Jhpiego is a global leader in implementing innovative, community-based approaches to increase the use of modern family planning methods among women who have recently given birth. With these strategies, Jhpiego and its country partners are reaching more women in rural and underserved communities with family planning services.
In Bangladesh, Jhpiego is spearheading an operations research study, the Healthy Fertility Study (HFS), in collaboration with the Johns Hopkins University Bloomberg School of Public Health, Shimantik, the Center for Data Processing and Analysis and the Government of Bangladesh. It is examining the impact of integrating postpartum family planning (PPFP) services within an existing community-based maternal and newborn health (MNH) program. Results have shown that this model has positively influenced women in adopting a family planning method after the birth of a child. HFS activities were found to be associated with a 26% increase in contraceptive uptake in the intervention arm from baseline to 30 months postpartum (18 percent to 43.9 percent), versus the control arm (21.1 percent to 37.2 percent).
The study in Bangladesh is but one example of Jhpiego’s creative use of alternative service delivery approaches. In Tanzania, Jhpiego established a model for providing more comprehensive and integrated maternal, newborn and child health (MNCH) and family planning services for both HIV-positive and HIV-negative pregnant women and their infants through strengthening linkages between facilities and communities. Through the Integrated Facility/Community Prevention of Mother-to-Child Transmission program, Jhpiego led the development of national guidelines on postnatal care for health care providers and on MNCH services for community health workers, both endorsed by the Ministry of Health and Social Welfare.
Programs in Afghanistan, Malawi, Nigeria and other countries also effectively incorporated PPFP components into existing community channels, mostly through capacity building of community health workers. As a result of these community-based approaches, thousands of women are now being reached with family planning services who previously would not have received a family planning method.