SihatMand Khandaan Healthy Families for Pakistan

Summary

The SMK project's primary goal is to improve the status of SRH of women and adolescents within those targeted areas which feature inadequate progress on existing SRH indicators. The focus remains on empowering increasingly marginalized and vulnerable populations to exercise their reproductive rights, free of coercion, discrimination and violence. This will be achieved through the implementation of evidence-based and socio-culturally sensitive FP/ SRH interventions within ten districts of Pakistan. The aim of this project is therefore to evaluate the impact of a package of community and facility-based interventions on improving the SRH/ FP of the targeted population.

In order to achieves this, a quasi-experimental pre \& post evaluation intervention study with a formative phase, baseline assessment, intervention phase and finally an end-line assessment, consisting of both qualitative \& quantitative monitoring \& evaluation tools will be applied at the household, community, healthcare facility and district levels in all project areas.

Furthermore, descriptive statistics will be tabulated on key indicators and stratified on selected variables. Means for continuous variables and proportion for categorical variables will be calculated at a 95% confidence interval within this study

Conditions

• Contraception
• Contraception Behavior
• Reproductive Behavior
• Maternal Behavior

Interventions

BEHAVIORAL

Uptake of quality Reproductive health and Family planning products, information and Services

Strengthening capacity of health facilities and outreach to deliver quality reproductive and family planning services and address demand side barriers to the uptake of the services

BEHAVIORAL

Capacity building of facility based and community based healthcare providers (public and private sector) on FP /SRH

Training sessions on FP / SRH including FP Methods - LARC, PPIUD - Task Sharing \& Shifting for facility based healthcare providers at provincial level for Master Trainers with trickle down sessions at district level. Training on Sayana Press, ECP, Balance Counselling Strategy and Life Skills Based Education for community-based healthcare providers including LHWs at district level.

BEHAVIORAL

Adolescent Engagement

Identification of adolescent-friendly spaces through community based platforms including LHW health houses for girls and village health committees for boys with context-appropriate arrangements for LSBE and SRH counselling.

BEHAVIORAL

Renovation and Refurbishment of selected healthcare facilities

Identification and improvement/ renovation of public and private healthcare facilities to strengthen the quality, provision and delivery of FP/SRH services, especially counselling, to catchment population

BEHAVIORAL

Use of Data for Effective Decision-making

Improvement in data recording at the source level with reporting at existing platforms i.e. DHIS and LHW-MIS and use of this data for local decision making

BEHAVIORAL

Procurement of FP/SRH medical supplies and equipment

Provision of commodities / supplies for shortest-time possible in facilities having stock-outs

Sponsors & Collaborators

• Global Affairs Canada

  collaborator OTHER

• United Nations

  collaborator OTHER

• Aga Khan University

  lead OTHER

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

15 Years

Max Age

49 Years

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2021-04-01

Primary Completion

2024-12-31

Completion

2024-12-31

Countries

• Pakistan

Study Locations