Increased Utilization of FP and EmONC Services Sample Clauses

Increased Utilization of FP and EmONC Services. The ACCESS/MCHIP Project increased utilization of FP and EmONC services in selected LGAs in Zamfara, Kano and Katsina states from January 2006 to February 2012 through implementation of the Household to Hospital Continuum of Care (HHCC) approach that created awareness and increased demand at the community level, linked communities to facilities where providers had received skills training and improved, standards-based management was being practiced. Over the Life of Project (LOP), the number of deliveries with a Skilled Birth Attendant (SBA) increased fairly steadily against annual targets, as did the number of Antenatal Care (ANC) visits, the number of Postpartum (PP)/newborn visits within three days of birth, and the number of newborns receiving essential care. The number of counseling visits for FP/Reproductive Health (RH) and Couple Year Protection (CYP) attributable to the project’s activities lagged over the first three years, but eventually caught up to and exceeded their targets during the final two reporting years of the project. Data and feedback from the field confirm that targets were exceeded as a result of the increase in the number of LGAs and facilities over the LOP, as well as an increase in the utilization of services at the individual facility level. The greatest increase in utilization of FP and EmONC services took place at the hospitals, which is to be expected due to their larger client load and number of staff. However, it was also clear that FP and ANC visits had increased as well at the four Primary Health Centers (PHCs) visited. Three of the four PHCs visited more than doubled their number of annual ANC visits over the Life of the Project (LOP). Utilization trends observed in the eight facilities visited are generally consistent with utilization of services in the remaining program-supported facilities. Significant increases and decreases in utilization figures generally tracked skills training for providers and the availability of Skilled Birth Attendants (SBAs) and other staff. The community mobilization effort was overwhelmingly cited for its critical role in informing, motivating and linking the community to facility-based services. All FP and Maternal and Newborn Care (MNBC) services were facility-based; only awareness raising, counseling and the establishment of Emergency Transport Systems (ETSs) were community based.
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Increased Utilization of FP and EmONC Services. The ACCESS/MCHIP Project promoted use of FP and EmONC services in selected LGAs in Zamfara, Kano and Katsina states from January 2006 to February 2012 through the Household to Hospital Continuum of Care (HHCC) approach that created awareness and increased demand at the community level, linked communities to facilities where providers had received skills training and improved management was being practiced. Achievement measured by the six Project Objective (PO) indicators listed below in Table 3 shows a fairly steady annual increase toward achieving targets mutually agreed upon between USAID/N and the ACCESS/MCHIP Project management. CYP achievements fell short of their annual targets for the first three years (2006-2009), but improved considerably over the final two years (2010-2011) of the project. Although CYPs did not increase in line with targets during the first three years, they do translate into a considerable increase in CPR between 2006 to 2009, as reflected in the baseline and endline population-based surveys carried out under ACCESS. A complete list of all project indicators with footnotes is in ANNEX F. Table 3: Project Objective Indicators: Increased Utilization of Quality EmONC Services, Including Birth Spacing, by Pregnant Mothers and Their Newborns at Selected LGAs in Kano , Zamfara and Katsina Indicators 2006 Base- line FY 07 (Targets) Achieved FY 08 (Targets) Achieved FY 09 (Targets) Achieved FY 10 (Targets) Achieved FY 11 (Targets) Achieved Key Indicator 1: # of (2,000) (20,000) (22,000) (50,000) (55,000) deliveries with a SBA 7,685 22,092 39,677 49,006 57,755 Key Indicator 2: # of ANC (10,000) (100,000) (120,000) (220,000) (250,000) visits by skilled providers 33,333 115,678 218,267 245,841 265,266 from United States Government (USG)-assisted facilities Key Indicator 3: # of postpartum/newborn visits (1,500) (20,000) (25,000) (35,000) (40,000) within 3 days of birth in 7,534 26,842 33,533 51,221 56,659 USG-assisted programs Key Indicator 4: CYPs in (10,000) (20,000) (20,000) (17,000) (18,500) USG-supported programs 6,492 11,516 11,354 27,041 27,509 Key Indicator 5: # of (55,000) counseling visits for FP/RH (12,000) (50,000) (60,000) 74,044 (60,000) as a result of USG assistance 11,924 30,894 42,387 72,236F/ 134,278 1808M Key Indicator 6: % of No Baseline / Endline postpartum women using 5.0% 15.0% surveys done for contraception (including MCHIP XXX) at one year postpartum In 2006, the ACCESS/MCHIP Project covered the population surround...
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Related to Increased Utilization of FP and EmONC Services

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