Amo-Adjei Joshua, Mutua Michael, Athero Sherine, Izugbara Chimaraoke, Ezeh Alex
African Population and Health Research Center, Nairobi, Kenya.
School of Public Health, University of Witwatersrand, Nairobi, Kenya.
BMC Res Notes. 2017 Oct 10;10(1):498. doi: 10.1186/s13104-017-2821-4.
In this paper, we reflect on our experiences of implementing a multipronged intervention to improve sexual and reproductive health outcomes. The project used family planning as its entry point and was implemented in two high fertility counties-Busia and Siaya in Kenya. The intervention, implemented by a seven-member consortium, involved: family planning services delivery; regular training of service providers to deliver high quality services; monitoring and evaluation; strengthening of commodity chain delivery and forecasting; school-based and out-of-school based sexuality education; and advocacy and stakeholder engagements at the community, county and national levels.
Over a 5-year period, the project contributed to raising demand for family planning considerably, evidenced in fertility decline. It also improved the capacity of family planning services providers, increased commitment and awareness of county government and other community stakeholders on the importance of investments in family planning. Our collaborations with organisations interested in sexual and reproductive health issues substantially enhanced the consortium's ability to increase demand for, and supply of family planning commodities. These collaborations are proving useful in the continuity and sustainability of project achievements.
在本文中，我们反思了实施多管齐下的干预措施以改善性与生殖健康成果的经验。该项目以计划生育为切入点，在肯尼亚的两个高生育率县——布西亚县和锡亚亚县实施。由一个七人组成的财团实施的干预措施包括：提供计划生育服务；定期培训服务提供者以提供高质量服务；监测与评估；加强商品链交付和预测；校内和校外性教育；以及在社区、县和国家层面进行宣传和利益相关者参与。
在5年时间里，该项目极大地促进了对计划生育的需求，生育率下降就是证明。它还提高了计划生育服务提供者的能力，增强了县政府和其他社区利益相关者对投资计划生育重要性的承诺和认识。我们与对性与生殖健康问题感兴趣的组织的合作大幅提高了财团增加计划生育商品需求和供应的能力。事实证明，这些合作对项目成果的延续性和可持续性很有帮助。
