Adapting High Impact Practices in Family Planning During the COVID-19 Pandemic: Experiences From Kenya, Nigeria, and Zimbabwe

Malkin, Morrisa; Mickler, Alexandria; Ajibade, Theophilus O.; Coppola, Alexis; Demise, Eden; Derera, Esinath; Ede, Joy Otsanya; Gallagher, M.; Gumbo, Lucia; Jakopo, Zorodzai; Little, Kristen; Mbinda, Absolom; Muchena, Gladwin; Muhonde, Nyaradzo Debra; Ncube, Khesiwe; Ogbondeminu, Fifi Oluwatoyin; Pryor, Shannon; Sang, Elsie Nzale

doi:10.9745/ghsp-d-22-00064

Cited by 10 publications

(13 citation statements)

References 7 publications

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“…To do this, everyday technology tools already existing in homes, such as tablets and smartphones, were used, with no need for additional installation of complex programs. The design of the communication and dissemination strategy through digital technologies was in line with similar studies [ 28 ]. The good reception of the strategy “Understanding COVID” reinforced the choice of the method of dissemination and implementation, bringing this information accessible also to the population with hearing disabilities (with the support of professional translators in sign language) and visual (adaptation of audiovisual media).…”

Section: Discussionsupporting

confidence: 53%

Understanding COVID: Collaborative Government Campaign for Citizen Digital Health Literacy in the COVID-19 Pandemic

López-Ventoso¹,

González²,

Fernández-García³

et al. 2023

Life

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The strategy “Understanding COVID” was a Public Health campaign designed in 2020 and launched in 2021 in Asturias-Spain to provide reliable and comprehensive information oriented to vulnerable populations. The campaign involved groups considered socially vulnerable and/or highly exposed to COVID-19 infection: shopkeepers and hoteliers, worship and religious event participants, school children and their families, and scattered rural populations exposed to the digital divide. The purpose of this article was to describe the design of the “Understanding COVID” strategy and the evaluation of the implementation process. The strategy included the design and use of several educational resources and communication strategies, including some hundred online training sessions based on the published studies and adapted to the language and dissemination approaches, that reached 1056 people of different ages and target groups, an accessible website, an informative video channel, posters and other pedagogical actions in education centers. It required a great coordination effort involving different public and third-sector entities to provide the intended pandemic protection and prevention information at that difficult time. A communication strategy was implemented to achieve different goals: reaching a diverse population and adapting the published studies to different ages and groups, focusing on making it comprehensible and accessible for them. In conclusion, given there is a common and sufficiently important goal, it is possible to achieve effective collaboration between different governmental bodies to develop a coordinated strategy to reach the most vulnerable populations while taking into consideration their different interests and needs.

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Section: Discussionsupporting

confidence: 53%

Understanding COVID: Collaborative Government Campaign for Citizen Digital Health Literacy in the COVID-19 Pandemic

López-Ventoso¹,

González²,

Fernández-García³

et al. 2023

Life

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“…Community health workers (CHWs) or lay health worker are defined as healthcare workers who perform functions related to health care delivery and are trained in some way in the context of an intervention, but who has not received a formal professional or para-professional certificate or tertiary education degree ( 7 , 43 ). CHWs are an effective means to reach clients when access is limited especially in poor resourced remote rural areas ( 44 ). In the current review, 7 studies assessed the impact of CHWs interventions on SRH outcomes among adolescents and young adults.…”

Section: Resultsmentioning

confidence: 99%

Impact of sexual and reproductive health interventions among young people in sub-Saharan Africa: a scoping review

Chipako,

Singhal,

Hollingsworth

2024

Front. Glob. Womens Health

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ObjectivesThe aim of this scoping review was to identify and provide an overview of the impact of sexual and reproductive health (SRH) interventions on reproductive health outcomes among young people in sub-Saharan Africa.MethodsSearches were carried out in five data bases. The databases were searched using variations and combinations of the following keywords: contraception, family planning, birth control, young people and adolescents. The Cochrane risk-of-bias 2 and Risk of Bias in Non-Randomized Studies-of-Interventions tools were used to assess risk of bias for articles included.ResultsCommunity-based programs, mHealth, SRH education, counselling, community health workers, youth friendly health services, economic support and mass media interventions generally had a positive effect on childbirth spacing, modern contraceptive knowledge, modern contraceptive use/uptake, adolescent sexual abstinence, pregnancy and myths and misperceptions about modern contraception.ConclusionSexual and reproductive health interventions have a positive impact on sexual and reproductive health outcomes. With the increasing popularity of mHealth coupled with the effectiveness of youth friendly health services, future youth SRH interventions could integrate both strategies to improve SRH services access and utilization.

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“…Mobile clinics have a built-in work force efficiency; fewer trained providers are needed to cover a larger catchment area in a mobile model that are necessary for stand-alone clinics serving individual communities. For example, immediately following the COVID-19 pandemic mobile health outreach units in Zimbabwe were able to use a limited number of trained providers who were able to support a full method mix [13 ▪ ]. Prior to the use of mobile health outreach programs, the local healthcare facilities were able to provide family planning services but were not trained in LARC provision thereby limiting access and choice.…”

Section: Access To Family Planning Services and Expanded Methods Choicementioning

confidence: 99%

“…The local healthcare facilities shifted to providing emergency care only given the pandemic. During the 3 month period before the lockdown, the LARC uptake was 22%; during the 3 month period after the lockdown the LARC uptake was 59% with the uncertainty associated with intermittent lockdown and the desire to reduce frequency of visits to the clinic cited as the reasons for increased uptake as well as bringing trained providers to the community [13 ▪ ]. Mobile clinics can also increase the availability of integrated services, consistent with a high-quality person-centered approach to care.…”

Section: Resilient Modelsmentioning

confidence: 99%

Mobile programs in family planning

Kaur,

Lathrop

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose Mobile health outreach programs are an alternative way to provide family planning services for rural populations or populations affected by conflict, outbreaks, or humanitarian crises. Here, we review the current literature about mobile health outreach programs in family planning. Recent findings Mobile health outreach programs are effective in delivering family planning services by increasing access to family planning services including expanding method choice, contributing to resilient healthcare models, and advancing reproductive justice. Mobile health outreach programs may be a reasonable, cost saving, person-centered alternative to delivering healthcare particularly when traditional systems are strained. Summary Mobile health outreach programs in family planning exist in the United States and globally. Current literature suggests that mobile and outreach programs are effective in increasing knowledge and access to family planning in part by expanding method choice. A mobile health outreach approach is a resilient model that is person-centered and lends itself well to empower patients to practice self-care. The findings and lessons learned may be helpful in guiding future mobile health outreach programs in family planning and other services conducive to an out of clinic model, particularly as a response to overburdened health systems.

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Adapting High Impact Practices in Family Planning During the COVID-19 Pandemic: Experiences From Kenya, Nigeria, and Zimbabwe

Cited by 10 publications

References 7 publications

Understanding COVID: Collaborative Government Campaign for Citizen Digital Health Literacy in the COVID-19 Pandemic

Understanding COVID: Collaborative Government Campaign for Citizen Digital Health Literacy in the COVID-19 Pandemic

Impact of sexual and reproductive health interventions among young people in sub-Saharan Africa: a scoping review

Mobile programs in family planning

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