161024 Integration of reproductive health programs: Getting more for less

Tuesday, November 6, 2007: 2:30 PM

Mohamed Abou Nar, MS, MBA , TAHSEEN/CATALYST, Cairo, Egypt
Andy Cole , Pathfinder International Egypt, Maadi, Cairo, Egypt
Taroub Faramand, MD, MPH , Palestinian Health Sector Reform and Development (Flagship) Project, Chemonics International Inc., Ramallah, Palestine
Nagwa Samir , Pathfinder International Egypt, Maadi, Cairo, Egypt
Maged Youssef , Pathfinder International Egypt, Maadi, Cairo, Egypt
Gamal El-Khatib , Pathfinder International Egypt, Maadi, Cairo, Egypt
Maternal and Child Health (MCH), Family Planning (FP), and Reproductive Health (RH) service provision in Egypt generally consist of vertical programs catering to the unique goals of MCH, FP, and RH separately. Each has its own national training curricula, staffing patterns, information systems, supervisory tools, and top-down management approach. International best practices indicate that client needs are better fulfilled by providing an integrated package of MCH/FP/RH services through one or a few providers, at one service delivery point. The USAID-funded Takamol Project implements an integrated RH model which strengthens the capacity of primary health care facilities to provide improved, integrated care for communities through renovation and equipping, and the provision of training, outreach, community participation, and capacity building. Takamol helped to develop integrated workplans with the two separate sectors within the Ministry of Health and Population responsible for MCH/FP/RH service provision, thus avoiding overlap of activities and gaps. Takamol integrated MOHP district plans and the workplans of other government entities involved in MCH/FP/RH such as the national and regional population councils. Takamol initiated the formation of a steering committee, the MOHP's national decision-making platform. In addition, all project-related training curricula were reviewed to integrate MCH, FP, and RH information. An integrated supervision program is implemented to provide support for integrated clinical services and measure and promote the quality of integrated care. This presentation will explain these and other examples of Takamol's efforts to integrate RH programs and services, with quantitative data showing increased provision and client usage of integrated services.

Learning Objectives:
1. Describe how integrating reproductive health programs increases quality and uptake of MCH/FP/RH service delivery 2. Explain how strengthening linkages between government sectors and health management bodies facilitates the integration process 3. Prioritize program areas where integration efforts will achieve the greatest results

Keywords: International Reproductive Health, Service Integration

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.