Accepted for/Published in: JMIR Research Protocols
Date Submitted: Nov 30, 2021
Date Accepted: Jan 11, 2022
Effect of integrating Family Planning with Maternal, Newborn and Child Health services on uptake of voluntary modern contraceptive methods in rural Pakistan: Protocol for a Quasi-experimental study
ABSTRACT
Background:
Background:
The uptake of the Modern Contraceptive Methods (MCM) cumulatively remains low at 25% of women reporting the use in Pakistan. The overarching interventions covering service delivery platforms at facility and community levels necessitates the integration and scaling up of Family Planning (FP) and Maternal Newborn Child Health (MNCH) services
Objective:
The main objective of the study is to evaluate the impact of an integrated FP-MNCH service delivery model to increase coverage of MCM in a rural Pakistan. Moreover, to measure the level of effectiveness of interventions on the uptake MCM.
Methods:
A Quasi-experimental sequential mixed methods study design with pre and post evaluation will be adopted to design and evaluate the integrated FP with MNCH service delivery model. The Interventions include. (1) Capacity Strengthening of Health Care Providers including technical trainings, training for Counselling of women attending immunization centres and Antenatal Care (ANC) and Postnatal Care (PNC) clinics and Provision of Job aids. (2)Counselling of women and girls attending ANC, postnatal and paediatrics clinics. (3)Ensure sustained Provision of Supplies and Commodities. (4)Community Engagement including establishment adolescent friendly spaces, and (5) use of District health Information Data (DHIS) data in decision making. Descriptive statistics will be used to estimate prevalence (proportions) and frequencies of outcome indicators. A univariate difference-in-difference (DID) analytical approach will be used to estimate the effect of the interventions. In additions, a Blinder-Oaxaca decomposition analysis will be conducted to identify and quantifying determinants of mCPR.
Results:
Ethical clearance for this project was sought from Ethical Review Committee (ERC) of Aga Khan University on 26th June, 2020. The project started in January 2021 and will be completed in September 2022.
Conclusions:
This project will evaluate the impact of integrated family planning with maternal newborn and child health services. Furthermore, identify the drivers and barriers in uptake of modern contraceptive methods and simultaneously helps in modifying the interventional strategies that can be scales up through existing service delivery platforms within public and private sector according to local socio-cultural and health system context. Clinical Trial: clinicaltrials.gov NCT05045599: https://clinicaltrials.gov/ct2/show/NCT05045599
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