USAID Romania Family Health Initiative Romania Family Health Initiative

RFHI POSTABORTION/POSTPARTUM COUNSELING COMPONENT (2005-2007)

Context · Main Activities · Key Results

Context

RFHI's designed its postabortion and postpartum counseling component to complement other project components, such as rural and urban, thus assuring availability of FP services provision in all entry points to the health care system and creating a functional FP "safety net". This component was implemented in ob/gyn clinics in 52 public health facilities that reported almost half the abortions performed annually in Romania.

This component focused on offering information, counseling, and free contraceptives to women in abortion wards and maternities. It was a mix of interventions aimed at:

  • improving the quality of postabortion and postpartum care through integration of FP service provision in routine practice and improved links to primary health care service providers
  • strengthening the capacity of the District Public Health Authorities (DPHAs) to ensure adequate management of contraceptive supplies, and
  • community mobilization for disseminating postabortion and postpartum messages.

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Main Activities

PAC/PP interventions included:
  • Baseline needs assessment/situation analysis in all participating facilities
  • Development of facility-specific intervention plans
  • Creation of a FP-friendly environment for clients at the facility level through basic clinic renovation and easy access to informational and educational materials
  • Development of specific training materials and training of staff, nurses, and doctors in contraceptive technology, individual counseling, and group information sessions for their clients
  • Assurance of facility-level client access to free contraceptive products within a broad method mix
  • Establishment of client links to nearest community FP service provider enrolled in the national family planning program.

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Key Results

  • More than 123.000 postabortion or postpartum women exposed to FP messages
  • Specific training materials and tools developed and used:
    • Introductory FP training curricula for nurses and staff auxiliary ("Contraception for All")
    • Basic FP curriculum to train nurses and doctors to facilitate group information sessions in project facilities,
    • FP counseling and contraceptive technology update for doctors and nurses
    • The 2005-2007 edition of "A Pocket Guide to Managing Contraception" by Hatcher R. et al translated and distributed in all project facilities.
  • 48 FP doctors became trainers and trained:
    • 2,672 nurses and 343 auxiliary staff in "Contraception for All"
    • 830 nurses in providing FP counseling to postabortion and postpartum women
  • 183 family doctors and 220 nurses benefited from residential training on FP counseling and contraceptive technology
  • To assure a functional referral system and links to community care, RFHI convened 850 primary health care providers from neighboring urban and rural communities, 402 new family doctors, 357 social workers, and 138 community nurses for a PAC/PP component update.
  • Support materials (posters, leaflets, calendars, etc.) especially designed for the PAC/PP clients made available in all facilities.

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