Systematic screening as a strategy to increase services integration and revenues in Honduras

This operations research study tested the effectiveness of systematic screening to increase the number of services and revenue per visit in a reproductive health program. The Honduras Family Planning Association (Asociacion Hondurena de Planificacion de Familia - ASHONPLAFA) conducted the study. However the intervention was not adequately implemented. Only 11 percent of all clients were screened resulting in no differences in services or revenue per visit. Exit interviews were used as the primary data collection instrument. Both before and after the intervention clients received about 1.1 services. In contrast data from a second source the screening forms showed that screened clients received a mean of 1.35 services. Thus it is possible that screened clients may have received more services than clients who were not screened. Relying on evidence derived from the screening forms rather than exit interviews ASHONPLAFA decided to scale-up the intervention to all agency clinics. (authors)