Background/Objectives
The Post-pregnancy Family Planning (PoPCare) program in Lagos, Nigeria implemented a data-driven community-focused approach that aimed to improve access to and uptake of post-pregnancy modern contraception. PoPCare used a responsive feedback mechanism (RFM), to enhance learning and allow for quick program adjustments in response to changing circumstances. Three (3) waves of RFM assessments were conducted to identify motivation, ability, and trigger for the provision of family planning services to YFTMs by HCWs and identify possible course corrective measures that the program could implement.
Materials and Methods
The RFM assessments were conducted in one LGA in Lagos using a short quantitative survey after ethical approval was secured and verbal informed consent was obtained from all respondents. The same HCWs (20 in total) were interviewed in the 3 waves with the same questionnaire. Structured 5-point Likert scale questions based on the Fogg Model were asked with responses ranging from strongly agree to strongly disagree.
Results
While the first two waves, showed that 45% and 40% HCWs respectively lacked motivation and ability to counsel and provide modern FP, wave 3 results showed that 95% of HCWs were strongly motivated to discuss modern FP with YFTMs. Furthermore, Wave 3 showed that 80% and 75% of HCWs found it easy to provide implant and IUD respectively to YFTMs compared to 40% and 45% in wave 1 and 30% and 25% in wave 2.
Conclusion
The results for wave 3 showed significant increase in HCWs' motivation to discuss modern family planning with YFTMs and their ability to provide LARC services, which could reflect programs' efforts to involve state representatives in peer-led mentoring sessions and supportive supervision at program supported health facilities.
