The overall objective of this project was to strengthen the delivery of family planning/reproductive health and HIV (FP/RH/HIV) services at the community level. The interventions included revision of existing guidelines and protocols for the community midwifery approach, training of providers, provision of equipment and supplies, and creating awareness on the use of community referral cards. In addition, cost analysis of community midwives’ services and willingness-to-pay assessments for various reproductive health services among current and potential users of community midwifery services were undertaken. The results showed that the community midwifery model improved clients’ access to a comprehensive package of RH/HIV including long-term family planning methods. The report provides specific recommendations for additional improvements to strengthen the delivery system.
Liambila, Wilson, Francis Obare, Chi-Chi Undie, Harriet Birungi, Shiphrah Kuria, Ruth Wayua Muia, and Assumpta Matekwa. 2012. "Strengthening the delivery of comprehensive reproductive health services through the community midwifery model in Kenya," APHIA II OR Project in Kenya Technical Report. Nairobi: Population Council.
AIDS, Population, and Health Integrated Assistance (APHIA II) Operations Research Project