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