The Tupange Project in Kenya: A Multifaceted Approach to Increasing Use of Long-Acting Reversible Contraceptives

Muthamia, Michael; Owino, Kenneth; Nyachae, Paul; Kilonzo, Margaret; Kamau, Mercy; Otai, Jane; Kabue, Mark; Keyonzo, N

doi:10.9745/ghsp-d-15-00306

Cited by 18 publications

(27 citation statements)

References 6 publications

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“…Therefore, the present intervention included staff training and on‐the‐job mentoring after the courses to ensure the staff became competent. This strategy was also successfully adopted in Kenya and Senegal, where investigators have recommended that staff training and mentoring be included in family planning programs to increase the uptake of family planning, especially LARC …”

Section: Discussionmentioning

confidence: 99%

Effect of family planning interventions on couple years of protection in Malawi

Lemani

Kamtuwanje

Phiri

et al. 2018

Intl J Gynecology & Obste

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ObjectiveThe primary objective was to assess the effect of family planning interventions at two health facilities in Malawi on couple years of protection (CYP).MethodsA prospective quasi‐experimental design was used to compare CYP and uptake of long‐acting reversible contraception (LARC) between two intervention facilities (Area 25 Health Center and Kasungu District Hospital) and two nonintervention facilities (Mkanda Health Center and Dowa District Hospital). The interventions included community mobilization and demand generation for family planning, and training and mentoring of providers in LARC insertion. Monthly data were collected from 1 year prior to intervention implementation until 2 years thereafter.ResultsFrom the pre‐intervention year to the second post‐intervention year, CYP increased by 175.1% at Area 25, whereas it decreased by 33.8% at Mkanda. At Kasungu and Dowa, CYP increased by 90.7% and 64.4%, respectively. Uptake of LARC increased by 12.2% at Area 25 r, 6.2% at Kasungu, and 2.9% at Dowa, but decreased by 3.8% at Mkanda.ConclusionsThe interventions led to an increase in CYP and LARC uptake. Future family planning programs should sensitize communities about family planning and train providers to provide all contraceptives so that women can make informed decisions and use the contraceptive of their choice.

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Section: Discussionmentioning

confidence: 99%

Effect of family planning interventions on couple years of protection in Malawi

Lemani

Kamtuwanje

Phiri

et al. 2018

Intl J Gynecology & Obste

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“…As part of the program, Tupange trained a large number of CHWs, including 630 in Nairobi. 21 Radio programs included Jongo Love , a youth-focused program that aired on seven local radio stations but achieved national coverage in Kenya, and weekly call-in talk shows that featured family planning experts and satisfied users. By the time of the endline evaluation, more than 500 radio shows that discussed family planning had aired, of which 25% covered content on topics relevant to Tupange (e.g., birthspacing, delayed first birth, male responsibility).…”

Section: Methodsmentioning

confidence: 99%

Longitudinal Evaluation of the Tupange Urban Family Planning Program in Kenya

Benson¹,

Calhoun²,

Corroon³

et al. 2017

International Perspectives on Sexual and Reproductive Health

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CONTEXT Levels of fertility and contraceptive use have long fluctuated in Kenya. The multicomponent Tupange program, part of the Urban Reproductive Health Initiative, was initiated in 2011 to increase use of modern family planning methods. METHODS Women aged 15–49 in the five Kenyan cities where Tupange was implemented were interviewed in 2010 and reinterviewed in 2014 to obtain information on their contraceptive use and exposure to components of the Tupange program. Fixed-effects models were estimated to identify associations between program exposure and use of modern family planning methods. Analyses were performed to determine the relative cost-effectiveness of program components. RESULTS During the four-year follow-up period, the proportion of women using modern contraceptives increased from 45% to 52%, and the proportion of users who were using long-acting or permanent methods rose from 6% to 19%. The fixed-effects model indicated that modern method use was associated with having heard Tupange-related local radio programming and marginally associated with having discussed family planning with a community health worker (CHW); among women who were unmarried or did not give birth during the study period, modern method use was associated with living near program facilities. Local radio programming was the most cost-effective program component, followed by proximity to Tupange facilities and discussions with CHWs. CONCLUSIONS Urban reproductive health programs seeking to increase use of modern family planning methods in Kenya and other Sub-Saharan African settings should consider multicomponent approaches that include CHW activities, local radio programming and improvements to the supply environment.

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“…A total of 14 publications reported on projects for the general population [27][28][29][30][31][32][33][34][35][36][37][38][39][40]. The most common approach to promote IUD use in the general population is the simple one of training and supporting providers together with demand-creation activities.…”

Section: Programs For General Populationsmentioning

confidence: 99%

The promotion of intrauterine contraception in low- and middle-income countries: a narrative review

et al. 2017

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The evidence base is weak and offers few lessons on what strategies are most effective. The overall impression is that IUD use can be increased in a variety of ways but that progress is hampered by persistent adverse perceptions by both providers and potential clients. Provider enthusiasm is a key to success. The lack of a population impact stems in part from the fact that nearly all interventions are initiated by international organizations, with limited national reach except in small countries, rather than by government agencies.

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The Tupange Project in Kenya: A Multifaceted Approach to Increasing Use of Long-Acting Reversible Contraceptives

Abstract: Use of long-acting reversible contraceptives increased significantly among women in a poor, urban setting through training, mentoring, commodity security, quality improvement, multiple service delivery models, and multiple demand-promotion approaches.

Cited by 18 publications

References 6 publications

Effect of family planning interventions on couple years of protection in Malawi

Effect of family planning interventions on couple years of protection in Malawi

Longitudinal Evaluation of the Tupange Urban Family Planning Program in Kenya

The promotion of intrauterine contraception in low- and middle-income countries: a narrative review

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