265183 Community-based Postpartum Family Planning in Afghanistan

Monday, October 29, 2012 : 3:15 PM - 3:30 PM

Jaime Mungia, MPH , Jhpiego, Baltimore, MD
Rahila Juya , Jhpiego, Kabul, Afghanistan
Mohammad Munir , Jhpiego, Kabul, Afghanistan
Mohammad Masood Arzoiy , Jhpiego, Kabul, Afghanistan
Khalid Yari , Jhpiego, Kabul, Afghanistan
Purpose: To introduce and expand community-based postpartum family planning (PPFP) services in Afghanistan.

Methods: The four-pronged program approach includes: 1) advocacy to educate on PPFP messages; 2) in-service training to build capacity of health workers to deliver PPFP services; 3) supportive supervision; and 4) integration of PPFP into national policies to create an enabling environment. Household visits are conducted by trained community health workers (CHWs) to women during pregnancy and postpartum for education on essential maternal and newborn care and complementary information on PPFP, including promotion of the lactational amenorrhea method and exclusive breastfeeding, benefits of birth-to-pregnancy intervals of at least 24 months, and return to fertility. Based upon the mother's fertility intentions, the CHW can provide oral contraceptive pills, injection, or condoms, and refers to the health facility for other contraceptive methods.

Results: Since the intervention was launched in2007, activities have expanded to 34 provinces. The Ministry of Public Health household survey results in 13 USAID supported provinces from 2007 to 2010 show that contraceptive prevalence rate increased from 35.7% to 40.6% and knowledge on the number of modern contraceptive methods increased from 63.2% to 70.5%. Health Management Information System Data for family planning services in health posts in 13 provinces reveal an increase in clients in all four quarters from 2006 to 2011.

Recommendations: Other opportunities to integrate PPFP services into maternal and child health, expanded program for immunization, and infant and young child nutrition should be explored so no opportunities are missed to provide essential PPFP services.

Learning Areas:
Implementation of health education strategies, interventions and programs
Provision of health care to the public

Learning Objectives:
Discuss the introduction and expansion of community-based postpartum family planning services in Afghanistan

Keywords: Family Planning, Community Programs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Program Officer that has worked on programs focusing on reproductive health, family planning, and maternal and newborn health in Afghanistan.
Any relevant financial relationships? No

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.