Download - Reinvigorating the PPIUCD in India
JHPIEGO in partnership with Save the Children, Constella Futures, The Academy for Educational Development, The American College of Nurse-Midwives and IMA World Health
Reinvigorating the PPIUCD in India
Dr. Rinku SrivastavaSIFPSA, India
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Session Objectives
Understand the need for postpartum family planning in India
Describe the confluence of factors for which a strategy of postpartum IUCD is suggested
Understand the strategic approach to national expansion of PPIUCD
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India: Birth-to-birth Intervals for past five years
Source: NFHS 2006N =39,215 births
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India: Unmet Need across Postpartum Period and FP use among Sexually Active Women
N=1305 N=2374 N=2661 N=2168
Source: NFHS 2006
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Family Planning Method Mix across Postpartum Periods
N=243 N=687 N=921 N=845
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Opportunities for Strengthening PPFP & PPIUCD services:
10 fold increase in women delivering in hospitals due to Maternity benefit scheme (JSY)
CuT 380 A is effective long term reversible method- an alternative for sterilization for many women
Current national strategy for increasing IUCD uptake New advances and new understanding about IUCD with
low expulsion rate and cost effective
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PPIUCD initiative in Uttar Pradesh
PPIUCD training initiated on pilot basis in 2008 by SIFPSA
Service Sites assessed and strengthened
ObGyn Department, CSMMU, Lucknow identified as training site for PPIUCD
Providers from District Women Hospital Jhansi & Allahabad trained and service being provided
TA provided by Jhpiego
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Status of PPIUCD Services in U.P.
7 Faculty members at CSMMU, Lucknow trained as Master trainers by Jhpiego 5 Doctors trained & 4 Staff Nurses oriented from Jhansi and Allahabad
SN Site Total PPIUCD inserted1 CSMMU. Lucknow 245(Jan 09 –Jan 10)
2 District Women Hospital, Allahabad
124 (Aug 09-Jan 10)
3 District Women Hospital, Jhansi
12 (Aug 09-Jan 10)
Total 381
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Service Delivery Statistics
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Lessons Learnt…
Concentrated efforts are needed to generate demand for PPFF including PPIUCD services
Counseling services to be strengthened Follow up and tracking of PPIUCD clients to be
institutionalized Capacity building of trainers & service providers
including supportive supervision at the service delivery site critical
Strong Monitoring and Evaluation of services needed
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Plan for Expansion in other states:
Beside Lucknow training sites created and trainers trained at Delhi, Mumbai and Jabalpur
Trainings of providers to role out in additional 12 states from March 2010
Use of standard training material Course notebook for Trainers Course Notebook for Learners Reference Manual Post Partum IUCD Standards for training and service site
Job aids ANC Counseling Guide- PPFP PPIUCD Pre insertion Screening
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Postpartum IUCD- Summary
Safe, convenient & cost effective, reversible, long term birth spacing method
Should be part of a maternal/newborn/ reproductive health package
JSY is an opportunity to add PPIUCD into FP program and could address the high unmet need for FP in India