Lalchandani_Post Partum Systematic Screening (PPSS) Study in Jharkhand, India

7/31/2019 Lalchandani_Post Partum Systematic Screening (PPSS) Study in Jharkhand, India

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Post partum SystematicScreening (PPSS)Study inJharkhand, India

Dr Kamlesh Lalchandani

May 05, 2012

Dhaka, Bangladesh


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Systematic Screening

It is a USAID best practice

Use a standardized instrument to identifyeach clients needs for additional

reproductive services

If available at the time, offer services duringthe same visit or offer future

appointment/referral for those services thatcannot be provided immediately

Source: Vernon, Ricardo, James R. Foreit, and Emma Ottolenghi. 2006. Adding Systematic Screening to YourProgram: A Manual FRONTIERS Manual. Washington, DC: Population Council


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Study Purpose

To determine theeffectiveness of systematicscreening as a means to

increase the use of relevantservices for post partumwomen including postpartum family planning,

Immunization and PNCinselected MCHIP-supporteddistrict in Jharkhand


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Key questions to be answered are

Does the use of PPSS tool increase the provision ofPPFP counseling and relevant services to thewomen in their first year postpartum, coming to theimmunization sessions for getting their children

vaccinated Does the use of PPSS tool increase the provisionof/referral for PPFP and relevant services to thewomen in their first year postpartum, attendingVillage Health Nutrition Days at the community level

Does the intervention increase the knowledge ofPPFP among ANMs, sahiyyas and AnganwadiWorkers (AWWs);


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Study Design

Baseline and end line data collectionin intervention and non-interventionsites through:

Client exit interviews

Provider interviews


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Study Design & Sample Size

InterventionSub-centres (n=9) ControlSub-centres(n=9)Pre-Intervention (Baseline :2 weeks)Number of sessions 30 30Client exit Interview 60 60Provider Interview(ANM) 13 12Provider Interview( AWW, Sahiyyas) 18 18Intervention (12 weeks)

PPSS tool &PPFP Counseling training

PPFP Counsellingtraining

Post-intervention (4 weeks)Number of sessions 30 30Client exit Interview 60 60Provider Interview(ANM) 13 12Provider Interview(AWW, Sahiyyas) 18 18


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Methodology

The ANMs and Sahiya were trained on

(Group 1Intervention Group) = PPFPcounseling + PPSS tool

(Group 2Non-intervention Group) = PPFPcounseling

After the trainings, data will again be collected

from the Immunization sessions from both theintervention and control SCs using thestandardized data collection tools


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MCHIP in Jharkhand

Gumla

Giridih

Ra nchi

Pa la mu Cha tra

La te ha r

Dumka

Ga rhwa

Ha z a ribagh

Khunti

Singhbhum W est

Boka ro

Godda

Pakur

Sa ra ikella

Deoghar

Jamta ra

Dha nbad

Singhbhum Ea st

Sa hibganj

Ra mga rh

Koderma

Loha rdaga

VPD and NBC

Family Planning

State HQ

Study siteKoliberaBlock Simdega


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Progress so far..

S. No. Activity TimeLine

1 Data Compilation tool In place

2 Training of Data Collectors/Supervisor (One

day)

Done

3 Baseline Data Collection Done

4 Baseline data compilation Done

5 Training of ANM on tool and PPFP

counselling

Done

6 Training of Saahiya Done

7 Intervention (12 weeks) Going on

8 End line data collection and compilation 1 June 7 July

9 Data Analysis and report generation 8 July 31 July

9


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Baseline Data Analysis - Frequency distribution of reasons forvisit by client in VHNDs (intervention=58 and control 61 women)

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Clients perceive VHNDs mainly forImmunization


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Services provided (as % of ANM) in VHND on regularbasis

Health

worker

ANC

counseli

ng

FP

counseling

PNC

counseling

Newborn

care

Well

baby

care

Vaccination FP

Services

ANC

Care

Intervention sites

ANM 35 55 20 25 20 65 15 5

Control sites

ANM 33 29 38 25 29 75 25 8

11

Except vaccination all other MNCHservices have taken a back seat


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Birth spacing preference of the clients (%)

Although 92%women do not

want a childbefore 1 year,only 15% ANMproviding/referring for FP

services

12

3

12

55

10 12

3 5

0

10

20

30

40

50

60

Percent

age

N=60


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13

Thanks

Documents

Lalchandani_Post Partum Systematic Screening (PPSS) Study in Jharkhand, India