Integrated Family Planning and Routine Child Immunization Services in Benin: A Process Evaluation

Area of Science:

• Public Health
• Reproductive Health
• Health Services Research

Background:

• Integrating family planning (FP) with routine infant immunization (EPI) aims to increase postpartum contraception uptake.
• This study evaluated the implementation and client experiences of combined FP/EPI services in Benin.

Purpose of the Study:

• To assess the implementation of integrated family planning and immunization services.
• To understand postpartum women's experiences with these combined services in Benin.

Main Methods:

• A mixed-methods process evaluation was conducted at eight facilities.
• Focus group discussions with 56 postpartum women and patient flow analyses were utilized.
• Grounded theory methodology informed the exploration of women's experiences.

Main Results:

• Postpartum women positively received FP group education but found referral processes confusing.
• Birth spacing motivated contraceptive use; fear of side effects and lack of spousal engagement were barriers.
• Staffing shortages hindered service delivery in half of the evaluated facilities.

Conclusions:

• Integrated FP/EPI services are feasible and accepted by postpartum women.
• Consistent implementation requires adequate staffing, supportive supervision, and clear referral pathways.
• Addressing spousal involvement is crucial for enhancing reproductive health decision-making.