Accelerating contraceptive uptake through
post-pregnancy-care models
Post Medical Abortion Contraception (PMAC) is designed to develop scalable, evidence-based solutions that result in increased uptake and improved one-year continuation rates of contraceptive use after medical abortion (MA) among women and adolescent girls in Kenya, India, and Pakistan. Ipas along with partners organization conducted assessments (Formative research) and now designing interventions for the women and adolescent girls seeking MA outside facilities, pharmacists/medicine sellers providing MA and contraceptives outside of facilities, and influential intermediaries who may influence both groups.
Ipas Pakistan is partnering with PSI and DKT to reboot the User Centered Design (UCD) work and engage in field testing of low and medium fidelity interventions aimed at improving post-MA contraceptive uptake and continuation. PSI is taking the lead on reviewing existing formative research data, conducting additional field work, facilitating ideation and design sessions with users and stakeholders, and developing and testing low-fidelity prototypes. DKT will be leading on the pilot testing (or medium fidelity testing) of whichever interventions come out of the design and low-fidelity testing phase.
Ipas is also engaging Impact of Health International (IHI) to start the Market System Development Plan (MSDP) process that is running concurrently with the UCD Process. This MSDP process will bring a strategic understanding of market system constraints and opportunities to inform possible adaptation and subsequent sustainable scale-up of the prototypes, whilst being open to other potentially more suitable interventions. IHI will develop this adoptive learning tool that will be based on 4 Ds approach, Diagnose the health needs through identification of target uses, decide outlines for future vision for sustainability, Design peer support interventions based on MSDP and Deliver plan for adoptive learning that provide discreet counselling to support decision making for accelerate uptake and FP continuation.
