Advanced Strategy: An Integrated Approach to Maternal, Newborn and Child Health and Family Planning (MNCH/FP) in Ivory Coast: Experiences from the Daloa and Vavoua Health Districts
DOI:
https://doi.org/10.54536/ijphpp.v1i1.8633Keywords:
Advanced Strategy, Family Planning, Integrated Bealth Services, Ivory Coast, Maternal BealthAbstract
In Ivory Coast, the use of modern contraceptive methods remains suboptimal, while maternal and child health indicators and unmet needs for family planning (FP) continue to present important public health challenges. To address these challenges, an innovative approach was implemented in the Daloa Health District and subsequently extended to the Vavoua Health District. The intervention aimed to improve access to comprehensive, free, and geographically accessible FP and maternal, newborn, and child health services. Services provided included antenatal and postnatal consultations, all modern contraceptive methods, vaccination, malaria management for children and pregnant women, and nutritional screening. he results indicate improved access to integrated services. In Daloa, the number of Special Days increased from 9 to 60, resulting in 890 antenatal and postnatal consultations, 2,211 family planning clients, 60 vaccination services, and 54 malaria cases treated. In Vavoua, 90 Special Days were organized, during which 1,571 family planning clients were reached, together with 246 antenatal care consultations, 178 vaccination services, 114 nutritional screenings, and 111 malaria cases treated. Key indicators also showed a reduction in the dropout rate between the first and fourth antenatal care visits, from 59.7% to 47.9%, an increase in third-dose sulfadoxine-pyrimethamine (SP3) coverage from 57% to 61%, and an increase in new users of modern family planning methods from -26 to 3,681, corresponding to 102% of the 2025 target. Overall, the Integrated Special Days approach appears to be a flexible strategy for improving access to bundled maternal, newborn, and child health and family planning services
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