International Conference on Family Planning 2009

Family Planning: Research and Best Practices

Increasing Uptake in Zambia

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Josselyn NeukomIn Zambia, with a population of 12 million people, the fertility rate is high and increasing. And yet there are only 115 registered clinics in all of Zambia that offer maternal and child health (MCH) services.

With a very low rate of contraceptive use in the country—less than one percent of married women use IUDs or injectables—the need for family planning is immense, said  Josselyn Neukom, of Population Services International. During a Monday presentation, she discussed an approach to family planning services that she has found to be extremely effective in Zambia.

The approach is called the Seconded LTM (long-term method) Provider Model, and it targets women where they already go for MCH services. Highly trained and competent family planning service providers second the existing MCH providers in the clinics, who offer insertion and removal (IUD and injectables) services. The seconded providers also offer counseling, flipchart sessions and post-visit counseling. The program ensures that the clinics with seconded providers have enough equipment and supplies to carry out their services, and they conduct interviews with “satisfied and not-so-satisfied customers.”

The program has a low cost, and in 12 months has provided LMT for more than 26,000 women. “There is a very low discontinuation rate,” said Neukom, “and high satisfaction due to counseling.”

Written by C. Grillo | JHSPH

November 16, 2009 at 8:44 pm

One Response

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  1. Two clarifications:

    i) The SFH seconded provider program focuses on expanding access to IUDs and implants
    ii) There are only approximately 115 private clinics registered in Zambia–of which a subset provide MCH services. By contrast, there are approximately 1,500 public clinics across the country all of which offer MCH services. The success of SFH’s seconded provider program stems from an approach which taps into a widespread public sector infrastructure and complements overburdened government MCh providers.


    December 4, 2009 at 9:14 pm

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