Use of a Low Cost Simulation Model to Expand Postpartum Intrauterine Device Services and Client Demand

Jhpiego Corporation
Organization Location: 
Baltimore, Maryland

Annually, 90,000 maternal deaths can be prevented by family planning (FP) use, and 1.6 million children under the age of five can be saved with adequate birth spacing. Postpartum women have high unmet need for FP and limited access to long-acting, reversible FP methods such as IUCDs. To improve postpartum (PPIUCD) training, Jhpiego evaluated learning on Mama-U simulators under a previous Saving Lives at Birth seed grant. Outcomes and lessons learned from this science and technology innovation will be applied to improve PPIUD service delivery and create client demand. It aims to demonstrate that when the Mama-U is used in training, continued practice, quality improvement and counseling, high-quality PPIUCD services are established and sustained—and client intent during pregnancy to use PPFP and uptake immediately postpartum are accelerated. This project addresses three barriers to PPIUCD services: 1) severe shortage of skilled PPIUD providers by training the majority of health workers within a facility health workers; 2) skills retention and continued quality of services by supporting newly-trained providers through routine practice/on-site coaching; and 3) demand among clients through counseling with PPIUCD demonstration. Compared to alternatives, Mama-U is practical, inexpensive and portable—resulting in more efficient, effective training and regular practice to retain skills. Use of Mama-U can fundamentally change how PPIUD training, counseling and services are delivered.

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