Result: Improving immediate postpartum family planning uptake was prioritized and the proposed solutions were categorized into four packages of intervention: improvement in quality of counseling on-the-job peer to peer skill transfer using a mentoring approach timely request and refill of contraceptive commodities and community mobilization for PPFP awareness and demand generation. Afterwards, each health center conducted root cause analyses to identify and prioritize problems using the fish bone diagram, developed change ideas, and implemented them, monitored progress using run charts and repeated the process following the "plan, do, study and act" cycle. Methods: The quality improvement intervention was preceded by identifying quality improvement teams and sub-teams, conducted facility baseline self-assessment, and provided orientation and training to service providers on quality improvement approaches and tools.
This paper presents the process, lessons, and effect of improving PPFP service uptake using the nationally adopted quality improvement models.
Background: Globally, majority of postpartum women who want to avoid pregnancy within 2 years after delivery, do not use contraception Supported by USAID"s Transform Primary Health Care Activity, quality improvement teams of service providers and facility administrators, implemented a project to improve the very low immediate postpartum family planning (IPPFP) uptake in four health centers of Sululta district, Oromia region.
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