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Dr. Doucouré Arkia Diallo, Senior RH/FP Advisor , ATN Plus Project

Effect of focusing on training providers in Long-Acting Methods of Family Planning at the decentralized level in Mali. Dr. Doucouré Arkia Diallo, Senior RH/FP Advisor , ATN Plus Project. Background.

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Dr. Doucouré Arkia Diallo, Senior RH/FP Advisor , ATN Plus Project

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  1. Effect of focusing on training providers in Long-Acting Methods of Family Planning at the decentralized level in Mali Dr. Doucouré Arkia Diallo, Senior RH/FP Advisor, ATN Plus Project

  2. Background In Mali, Modern contraceptive prevalence increased only from 5.7% to 6.9% between 2001 and 2006. In 2006 almost 63% of birth intervals were less than 36 months. Based on an annual population growth rate of 3.6%, Mali's current national population figure of 15 million is projected to increase to 23.2 million by 2020.

  3. Health indicators Sources: * DHS 06; General Population Census 2009

  4. Program intervention RapidNeedsAssessmentat district level Performance-based training course focused on long-acting methods (LAMs) of FP 22 trainers and 114 health care workers (midwives and nurses) were trained in counseling and provision of LAMs. Job aids and modelsintroduced Supportive supervision six weeks after training. Annual FP campaign to increasedemand Integration of FP intoother RH services

  5. Methodology 35 Intervention districts All participants’ skills were evaluated before and after the training in accordance with the National Reproductive Health Procedures. Action plans were reviewed during the six-week follow-up visit.  The project’s field coordinators collected FP data through local and central management information systems.

  6. Results and key findings

  7. Results and key findings

  8. Results/key findings Significant improvement noted in: Confidentiality Increased time spent on counseling Use of job aids and user friendly flipbooks Reduction of waiting time for LAMs of FP Decreased stockouts due to improved contraceptive logistics management.  Clients noted that providers had more time to discuss FP, and that FP services are available every day of the week without an appointment.

  9. Program implications/lessons: Decentralized trainings Supportive supervision District-level data collection and review

  10. Program implications/lessons:2 children, 30 years of contraceptive use -options: 10,950 pills 360 packets of pills 120 injections 6 implants 3 IUDs 1 sterilization (1 every day) (1 every month) (1 every 3 months) (1 every 5 years) (1 every 10 years) (1 in a lifetime)

  11. Conclusion • Focusing on LAMs of FP contributed to the increase in the number of new users of modern FP methods. • Due to the important role that LAMs can play in both spacing children and limiting births after desired fertility goals are reached, they have wide suitability at various stages of reproductive life. • Postpartum and post-abortion clients are often suitable for LAMs • Our intervention increased the uptake of FP due to increased access to a full range of FP methods.

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