Module 3'1: Service Delivery Models for Family Planning

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Module 3.1 Service Delivery Models for Family
Planning
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What do Clients Want?
1) Respect 2) Understanding 3) Complete and
accurate information 4) Technical competence 5)
Access 6) Fairness 7) Results Source
Population Reports Series J, Number 47
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Factors influencing Service Delivery

• Unmet need / Met Need
• Knowledge and Interest
• Access and Quality
• Social and Political Environment

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Review Unmet Need

• Women who do not want another child within the
  next two years who are not using a modern family
  planning method
• of women not wanting a child within 2 years -
  of women using modern family planning____________
  ____________________
• of women not wanting a child within 2 years

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Knowledge and Interest
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Quality and Access
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Social and Political Environment

• National Policies
• National FP Policy
• Policies reflecting integration of FP into other
  services
• HIV Services (PMTCT, VCT, ART)
• MNC Services
• Environmental Programs
• Others?
• Social Policies
• Community Norms
• Religious Practices
• Other?

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Levels for FP Service Delivery

• Community
• Public Health Facilities
• Social Marketing
• Private Sector
• Cross-Cutting FP Commodity Supply Chain

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Cross-Cutting Themes

• Management
• Supervision
• Advocacy
• Leadership
• Training
• Referral Systems
• Partnerships and interfacing
• Integration with other health services

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FP services at the community level

• Community mobilization / Health education
• Peer Counseling
• Community Based Distribution
• Interventions for male involvement
• Linkages with other community programs
• Referrals to health services
• Mobile Services

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Public Health Facility Level

• Provision of quality basic family planning
  services
• Counseling
• Screening
• Follow-up
• Community Outreach / Support for Community FP
  activities
• Receiving referrals
• Referrals

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Social Marketing

• National promotion and distribution of family
  planning methods through social marketing
• Behavior change approach
• Assurance of nationally available and attractive
  products

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Referral Systems

• Necessary to ensure access to widest range of
  contraceptive methods possible
• Community to local health facility
• Local health facility to other facilities for
  LTPM as necessary

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Why Referrals?

• Provides access to more qualified providers
• Provides a mechanism for follow-up in the
  community
• Strengthens linkages between facilities and the
  communities they serve
• Contributes to improved client satisfaction and
  therefore less drop-outs

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Maximizing Impact Through Partnerships /
Integration

• Identify activities at the community level which
  could be enhanced by including FP activities
  and/or which could enhance FP use through
  integration. What are some examples?
• Identify partners at the community, district, or
  regional levels for collaboration to enhance FP
  coverage and use. What are some examples?