Community Midwives (CMWs) are a key cadre of community-level reproductive health service providers in Pakistan. CMWs provide a range of maternal and child health (MCH) services including family planning (FP), but due to a lack of supplies and training and other reasons they are currently not providing FP services. This pilot study examined the effects of providing training in client-centered FP service provision, a regular supply of free contraceptives, and necessary equipment on the uptake, outreach, and quality of CMWs’ FP services. The study was conducted in Tando Allah Yar, a district of Sindh with average provincial demographic and socioeconomic characteristics. The aim was to identify expeditious and cost-effective ways of utilizing existing health resources to improve women’s rights-based access to FP services in Sindh, particularly its rural areas. The longer-term goal was recommending the involvement of CMWs in strategies to enhance availability of quality FP services to Pakistani women and men elsewhere. The study used a quasi-experimental mixed-methods design, and data were used to assess changes in the quality, uptake, and outreach of FP services provided by CMWs.
Kamran, Iram, Rehan Niazi, Ramsha Hasham, and Haider Safdar Abbasi. 2021. “Optimizing provision of rights-based family planning services by community midwives (CMWs) in Tando Allah Yar.” Islamabad: Population Council.