The use of continuous household surveys to generate timely data for annual programme outcome monitoring: Experience from the Integrated Family Health Program in Ethiopia

Abstract

Background: Lack of timely household (HH) level data to inform evidence-based decision-making for improved, timely and targeted health interventions is challenging. Integrated Family Health Program (IFHP) developed and implemented a system for collecting data on an on-going basis at household levels.Objective: To discuss the implementation of the continuous household surveys of the IFHP.Methods: Continuous surveys were used for generating timely data for monitoring outcome indicators. Integrated Family Health Program conducted continuous cross-sectional household surveys in its four major target regions over the past 6 years. This approach facilitated the aggregation of data annually, thus enabling progress to be tracked over time and timely decision-making. A total of 2560 households were interviewed each year and trend report synthesised for use.Result: Key performance indicators in the areas of family planning, and maternal and child health were considered for the study. Time series analysis data revealed overall progress in each outcome indicator. The report was shared among key programme staff to provide data for informed programmatic decision-making.Conclusion: The surveys as part of other programme activities proved to be a feasible and efficient way to generate timely data for programme outcome monitoring. Documenting the design and implementing data collection and feedback mechanism for prospective description and outcome monitoring potentially represents a new paradigm for course correction.Recommendation: Programme implementers should plan integrated continuous programme outcome monitoring mechanism as part of programme design rather than waiting for mid-term or end-term project evaluation.

Improving Contraceptive Access, Use, and Method Mix by Task Sharing Implanon Insertion to Frontline Health Workers: The Experience of the Integrated Family Health Program in Ethiopia

“…Further illustrating scale, the IFHP endline survey—conducted in 2013—showed that the modern contraceptive prevalence rate (CPR) had substantially increased from baseline (27.4% in 2008 to 2009) to endline (39.1% in 2013) in the 4 program regions. 14 The baseline survey indicated implant prevalence was at 0.7%; by 2013, this prevalence had increased to 6.3%, due in large part to the Implanon scale-up program. 13 Moreover, the Ethiopia 2015 contraceptive commodity and service assessment showed that implant availability among HEWs and health posts exceeded 70%, mostly due to availability of Implanon.…”

“…This report also showed that across all methods and cadres, 20% of total couple-years of protection came from HEW and health post implant insertions. 14 …”