{"id":6768,"date":"2023-09-29T12:36:50","date_gmt":"2023-09-29T12:36:50","guid":{"rendered":"https:\/\/kmtraining.org\/postpartum-and-post-abortion-family-planning-indicators-learnings-from-nigeria-burkina-faso-and-rwanda\/"},"modified":"2026-04-28T13:15:07","modified_gmt":"2026-04-28T13:15:07","slug":"postpartum-and-post-abortion-family-planning-indicators-learnings-from-nigeria-burkina-faso-and-rwanda","status":"publish","type":"post","link":"https:\/\/kmtraining.org\/fr\/postpartum-and-post-abortion-family-planning-indicators-learnings-from-nigeria-burkina-faso-and-rwanda\/","title":{"rendered":"Postpartum and Post-Abortion Family Planning Indicators: Learnings from Nigeria, Burkina Faso, and Rwanda"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\" ><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span style=\"font-weight: 400\">On August 17, Knowledge SUCCESS and the FP2030 NWCA Hub hosted a webinar on postpartum and post-abortion family planning (PPFP\/PAFP) indicators that promoted recommended indicators and highlighted successful implementation stories from experts in Rwanda, Nigeria and Burkina Faso.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Moderator:<\/span>\n<ul>\n<li style=\"font-weight: 400\"><b>Alain Damiba, <\/b><span style=\"font-weight: 400\">USAID WCARO<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Panelists:<\/span>\n<ul>\n<li style=\"font-weight: 400\"><b>Yusuf Nuhu, <\/b><span style=\"font-weight: 400\">FP2030 NWCA Hub<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Marie Claire Iryanyawera, <\/b><span style=\"font-weight: 400\">UNFPA Rwanda presented on behalf of<\/span><b> Dr. Francois Regis Cyiza, <\/b><span style=\"font-weight: 400\">Rwanda Biomedical Centre, MOH<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Dr. Olufunke Fasawe, <\/b><span style=\"font-weight: 400\">CHAI Nigeria\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Cheick Ouedraogo, <\/b><span style=\"font-weight: 400\">Jhpiego Burkina Faso<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400\">Below we\u2019ve included a comprehensive recap that links to exact segments within the full recordings (available in <\/span><\/i><a href=\"https:\/\/www.youtube.com\/watch?v=uvj0nux5J1s\"><i><span style=\"font-weight: 400\">English<\/span><\/i><\/a><i><span style=\"font-weight: 400\"> and <\/span><\/i><a href=\"https:\/\/www.youtube.com\/watch?v=D0qQ1QZ_A6E\"><i><span style=\"font-weight: 400\">French<\/span><\/i><\/a><i><span style=\"font-weight: 400\">). Click <a href=\"https:\/\/knowledgesuccess.org\/2023\/09\/29\/indicateurs-de-planification-familiale-post-partum-et-post-avortement-apprentissages-du-nigeria-du-burkina-faso-et-du-rwanda\/\">here<\/a> to read the post in French.<\/span><\/i><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1 style=\"font-weight: 400\"><strong>Context And Background<\/strong><\/h1>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Alain Damiba <\/b><span style=\"font-weight: 400\">provided background about the work that was started back in 2017 by the measurement subcommittee of the FP2030 Postpartum and Post-abortion Global Steering Committee. Following a series of consultations, recommended indicators were developed which were then included in the High Impact Practices.<\/span><\/p>\n<p><b>Watch now: [<a href=\"https:\/\/youtu.be\/uvj0nux5J1s?t=109\">1:49<\/a>]<\/b><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_left wpb_content_element\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper  \"><\/div>\n\t\t<\/figure>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span style=\"font-weight: 400\">Despite progress made, Alain discussed challenges that remain today in progressing toward global goals, including weak health systems, difficulties setting up Health Management Information Systems (HMIS) policies and processes, and implementation hurdles. There are opportunities thanks to universal health coverage policies being developed and free family planning, increases in Antenatal care (ANC) visits and in-facility deliveries and expansion of community approaches. <\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1><b>Reviewing The Indicators<\/b><\/h1>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Yusuf Nuhu <\/b><span style=\"font-weight: 400\">presented the indicators that were developed and recommended for routine collection in national HMIS.<\/span><\/p>\n<p><b>Watch now: [<a href=\"https:\/\/youtu.be\/uvj0nux5J1s?t=436\">6:58<\/a>]<\/b><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_left wpb_content_element\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper  \"><\/div>\n\t\t<\/figure>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span style=\"font-weight: 400\">These indicators help to ensure quality of services and access. Integrating these indicators into health systems will contribute to better decision-making for programs as countries accelerate towards their family planning goals.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1><b>Rwanda&#8217;s Experience<\/b><\/h1>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Marie Claire Iryanyawera, UNFPA Rwanda <\/b><span style=\"font-weight: 400\">presented on behalf of<\/span><b> Dr. Francois Regis CYIZA Rwanda Biomedical Centre, MOH<\/b><span style=\"font-weight: 400\">, who was then able to join and contribute to the Q&amp;A portion of this webinar.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Marie Claire gave an overview of the Rwanda context and their journey in introducing the indicators into their HMIS. Following a pilot of postpartum IUD in 2011-2014, Rwanda was ready to implement the new <\/span><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241549158\"><span style=\"font-weight: 400\">WHO Medical Eligibility Criteria<\/span><\/a><span style=\"font-weight: 400\"> (MEC) when it was released in 2015. Rwanda prioritized aligning their family planning training manuals with the revised MEC.<\/span><\/p>\n<p><br style=\"font-weight: 400\" \/><br style=\"font-weight: 400\" \/><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Watch now: [<a href=\"https:\/\/youtu.be\/uvj0nux5J1s?t=845\">14:05<\/a>]<\/b><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_left wpb_content_element\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper  \"><\/div>\n\t\t<\/figure>\n\t<\/div>\n[rs_special_text align=&#8221;center&#8221;]<i><span style=\"font-weight: 400\">This timeline shows key policy milestones that contributed to an enabling environment for Rwanda to advance access to quality PPFP services.<\/span><\/i>[\/rs_special_text]\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span style=\"font-weight: 400\">PPFP is now scaled up in all health facilities nationally. Track 20\u2019s FP Goals analysis for Rwanda, conducted in 2018, showed the potential to increase modern contraceptive prevalence rates (mCPR) by 3.8% per year if recommended family planning interventions were scaled up, with PPFP making up 19% of the scale-up program.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Rwanda defines postpartum period as one year post delivery. The adoption of the PPFP before discharge indicator was prompted by the significant number of women receiving antenatal care and high rate of deliveries at health facilities.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1><b>Nigeria&#8217;s Experience<\/b><\/h1>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Dr. Olufunke Fasawe <\/b><span style=\"font-weight: 400\">shared CHAI Nigeria\u2019s experience supporting the Federal Ministry of Health in integrating postpartum family planning indicators into the national health management information system (HMIS) in Nigeria.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The program Dr. Fasawe is sharing was conducted between 2016-2019 in Katsina, Kano and Kaduna states in northwestern Nigeria. Home delivery rates were very high at the time in these states, on average 80% and up to 91% in Katsina. The objective of the project was to train healthcare workers to insert Immediate Postpartum (IPP) IUDs and implants and reaching women during antenatal care to retain them to deliver in the facility where they could have access to immediate PPFP care. The project also focused on Traditional Birth Attendants who typically accompany home births and are in a position to refer women to a facility within 48 hours to receive PPFP. The project purposefully used this opportunity to build on previous CHAI work to strengthen the referral transport system using motorbikes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Over the three year period, the project achieved good results in terms of uptake of implants and insertions within 48 hours after delivery whether the woman delivered in a facility or at home.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The registers are usually reviewed and updated every three years and the timing was good when indicators were recommended. Together with key partners they successfully incorporated three indicators measuring IPPFP, ANC and counseling into FP, labor &amp; delivery and ANC registers. Dr. Fasawe shared screen shots from the registers themselves and the DHIS2 indicators. These indicators are now routinely reported and the Federal Ministry of Health is still prioritizing capacity strengthening on reporting and improving data quality. <\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Watch now: [<a href=\"https:\/\/youtu.be\/uvj0nux5J1s?t=2244\">37:20<\/a>]<\/b><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_left wpb_content_element\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper  \"><\/div>\n\t\t<\/figure>\n\t<\/div>\n[rs_special_text align=&#8221;center&#8221;]<i><span style=\"font-weight: 400\">Dr. Fasawe shared six actionable recommendations related to service delivery, commodity security, data reporting and indicator measurement, equipment and instruments, referral and monitoring.<\/span><\/i>[\/rs_special_text]\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1><b>Burkina Faso&#8217;s Experience<\/b><\/h1>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Dr. Cheick Ouedraogo<\/b><span style=\"font-weight: 400\"> presented about Burkina Faso\u2019s experience adopting PPFP and PAFP indicators into their HMIS. The data collection tools were reviewed and revised to account for new data needs, including FP, L&amp;D, counseling registers and the monthly activity report template. Dr. Ouedraogo shared the multi-step methodology undertaken by Jhpiego and key stakeholders in Burkina Faso, including training managers and healthcare providers. A Steering Committee led this collaborative process. <\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Watch now: [<a href=\"https:\/\/youtu.be\/uvj0nux5J1s?t=3128\">52:04<\/a>]<\/b><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_left wpb_content_element\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper  \"><\/div>\n\t\t<\/figure>\n\t<\/div>\n[rs_special_text align=&#8221;center&#8221;]<i><span style=\"font-weight: 400\">Three IPPFP and PAFP indicators were included in Burkina Faso\u2019s national HMIS.<\/span><\/i>[\/rs_special_text]\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span style=\"font-weight: 400\">Dr. Ouedraogo shared the challenges encountered, in particular around data quality, ensuring providers were trained to collect this data, and shared perspectives for others to consider. <\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1><b>Q&amp;A<\/b><b><\/b><\/h1>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Watch now: [<a href=\"https:\/\/youtu.be\/uvj0nux5J1s?t=4143\">1:09:31<\/a>]<\/b><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_accordion wpb_content_element  not-column-inherit\" data-collapsible=\"\" data-vc-disable-keydown=\"false\" data-active-tab=\"1\">\n\t\t<div class=\"wpb_wrapper wpb_accordion_wrapper ui-accordion\">\n\n\n\t<div class=\"wpb_accordion_section group\">\n\t\t<h3 class=\"wpb_accordion_header ui-accordion-header\"><a href=\"#marie-claire-what-is-the-ratio-of-facility-based-delivery-to-home-delivery-in-rwanda\">Marie Claire, what is the ratio of facility-based delivery to home delivery in Rwanda?<\/a><\/h3>\n\t\t<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix\">\n\t\t\t\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Answer<\/strong><span style=\"font-weight: 400\"><strong>:<\/strong> The latest Rwanda DHS of 2020 indicates that 94% of deliveries are assisted by a skilled provider.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_accordion_section group\">\n\t\t<h3 class=\"wpb_accordion_header ui-accordion-header\"><a href=\"#marie-claire-its-impressive-to-see-the-rapid-increase-in-uptake-of-ppfp-in-such-a-short-period-of-time-it-is-also-a-very-rapid-increase-have-there-been-any-concerns-raised-about-ensuring-voluntary\">Marie Claire, it&#039;s impressive to see the rapid increase in uptake of PPFP in such a short period of time. It is also a very rapid increase. Have there been any concerns raised about ensuring voluntary use (or non use)? Curious too if the government has invested in any data collection efforts to look at quality of care, method satisfaction, and discontinuation rates.<\/a><\/h3>\n\t\t<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix\">\n\t\t\t\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Answer:<\/strong><span style=\"font-weight: 400\"> All health care providers are trained on PPFP counseling to ensure human rights based principles. It is voluntary, and data collection from ANC and in maternity services enable the collection of information. In addition, every two years, UNFPA supports the Service Delivery survey and client satisfaction counseling before the method and HRBA are part of the collected variables.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_accordion_section group\">\n\t\t<h3 class=\"wpb_accordion_header ui-accordion-header\"><a href=\"#dr-cheick-id-like-to-better-understand-the-specific-process-you-followed-to-include-the-post-abortion-family-planning-indicators-in-the-national-health-information-system-and-how-it-may-have-differ\">Dr. Cheick, I&#039;d like to better understand the specific process you followed to include the post-abortion family planning indicators in the National Health Information System and how it may have differed from the process of including the postpartum family planning indicators.<\/a><\/h3>\n\t\t<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix\">\n\t\t\t\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Answer<\/strong><span style=\"font-weight: 400\"><strong>:<\/strong> The same process was used as for the PPFP. For the PAFP, we strengthened providers&#8217; skills in exploring values and transforming their attitude towards PAC, despite the fact that it is part of the minimum service package for their level of care. This helped to dispel fear and stigmatization.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_accordion_section group\">\n\t\t<h3 class=\"wpb_accordion_header ui-accordion-header\"><a href=\"#dr-cheick-the-training-was-for-providers-but-what-if-the-community-is-not-ready-what-can-be-done-for-the-community\">Dr. Cheick, the training was for providers but what if the community is not ready\u2014what can be done for the community?<\/a><\/h3>\n\t\t<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix\">\n\t\t\t\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Answer<\/strong><span style=\"font-weight: 400\"><strong>:<\/strong> The demand generation was undertaken by Community Health Workers. In addition we have organized dialogues with community leaders on sexual and reproductive health and rights which helped to motivate the community to accept FP services.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_accordion_section group\">\n\t\t<h3 class=\"wpb_accordion_header ui-accordion-header\"><a href=\"#dr-cheick-please-explain-the-strategies-used-to-increase-from-1-to-43\">Dr. Cheick, please explain the strategies used to increase from 1% to 43%.<\/a><\/h3>\n\t\t<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix\">\n\t\t\t\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Answer<\/strong><span style=\"font-weight: 400\"><strong>:<\/strong> Due to stigmatization and discrimination, even when the service has been provided they did not record it. As such, we have organized values clarification and attitude transformation, which reinforce their confidence and beliefs. A monthly monitoring of data and supportive supervision put in place contributed to an increase in the uptake of PAFP. The last one was the placement of commodities in the procedure room.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>On August 17, Knowledge SUCCESS and the FP2030 NWCA Hub hosted a webinar on postpartum and post-abortion family planning (PPFP\/PAFP) indicators that promoted recommended indicators and highlighted successful implementation stories from experts in Rwanda, Nigeria and Burkina Faso.<\/p>","protected":false},"author":12,"featured_media":6751,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[260,99,50,237,80,203,100,329,196],"tags":[341,137,211],"class_list":["post-6768","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-burkina-faso","category-content-partner","category-east-and-central-africa","category-fp2030","category-knowledge-management","category-nigeria","category-reproductive-health-supplies-coalition","category-rwanda","category-west-africa","tag-rwanda","tag-sexual-and-reproductive-health","tag-webinar-recap"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - 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