Scaling Up FP-RH Integrated Services_IBP_ICFP_2013

7/27/2019 Scaling Up FP-RH Integrated Services_IBP_ICFP_2013

http://slidepdf.com/reader/full/scaling-up-fp-rh-integrated-servicesibpicfp2013 1/18

Session 4:

Scaling Up Integrated Services

IBP TRACK: ADDRESSING IMPLEMENTATION AND

SCALING UP CHALLENGES



Anne Pfitzer, JHPIEGO

Salwa Bitar, MSH

Christine Bixiones, PSI

Fabio Castaño, MSH

Maxine Eber, PSI

Jeanette Kesselman, Abt Associates

Trish MacDonald, USAID/W

Charlotte Warren, Population Council

Rose Wilcher, FHI360

David Wofford, Meridian Group International

Session Organizers



Understand FPintegrationmodels and

their scaling up

Discusschallenges &strategies to

taking modelsfrom

demonstrationto scale

Offer tools forimplementation

of FP service

integration withhealth & non-

healthinitiatives

Identify gaps inevidence/knowl

edge and

resources fordecision-making

on integrationmodalities

Session Objectives

1 2

3 4



What are Integrated Services?

“the organization and management of health

services so that people get the care they need,

when they need it, in ways that are user friendly,achieve the desired results and provide value for

money.”

World Health Organization



Benefits of Integrating FP

with other Services

• Meeting multiple reproductive health needs

of a client simultaneously

• Combining several services needed for a

multifaceted health condition• Achieving cost efficiencies through sharing

staff skills, infrastructure, and equipment (still

needs more evidence)• Reducing the stigma associated with providing a

service independently



Key issues for FP Integration

• More than training for adding a new service

• Need integrated and strengthened health

systems

• All building blogs working for FP/RH

• Multisectoral approaches, broad audiences,

multitude of reinforcing channels.• Health and non-health programs



Key questions on integrated services

• Feasibility

• Acceptability

• Increased access Vs Quality and Safety

• Impact for individuals and populations

• CostPopulation Council



Micro

financing

What: health,

non-health

MNCH HIV/PMTCT

Education Workplace

ImmunizationMalaria, TB

Environment

For Whom:

target groups CouplesYouths &

Adolescents

Young married

Women

Women

Rep age

Which

Systems

required

HRHLMGService

DeliverySupplies Information

Platforms for HTSP integration into MCH

programsIntegration models: the “W” Approach

Finance

CommunityWhere Outreach H. Centers Hospitals

Management Sciences for Health

Men



What: health,

non-health

MNCH

Education Workplace

For Whom:

target groupsYouths &

Adolescents

Young married

Women

Women

Rep age

Which

Systems

required

HRHLMGService

DeliverySupplies Information

Platforms for HTSP integration into MCH

programsIntegration models: the “W” Approach

Finance

CommunityWhere




Two crucial “Ws”

When

How



Health facilities

Community

PP

Family

Planning ART clinics:

PMTCT + FP

Child Clinics:

immunization,

nutrition

Strengthene

d integrated

services

FFSDS

Child Days

IntegratedOutreach

Maternal Child health passport

Integrated home visits - Village Health Teams & drug sellers

Mana ement Sciences or Health



Integration models: the “W” Approach

How

JHPIEGO and FHI360



Scaling up Integrated Services

Deliberate efforts to increase the impact of

health service innovations successfully tested in

pilot or experimental projects so as to benefit

more people and to foster policy and programdevelopment on a lasting basis.”

ExpandNet



Process for

Scaling Up

Defining

Need forChange

Planning

Demonstrationand Scale-Up

Supporting

Demonstration

Going to

Scale

Building

Block

Leadership/

Governance

Health

Workforce

Service

Delivery

Financing

Products

Technologies

Information

Scaling up Integrated Family planning




High Impact Practices and ConsensusStatements for FP Integration

http://www.k4health.org/blog/topic/556



.

Interactive

Case Studies

(For Anne to lead theguidance on group

work)



Gaps for Scaling up FP Integration

• Cost and cost-effectiveness

• Sustainability• Policy- and decision-makers‘

support

• Performance-based financing and

health systems strengthening forintegration

• Providers’ perspective

• Monitoring and Supervision

• Pre-service training

• Health worker capacity and time

demands

• Same provider versus referral



Toolkits for integrationfor Anne to describe the tools as she is putting the list

together

• Maternal Infant Young Child Nutrition - Family

Planning (MIYCN-FP) Integration Toolkit:

http://www.k4health.org/toolkits/miycn-fp/how-

integrate • Population Council Handbook Assessing Integration

Methodology (AIM)

http://www.k4health.org/sites/default/files/Assessm

ent%20of%20Integration%20Methodology.pdf

• K4H: Family planning and immunization integration

toolkit

http://www.k4health.org/toolkits/miycn-fp/how-integrate


http://www.k4health.org/sites/default/files/Assessment%20of%20Integration%20Methodology.pdf






Documents

Scaling Up FP-RH Integrated Services_IBP_ICFP_2013