Assessment of Family Planning and Immunization Service Integration in Malawi

Study Overview
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Brief Summary
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This is a mixed methods process evaluation of a programmatic intervention to integrate family planning and immunization services at health facilities and through outreach services in Dowa and Ntchisi districts of Malawi. The study involved qualitative methods (in depth interviews and focus group discussions with service providers, mothers and fathers of infants <1 year, and supervisors and program managers) as well as secondary analysis of service statistics for family planning and immunization services and of supervision reports.

Official Title
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Assessment of Family Planning and Immunization Service Integration in Malawi

Conditions
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Contraception, Contraceptive Usage, Contraception Behavior, Infant, Newborn, Diseases

Intervention / Treatment
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* Behavioral: Family planning and infant immunization service integration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All health facilities and associated outreach sites in Ntchisi and Dowa districts implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program Exclusion Criteria: All health facilities and associated outreach sites not implementing the integrated approach with support from the USAID-funded Maternal and Child Survival Program
Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Intervention facilities<br>Includes 43 health facilities and their associated outreach sites | Behavioral: Family planning and infant immunization service integration<br>* The approach involved integration of services through health surveillance assistant (HSA) outreach as well as through the health facility platform. The HSAs provided door to door FP services in their designated communities as well as provided integrated FP and Immunisation services at village clinics and outreach sessions. At outreach sessions, mothers were offered both routine infant immunization and family planning services (pills, condoms, injectables plus referrals for other methods). At health facilities, mothers who sought routine infant immunization services were offered same-day family planning services and those who seek family planning services are also screened for infant immunization schedule completion / need for infant immunization services. HSAs and health facility providers were trained on FP-immunization service integration and were monitored through regular supportive supervision visits.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of modern family planning users |  | June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016) | 
| Number of Penta 1 doses administered |  | June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016) | 
| Number of Penta 3 doses administered |  | June 2016 through September 2017 (we also collected pre-intervention data from January to May 2016) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Immunization