PMID- 32047599
OWN - NLM
STAT- MEDLINE
DCOM- 20200612
LR  - 20200612
IS  - 2046-1402 (Electronic)
IS  - 2046-1402 (Linking)
VI  - 8
DP  - 2019
TI  - Characteristics of successful integrated family planning and maternal and child 
      health services: Findings from a mixed-method, descriptive evaluation.
PG  - 229
LID - 10.12688/f1000research.17208.2 [doi]
LID - 229
AB  - Background: Most postpartum women in low- and middle-income countries want to 
      delay or avoid future pregnancies but are not using modern contraception. One 
      promising strategy for increasing the use of postpartum family planning (PPFP) is 
      integration with maternal, newborn and child health (MNCH) services. However, 
      there is limited evidence on effective service integration strategies. We examine 
      facilitators of and barriers to effective PPFP integration in MNCH services in 
      Kenya and India.   Methods: We conducted a cross-sectional, mixed-method study in 
      two counties in Kenya and two states in India. Data collection included surveying 
      215 MNCH clients and surveying or interviewing 82 health care providers and 
      managers in 15 health facilities across the four sites. We analyzed data from 
      each country separately. First, we analyzed quantitative data to assess the 
      extent to which PPFP was integrated within MNCH services at each facility. Then 
      we analyzed qualitative data and synthesized findings from both data sources to 
      identify characteristics of well and poorly integrated facilities. Results: PPFP 
      integration success varied by service delivery area, health facility, and 
      country. Issues influencing the extent of integration included availability of 
      physical space for PPFP services, health workforce composition and capacity, 
      family planning commodities availability, duration and nature of support 
      provided. Conclusions: Although integration level varied between health 
      facilities, factors enabling and hindering PPFP integration were similar in India 
      and Kenya. Better measures are needed to verify whether services are integrated 
      as prescribed by national policies.
CI  - Copyright: (c) 2019 Pfitzer A et al.
FAU - Pfitzer, Anne
AU  - Pfitzer A
AUID- ORCID: 0000-0001-5438-508X
AD  - Maternal and Child Survival Program, Jhpiego, Washington, DC, 20036, USA.
FAU - Maly, Christina
AU  - Maly C
AD  - Jhpiego, Baltimore, MD, 21231, USA.
FAU - Tappis, Hannah
AU  - Tappis H
AUID- ORCID: 0000-0002-4289-5418
AD  - Jhpiego, Baltimore, MD, 21231, USA.
FAU - Kabue, Mark
AU  - Kabue M
AD  - Jhpiego, Baltimore, MD, 21231, USA.
FAU - Mackenzie, Devon
AU  - Mackenzie D
AD  - Maternal and Child Survival Program, Jhpiego, Washington, DC, 20036, USA.
FAU - Healy, Sadie
AU  - Healy S
AD  - Molloy Consultants, Cincinnati, OH, 45208, USA.
FAU - Srivastava, Vineet
AU  - Srivastava V
AD  - Jhpiego, New Delhi, 110020, India.
FAU - Ndirangu, Gathari
AU  - Ndirangu G
AUID- ORCID: 0000-0002-3040-4298
AD  - Jhpiego, Lusaka, Zambia.
LA  - eng
SI  - Dryad/10.5061/dryad.11313
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20190228
PL  - England
TA  - F1000Res
JT  - F1000Research
JID - 101594320
SB  - IM
MH  - Child
MH  - Child Health Services/*organization & administration
MH  - Cross-Sectional Studies
MH  - Family Planning Services/*organization & administration
MH  - Female
MH  - Humans
MH  - India
MH  - Infant, Newborn
MH  - Kenya
MH  - Maternal Health Services/*organization & administration
MH  - Pregnancy
PMC - PMC6993833
OTO - NOTNLM
OT  - family planning
OT  - health services
OT  - integration
OT  - maternal and child health
OT  - postpartum
COIS- No competing interests were disclosed.
EDAT- 2020/02/13 06:00
MHDA- 2020/06/13 06:00
PMCR- 2020/01/13
CRDT- 2020/02/13 06:00
PHST- 2019/02/19 00:00 [accepted]
PHST- 2020/02/13 06:00 [entrez]
PHST- 2020/02/13 06:00 [pubmed]
PHST- 2020/06/13 06:00 [medline]
PHST- 2020/01/13 00:00 [pmc-release]
AID - 10.12688/f1000research.17208.2 [doi]
PST - epublish
SO  - F1000Res. 2019 Feb 28;8:229. doi: 10.12688/f1000research.17208.2. eCollection 
      2019.