JSI Research & Training Institute, Inc. successfully implemented the Together for Health for the U.S. Agency for International Development from 2005 to 2011. For further information on project activites, visit the TfH page on jsi.com.
Strengthening Family Planning and Reproductive Health Services
In 2005, when Together for Health (TfH) began, family planning services were provided in a limited number of health facilities—mostly in family planning cabinets in women's consultations and in polyclinics, located in medium to large urban areas—and the only health workers involved were obstetricians/gynecologists.
Together for Health's vision is to "mainstream" family planning and reproductive health services, making them available close to where people live and ensuring that they are provided in line with modern international approaches. To do this, the project is:
Lviv clinical training participants practice no touch technique for IUD.
- Integrating family planning/reproductive health services into the emerging primary health care system (family medicine) and into postpartum and postabortion care in hospitals. At the same time, the project encourages the provision of a broader package of services, including screening for sexually transmitted infections and HIV and for reproductive cancers, to support more client-centered care, and to promote early detection of health problems.
- Training a wide range of health providers—not only obstetricians/gynecologists, but also family doctors and internists, midwives, nurses, feldshers, dermatovenereologists, and others—to offer counseling and services in line with international approaches.
- Working with the Ministry of Health to update its protocols and guidelines to ensure that they are in line with international evidence-based recommendations and to remove unnecessary barriers to services. The project assisted the Ministry of Health to develop and disseminate family planning protocols, and based on those protocols, developed an updated manual on family planning.
- Promoting evidence-based medicine (EBM), enabling professionals to stay informed of the latest evidence and adopt the most effective clinical practices. The project is working to develop a small group of EBM methodologists with the skills to research and evaluate clinical evidence and to develop evidence-based guidelines and other materials. An EBM resource center for the reproductive health community has been set up at the National Medical Academy for Postgraduate Education.
- Supporting sustainable expansion of family planning and reproductive health services by integrating project training curricula and evidence-based clinical guidelines into residency and continuing medical education.
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