Assessment of Family Planning and Immunization Service Integration in Malawi

This is a mixed methods process evaluation of a programmatic intervention to integrate family planning and immunization services at health facilities and through outreach services in Dowa and Ntchisi districts of Malawi. The study involved qualitative methods (in depth interviews and focus group discussions with service providers, mothers and fathers of infants <1 year, and supervisors and program managers) as well as secondary analysis of service statistics for family planning and immunization services and of supervision reports.

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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

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

Inclusion criteria

All health facilities and associated outreach sites in Ntchisi and Dowa districts implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program

Exclusion criteria

All health facilities and associated outreach sites not implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program

Treatment and study plan

Family planning and infant immunization service integration

Behavioral

The approach involved integration of services through health surveillance assistant (HSA) outreach as well as through the health facility platform. The HSAs provided door to door FP services in their designated communities as well as provided integrated FP and Immunisation services at village clinics and outreach sessions. At outreach sessions, mothers were offered both routine infant immunization and family planning services (pills, condoms, injectables plus referrals for other methods). At health facilities, mothers who sought routine infant immunization services were offered same-day family planning services and those who seek family planning services are also screened for infant immunization schedule completion / need for infant immunization services. HSAs and health facility providers were trained on FP-immunization service integration and were monitored through regular supportive supervision visits.

Primary outcomes

Number of modern family planning users

Time frame: June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)
Number of Penta 1 doses administered

Time frame: June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)
Number of Penta 3 doses administered

Time frame: June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016)

Sponsors and collaborators

Lead sponsor

Jhpiego

Other

Collaborators

John Snow, Inc.

Registry information

Important dates

Study start: 2016
Primary completion: 2017
Study completion: 2017
First posted: Jan 19, 2018
Registry last updated: Jan 19, 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.

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Completed