274482 Increasing Contraceptive Prevalence (CPR) by repositioning Healthy Timing and Spacing of Pregnancy (HTSP) as an enabling strategy within MCHN programs in Uttar Pradesh, India

Monday, October 29, 2012 : 4:30 PM - 4:48 PM

Adrienne Allison, MA MPA , International Programs Group, World Vision, Chevy Chase, MD
In Hardoi District, World Vision integrated HTSP and MCHN messages in the registers that SHG members used in counseling women who were pregnant or had children. Each message was portrayed by a colored icon arranged along the pregnancy to age two timeline to help illiterate members give the right pre and post natal MCHN+HTSP messages at the right time. HTSP messages were given 6 times. Mothers in programs were also counseled on HTSP. Contraceptive use of all married women of reproductive age was recorded monthly by checking the relevant contraceptive icon. Female SHG member counseled adults within a 10 household cluster; male SHG members spoke with men and religious leaders. They worked together to plan and implement community MCHN+HTSP mobilizing campaigns. Couples-counseling-couples was introduced later to ensure that husbands and wives heard the same messages, improve couple communication and reinforce individual counseling. ASHAs, (Accredited Social Health Activist) trained as master trainers in MCHN+HTSP, each trained one male and one female SHG, held monthly meetings, and resupplied members with condoms and pills they ordered from the MOH. In turn, SHGs supplied villagers. This monthly contact also strengthened the quality of the ASHAs services. Result: CPR increased from 44% to 77% in four years. Conclusions: CPR rises when HTSP and MCHN messages are integrated and delivered through SHGs to their communities.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As Technical Adviser to World Vision on FP/RH I directed a FP program in Haiti, India and Senegal that more than doubled the CPR within 12 months by using Healthy Timing and Spacing of Pregnancies data,messages and services integrated into MCH programs as an enabling strategy to improve MCH outcomes. Earlier, I was Adjunct Professor in the public health schools at Johns Hopkins and George Washington Universities and directed Jhpiego's Maternal and Neonatal Health Program.
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.