities were pair-matched to intervention and comparison sites based on predetermined criteria. After approximately 9 months of implementation, MCSP conducted a qualitative study employing key informant interviews (KIIs) and focus group discussions (FGDs) at intervention and comparison sites, and with district-, county-, and national-level MOH supervisors and managers.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Contraception Behavior Congenital, Hereditary, and Neonatal Diseases and Abnormalities Contraception Behavior Contraceptive Usage Infant, Newborn, Diseases Reproductive Behavior

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

18 intervention facilities in Lofa and Grand Bassa counties
18 pair matched comparison facilities in Lofa and Grand Bassa counties

Exclusion criteria

Facilities not included in the intervention or selected for pair matching

Treatment and study plan

Family planning and immunization service integration

Behavioral

The approach involved integration of immunization and family planning services at health facilities. Vaccinators provided brief FP messages one-on-one to mothers and offered a referral for same-day, co-located FP services at the end of each routine immunization visit. For women coming directly for FP, if women had an infant with them, FP providers asked to see the child's health card, checked the return date for the next vaccination and reminded the mother of the date to return. For women without their child or the child health card with them, FP providers reinforced the importance of vaccination, and encouraged the mothers to bring their child for all their vaccines and complete the immunization schedule in a timely manner. A job aid, referral cards, and IEC materials were introduced to support the integration process.

Primary outcomes

Number of modern family planning users

Time frame: November 2016-July 2017
Number of Penta 1 doses administered

Time frame: November 2016-July 2017
Number of Penta 3 doses administered

Time frame: November 2016-July 2017

Sponsors and collaborators

Lead sponsor

Jhpiego

Other

Collaborators

John Snow, Inc.
United States Agency for International Development (USAID)

Registry information

Important dates

Study start: 2016
Primary completion: 2017
Study completion: 2017
First posted: Jun 28, 2018
Registry last updated: Jun 28, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed