223803 Mobile outreach dismantles barriers to the adoption of long term family planning methods in Togo

Monday, November 8, 2010 : 1:06 PM - 1:24 PM

Awa Tchedre, Midwife with Certificate in Public Health , POMEFA Family Planning Project, Population Services International/Togo, Lome, Togo
Danielle Naugle, Community Health and AIDS Prevention Peace Corps Volunteer , POMEFA Family Planning Project, Population Services International/Togo; United States Peace Corps, Lome, Togo
Population Services International/Togo launched a nation-wide family planning project in July 2008 to respond to unmet FP needs of 41%. The initiative aimed to train service providers, expand the range of available products, and inform the population of their FP options. One element of the project, mobile outreach, generated particularly successful results by dismantling barriers to adoption of long term FP methods (LTMs). The strategy targeted women of reproductive age and their male partners living in rural areas where there is little access to family planning services and, especially, to LTMs (implants and intrauterine devices (IUDs)). On mobile outreach days, PSI trained service providers visited an under-served site and offered general information, individual counseling, and provision of the LTM of choice to interested couples free of charge. In three months of mobile outreach activity (180 outings), PSI-trained service providers inserted 2,808 implants and 1,017 IUDs. These results, compared to the insertion of 758 implants and 485 IUDs across all 80 fixed network centers over the same period (August October 2009), demonstrate the effectiveness of the mobile outreach strategy in overcoming barriers to acceptance. Accurate information combined with easily accessible and free service often outweighs unfavorable misconceptions encouraging couples to try a LTM. Mobile outreach activities generate new clientele both immediately, with on-the-spot insertion and, in the future, by creating a nucleus of local users who can dispel myths and stimulate adoption by others.

Learning Areas:
Provision of health care to the public

Learning Objectives:
Compare the effectiveness of the mobile outreach strategy to fixed centers in increasing uptake of long term family planning methods. Describe PSI/Togo's strategy for overcoming barriers to adoption of long term family planning methods through mobile outreach. Discuss the challenges of mobile outreach in family planning. Apply mobile outreach in their particular country of work to encourage the adoption of long term family planning methods.

Keywords: Family Planning, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee the implementation of a nation-wide family planning project under the auspices of Population Services International/Togo.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Population Services International Family Planning Employment (includes retainer)

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.