Family planning at the forefront: A systematic review of the strategic integration of family planning services into primary care
methods: Systematic search of electronic databases (PubMed and Embase) for comparative studies of interventions for disseminating and implementing family planning services in primary care settings. One author reviewed titles and abstracts to eliminate irrelevant studies, and two authors reviewed the full text of all potentially eligible studies. We used the mixed methods appraisal tool (MMAT) to assess study quality. We extracted detiled data on study characteristics and used a narrative approach to summarize and synthesize findings.
results: The search yielded 3968 articles and 11 met the inclusion criteria, including 3 randomized control trials and 9 quasi-experiment intervention evaluations. Preliminary results indicate that a multi-pronged approach, focused on providers and patients, can be most effective. Other important strategies include multiple learning tools, peer-led trainings and regular reminders for physicians.
conclusion: This review identifies several important strategies for successfully disseminating and integrating family planning services into primary care. However, the data are limited to piecemeal family planning services. More rigorous research to adequately measure successful implementation and dissemination is needed.
Learning Areas:Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Describe the evidence for the effective integration of family planning services into primary care settings. Identify specific strategies and tools utilized in the dissemination and implementation of family planning services among primary care providers.
Keyword(s): Family Planning, Primary Care
Qualified on the content I am responsible for because: I am a graduate public health student and primary investigator on this study. I have over 10 years of experience working in family planning policy, research and direct service.
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.