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Planning and implementation of a FIGO postpartum intrauterine device initiative in six countries
Author(s) -
de Caestecker Linda,
Banks Laura,
Bell Eliza,
Sethi Maya,
Arulkumaran Sabaratnam
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12598
Subject(s) - medicine , trainer , process (computing) , audit , developing country , family planning , process management , consistency (knowledge bases) , program evaluation , operations management , nursing , population , economic growth , business , environmental health , accounting , computer science , public administration , artificial intelligence , economics , research methodology , programming language , operating system , political science
Objective To describe the process of planning and implementing a program of counselling and delivery of postpartum intrauterine devices (PPIUD) in 48 hospitals across six countries in Africa and Asia. Methods The process of planning the FIGO PPIUD initiative, selection of countries and hospitals, model of implementation, and lessons for the future are described. Results Country‐level and hospital‐based leadership were essential and training‐the‐trainer models were successful. There was a need for consistency of competency standards allowing for national variations. As the project progressed, additional steps were necessary for steady implementation of the initiative, specifically: establishment of a project steering committee and a data safety monitoring committee, audits of structure and process, and regular feedback of each center's performance to stimulate maintenance and enhancement of activities. Postnatal follow‐up was challenging in many countries with fragmented maternity systems. Conclusion The importance of professional leadership and commitment backed by robust data for monitoring and feedback are essential for success.