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Document Typology: Research
Methodology addressed by the publication:Narrative medicine
Title of document: Reaching the Poor: Scaling Up Integrated Family Planning Services
Name of author(s): John Snow
Name of publisher:
Language of the publication: English
Language of the review: English
The impact of the Romanian Family Health Initiative has been significant. The integration of family planning into over 80 percent of the primary health care services nationally has dramatically increased access to contraceptives by 40 percent between 1999 and 2004. This has contributed to a significant reduction in the rate of abortion of over 260 percent in the same period, with a concomitant reduction in the rate of maternal mortality due to abortion of nearly 37 percent. Quality services are available in most rural communities now that family health doctors have the authority, the updated knowledge, and the supplies they need to provide quality.
The scaling up of integrated family planning services through primary care providers was carefully planned to ensure a balance between quality of care, equity/coverage, and cost efficiency.
The scale-up strategy addressed some of the most critical challenges to improving Romanian health care, through the following approaches: identifying issues and gaps in service availability and in developing a comprehensive national strategy to address them. This approach was central to developing supportive policies and legislation, standards, and protocols, through a series of multisectoral working groups.
In order to reach the present situation there were implemented the following steps, which are explained in this case study :
1. Creating a policy environment favorable to FP-PHC integration
2. Implementing a multisectoral approach
3. Coordinating program implementation following a Three Pillars Approach
4. Training health care professionals and conducting supportive supervision
5. Providing and targeting free contraceptives
6. Developing and implementing a logistic management information system
7. Operationalizing the Demand Pillar
8. Providing technical assistance at the central level
9. Assessing and strengthening managerial capacity at the district level
Romania’s family planning program serves as a model for other countries in the region, offering innovative ideas and practical approaches.
Reviewer's comments on the document:
This research presents the extension of integrated family planning services in Romania. There are presented the impact of the initiative, the methods, the policies and legislation support and the implementation steps to reach the present situation.
Where to find it:
Pdf of the publication: romania

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