1.

Mission and priority areas

• To reduce morbidity, mortality and disability through the
involvement of the community by focusing on prevention
and community awareness
Priority areas
• Reduce maternal mortality

• providing long acting modern contraception methods

( 50% of the total users)
2. Vision
• To see healthy community which contribute a significant
role in achieving the growth and transformation plan of
the country.
Shared vision (team vision)
• To be recognized as the leading provider of high-
quality, modern methods of contraception which allow
men and women of reproductive age to determine the
number and spacing of their pregnancies
3. Current situation (scanning)
• Catchment area total population = 69599

• Eligible population = 12966

• Contraception prevalence rate = 13.4% ( 1st 6 months

2007 E.C )

• Long acting = 24.5% of the total users

 Current situation (scanning)…
• Obstacles
• Lack of adequate manpower
• Lack of teaching/counselling materials
• Inadequate room for service provision
• Clients inquire immediate removal of long acting
contraception methods
Current situation (scanning)…
• Obstacles …
• Misconception on long acting contraception methods
• It causes cancer
• Missed in the uterus
• Effect on sexual intercourse
• Low involvement of male partners
• The preference of male partners is different from the
women's preference which is on short acting methods
Current situation (scanning)….
• Opportunities
• Availability of all methods of modern contraception,
supplies and equipment's
• Service is provided free of charge
• Free Service providers
• Community has good awareness on family planning
• The community has positive attitude/trust towards the
services of the health center
• Client provider relationship is friendly
Stakeholder analysis
• FGA
• Health extension workers
• Community
• City administration
• City administration Health office
 Stakeholder analysis
Stakeholder
What are they most What is their What do we need to do to
group/
interested in? Biggest concern? get their support?
individual

FGA MCH Family planning Communicate the plan on

family plan and request
them for support
Health extension Providing Maternal Communicate the plan on
workers promotive and mortality family plan and request
preventive health reduction them to work with us
service
Community Improved quality of To get quality Contact community
life health service leaders and HDA
City Establish strong Maternal Communicate the plan on
administration health delivery mortality family plan and request
Health office system reduction them for support
4. Measureable result
• To increase the proportion of long acting family planning
method utilization from 24.5 % to 30% among the total
family planning users in Adama Health Center by the end
of may 2015.
 5. Root cause analysis - fishbone diagram

• Lack of teaching/counselling materials

Processes and procedures

Low utilization of long acting

family planning methods (24.5
% of the total family planning
People Environment users)
•Shortage of service •Low involvement of male
providers partners
•Family pressure

13
 Root cause analysis - the five whys techniques
Partner pressure

Why? →Low involvement of male partners

Why? →Women did not inform their partners

Why? →Women fear their partners to involve in a

discussion

Why? →Feel that their partners have

Misconception
 Root cause analysis - the five whys techniques
Family and others’ pressure

Why? • Community's misconception on long acting family

planning

Why? • There are rumors about the side effects of long

acting methods

Why? • No appropriate information is disseminated to

the community
 Root cause analysis - the five whys techniques
Lack of teaching materials

Why? • No responsible person

Why? • Managers not assign responsible person

Why? • Low focus on availing the materials

Why? • Mangers give priority for other

responsibilities due to scarcity of resources
 6. key challenge and priority actions
• Challenge statement
• How can we increase the proportion of long acting family
planning method utilization among family planning users
in the face of low involvement of male partners and
misconceptions about long acting family planning
methods in the community?
Priority actions
• Conduct community discussion forums

• Counsel women to come with their partners before

deciding their choice

• Prepare teaching materials

 Priority matrix

Priority actions
Community counsel women to come Prepare
Rank Criteria discussion with their partners teaching
forums before deciding their materials
choice
Time to implement 3 3 2

Cost to implement 2 3 1

Potential for improving

3 1 2
Quality

Availability of resources 3 3 2
Total 11 10 7
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 7. Team Action Plan
Team vision: To be recognized as the
leading provider of high-quality, modern
methods of contraception which allow men
Date: 26 December 2014
and women of reproductive age to
determine the number and spacing of their
pregnancies

Challenge: How can we increase the proportion of long acting family planning method utilization among family
planning users in the face of low involvement of male partners and misconceptions about long acting family
planning methods in the community?

Desired Measurable Result: To increase the

proportion of long acting family planning Indicators:
method utilization from 24.5 % to 30%
among the total family planning users in X 1.Proportion of long acting family planning method utilization
Health Center by the end of may 2015 among the total family planning users

Name of Person Expected start & Resources

Priority action Date of completion
responsible completion dates needed

Teaching
Community discussion Tesfamichael, material,
Jan 1- Feb. 27, 2015 Feb. 27, 2015
forums Bekele students, comm.
leaders
counsel women to come
Teaching
with their partners Kibir,
Jan 1- Feb. 27, 2015 material, Feb. 27, 2015
before deciding their Mohammed
students
choice
Prepare teaching Experts, Jan 10, 2015
Bekam Jan 1-10, 2015
 To be recognized as the leading provider of high-quality, modern
methods of contraception which allow men and women of reproductive
age to determine the number and spacing of their pregnancies

To increase the proportion of long acting family planning method

utilization from 24.5 % to 30% among the total family planning users
in X Health Center by the end of may 2015

• Low involvement of male partners

• Lack of teaching/counselling materials
• Misconception on long acting
contraception methods • Conduct community discussion forums
• Counsel women to come with their partners
before deciding their choice
• Prepare teaching materials

• High fertility rate

• Low socio economic status
• FP service is availlable

How can we increase the proportion of long acting family planning method utilization among family planning users in the face of low
involvement of male partners and misconceptions about long acting family planning methods in the community? 21