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Zonal and Woreda Health Office
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|
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-
Initial meeting to explain study purpose and procedures
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Half-day orientation to encourage informed choice and voluntary contraceptive use
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Joint study supervision visits with study staff
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Regular meetings on findings from supervision visits
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Advocacy for Women Development Army revitalization
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Yes
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Yes
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Health Center
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|
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-
Providers of antenatal, labor & delivery, and postnatal care and immunization services trained in PPFP counseling with a contraceptive technology update in August 2016 (3 days)
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Yes
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Yes
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-
Labor & delivery providers trained in postpartum IUD insertion plus refresher on implant insertion and removal in October 2016 (4 days)
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Yes
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Yes
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-
Post-training follow-up visit conducted with observations of service provision to reinforce knowledge and competency
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Yes
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Yes
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-
Postpartum IUD kits and supplies provided
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Yes
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Yes
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-
Postpartum IUD insertion and follow-up registers introduced to record timing of insertion, information about the delivery, follow-up received, and complications
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Yes
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Yes
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-
Tally sheets introduced to track the number of women counseled and PPFP provided during other maternal, newborn, and child health services; wall-mounted dashboards introduced to analyze and discuss service provision on a weekly basis
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Yes
(July 2017)
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Yes
(Nov 2017)
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-
Primary health care unit directors received half-day orientation to encourage informed choice and voluntary contraceptive use
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Yes
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Yes
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-
Supportive supervision conducted on PPFP (included: observation of counseling and services and feedback, record review, extracting service data, provider interviews at 1st and last visit)
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Yes
(8 visits)
|
Yes
(5-6 visits)
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-
Replacement training on PPFP counseling and service provision provided in November 2017 (7 days)
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Yes
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Yes
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Health Post
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|
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-
HEWs trained on PPFP counseling with refresher on implant insertion and introduction of Nexplanon™ in April 2017 (4 days)
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Yes
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No
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-
Modified integrated maternal and child health card (kept at health post) introduced to capture PPFP counseling and service provision and track woman’s risk of unintended pregnancy
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Yes
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No
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-
Modified tally sheet introduced as support for monthly reporting to aggregate data on PPFP counseling and services
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Yes
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No
|
-
Kebele leaders received half-day orientation to encourage informed choice and voluntary contraceptive use
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Yes
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No
|
-
Supportive supervision on PPFP conducted
|
Yes
(4 visits)
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No
|
|
Women’s Development Army
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|
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-
Half-day orientation by HEWs on PPFP and use of a pictorial tracking tool as job aide
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Yes
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No
|
-
PPFP discussed during existing monthly meetings with HEWs and supportive supervision visits
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Yes
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No
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Home
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|
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-
Health centers and health posts given modified tetanus toxoid cards for mothers to document her method choice and improve efficiency of counseling and service provision after birth
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Yes
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No
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