Expanding Family Planning Services to Post-partum Women



"Government of India introduced cash-transfer scheme which led to increase in institutional deliveries, thereby increasing opportunity for post-partum family planning (PPFP). However, increased work load of deliveries led the already stretched manpower to defocus on family planning. Continued lack of provider skills, confidence, and motivation is another reason for low PPFP services. Government has placed counselors at high volume delivery facilities to promote informed choice and voluntary adoption of contraceptives including PPFP. Within this context, project Vriddhi adopted some strategies that strengthened service delivery and improved utilization of PPFP services- • Capacity building of counselors, by enhancing soft skills, counseling approach along with updating their technical knowledge • Training of providers at health facilities and ensuring supplies and commodities. • Increased access to sterilization & IUCD at the time of delivery • Follow-up post-partum women Vriddhi supported strengthening of 142 high volume delivery points across 26 high priority districts in 6 states of India. Project facilitated capacity building of 284 doctors, 700 counsellors, ANMs and staff nurses and sensitized more than 2500 front-line functionaries on PPFP with special emphasis on soft skills, inter-personal communication and client-friendly approach in addition to knowledge enhancement. These providers were provided with on-job mentoring and communication materials to enhance their counseling skills and serve the clients. As a result, provision of PPFP increased through an increased number of facilities providing PPFP services, increased number of trained counselors and staffs, and improved counselling and referrals by community workers. Project-supported facilities offering any PPFP services accounted for 80% of all facilities. Key Words: Sexual and Reproductive Health, Behavior Change, Counseling, Health promotion Key Messages: 1.Role of counselors is very important to increase adoption of post-partum family planning methods, increase PPIUCD continuation, and decrease PPIUCD removals 2.Counseling contacts at every opportunity, including antenatal checkups, labor rooms, postpartum wards, and postpartum home visits, are important to increase postpartum use. 3.Follow-up on-site mentoring and supportive supervision deepens the impact of the capacity building activities "


Rajni Wadhwa

IPE Global Limited, B – 84, Defence Colony, New Delhi – 110 024, India

I am a Public Health doctor holding a MD degree from India. I have over 15 years’ experience in program, planning, implementation and training and have worked in the fields of Reproductive Health, Family Planning, Adolescent Health, Immunization, TB and STI/ HIV. For the USAID supported Scaling up RMNCH+A Vriddhi project, I am responsible to provide overall technical oversight for effective implementation of all reproductive health, family planning and adolescent health interventions under RMNCH+A strategy.