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Introduction and Organization of USAPAN

1. USAPAN sessions are demand generation activities that directly link information giving, counseling, and actual family planning service provision or referral. 2. They address challenges in implementing family planning programs like increasing contact between non-users and providers, reducing unmet need, and bridging the gap between demand generation and actual services. 3. USAPAN sessions involve reviewing client lists, inviting clients through outreach, conducting counseling on family planning methods, and providing or referring clients for services on-site.

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2A - Nicole Marrie Honrado
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305 views

Introduction and Organization of USAPAN

1. USAPAN sessions are demand generation activities that directly link information giving, counseling, and actual family planning service provision or referral. 2. They address challenges in implementing family planning programs like increasing contact between non-users and providers, reducing unmet need, and bridging the gap between demand generation and actual services. 3. USAPAN sessions involve reviewing client lists, inviting clients through outreach, conducting counseling on family planning methods, and providing or referring clients for services on-site.

Uploaded by

2A - Nicole Marrie Honrado
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CHN 1 SKILLS/CLINICAL

Introduction to USAPAN (Program Implem.)


OBJECTIVES OF USAPAN  2009: Another revision of the FPAS by HealthPRO
 2010: USAPAN by PRISM
a. Facilitate more family Planning discussions.  2016: USAPAN by LuzonHealth
b. Address the factors that contribute to unmet need.
c. Combine demand generation and actual service provision USAPAN Sessions-a purposive demand-generation
on site whatever feasible. activity that directly links information giving,
counselling, and actual service provison, including
SOME HEALTH SECTOR CHALLENGES IN THE necessary referral
IMPLEMENTATION FAMILY PLANNING • A strategy used to directly address unmet needs for
PROGRAM FP based on the reproductive intention of clients

 Challenge No. 1: Increasing contact between non-users


and FP service providers

 Challenge No. 2: Reducing unmet needs for family


planning

 Challenge No. 3: Bridging the gap between


knowledge/awareness of FP from demand generation and
actual service provision/method acceptance

 Demand generation activities are conducted but no


service provision is done
 Commodities and services are available in health
facilities but demand generation activities are
insufficient
VARIANTS OF USAPAN
SOLUTION: USAPAN SESSIONS
A. Usapang Pwede pa {M/WRA and need for birth spacing}
1. Facilitate more FP discussions (Challenge 1) B. Usapang Kuntento Na [M/WRA with need for birth
2. Address the factors that contribute to unmet need limiting}
(Challenge 2) C. Usapang Bagong Maginoo { Males with need for birth
3. Combine demand generation actual service provision on- limiting}
site, whenever feasible (Challenge 3) D. Usapang Buntis 1 and 2 { pregnant women and partners}

WHAT IS USAPAN? *M/WRA- Men or Womwn at Reproductive Age

A product of several revisions of various demand generation REQUIREMENTS FOR USAPAN:


activities developed and implemented in the past
 2001: “Family Planning Action Session” integrating 1. UNo more than 15 participants { potential FP clients and
concepts of Population, Health and Environment-Save /or MCH clients} and not less than six [6} participants per
the Children-PESCO DEV Project session at any given ttime
 2003: Purely FP version of FPAS by Management 2. At least 3 FP-CBT level 1 trained midwives or nurse must
Sciences for Health (MSH) be available to provide one on one counseling and the
 2005: FPAS for permanent methods by USAID’s Lead for chosen FP method at the actual session {for UPP, UKN
Health Project and UBM.
3. Male facilitators for Male Maginoo
CHN 1 SKILLS/CLINICAL
4. Temporary FP commodities must be available and ready
for actual use or dispensing at the Usapan session venue
5. The immediate forth coming schedule of BTL and or NVS MCH - MATERNAL AND CHILD HEALTH
services {within the week } as a referral hospital or partner SERVICES
site must be arranged and finalized prior to conducting
Usapang Kontento Na A. Pre-Pregnancy Services:

1. Provision of correct information and responsive counseling


ORGANIZING USAPAN SESSION for fertility awareness, maternal nutrition, birth spacing
and adolescent reproductive health.
STEPS IN ORGANIZING USAPAN SESSION: 2. Active identification and servicing of population segments
with unmet needs for family planning and referral to
1. Identify clients who have expressed need for limiting / alternative sources of services and supplies when these are
spacing through RECORDS REVIEW: not available in one’s service outlet or facility
 TCLs (Target Client List) 3. Assurance of safety met to free family planning services
 CHT {Community Health Team } Survey and supplies for indigent potential users
 CHSR {Community Health Service Record} 4. Provision of other basic and essential services for young
 FP/ANC-EPI Integration Tools females and women in the reproductive age.
 BHWs List of Clients 5. Provision of all modern Family Planning Methods
 are in their in 3rd trimester of pregnancy and have including - LAM(Lactation Amenorrhea Method) , pills,
expressed need for limiting,/spacing [ for Buntis] condom, DMPA, IUD, LAM, BTL No scalpel Vasectomy

2. Decide what variants of USAPAN you will conduct and B. Pre Natal Care:
remember the correct target segment:
 Pwede Pa { M/WRA with need for birth spacing }  at least 4 prenatal check ups
 Kuntento Na {M/WRA with need for birth limiting  Nutritional status by measurement of BMR {body
 Bagong Maginoo { Males with need for birth mass index}
limiting }  Immunization against Tetanus, Diphtheria {2 doses
 Buntis 1 or Buntis 2 { Pregnant women and their for the first pregnancy at least 3 doses for 2nd or more
Partners} pregnancy .
 Micronutrient supplementation of iron with folic acid
3. Invite participants to Usapan through/ during the following { some LGU’s have separate iron and folic
activities: acid]Calcium carbonate , iodine capsule.
 EPI day (Expanded Program for Immunization)  One dose of deworming {anti-helminthic} tablet
 FDS (Family Development Sessions)  STI testing syphilis, Hep B, and HIV.
 Mobilization of BHW’s /CHT partners.  Laboratory testing complete blood count {CBC},or
hemoglobin and hematocrit count, gestational
4. Select and set up your venue diabetes.
 Preferably A Rural Health Unit {RHU} or Barangay
Health station.{BHS}.  Trimester of Pregnancy
 Ensure that there are avaiilable service providers and  First trimester- up to 12 weeks and 6 days
referral system in the place.  Second trimester- 13-27 weeks and 6 days
 Third trimester- 28 and more
5. Prepare the supplies and materials:
 FP commodities C. Intrapartum Care and Delivery:
 Equipment and instruments (for IUD - Intrauterine
Device insertion)  Livebirths by birth weight
 Poster of FP methods (Limiting or Spacing)  Deliveries attended by skilled health professionals
 Attendance sheet  Deliveries in health care facility
 Forms  Pregnancy outcome , full-term, pre term ,fetal death,
 Materials for participatory exercise abortion/miscarriage.
 Snacks (optional)
D. Post Partum Care:
6. Finalize arrangement with service providers methods that
would be given at a later date.  Given with at least 2 postpartum check -ups together
 Finalize necessary arrangements with referral with her newborns within 7 days after delivery.
facilities, private providers, and itinerants team.  Micronutrient supplementation of iron with folic acid
for 3 months
7. Discuss and agree on the respective topics and  Provision of one dose of Vitamin A supplementation
responsibilities (counseling service provision, managing within one month after delivery
the sessions, etc.)
 Request assistance of other service providers. E. Newborn Care Services:

 Infant Care: { 29 days to 11 months old}


 Immunization of BCG, DPT-HInfleza type B Hep- B
dose1,2, and 3 Pnuemococcal conjugate Vaccine
{PCV} dose 1,2,and 3 Oral polio vaccine [OPV} dose
1,2,and 3, Inactivated polio Vaccine [IPV}, Measles
containing vaccine [MCV} at 9 months
 Exclusive breastfeeding from birth up to 6 months of
age
 Complementary feeding initiation with continuous
breastfeeding starting at 6 months old.
CHN 1 SKILLS/CLINICAL
 Low birth weight infants , ages 1-3 months seen and
be given iron supplementation
 Micronutrients supplementation Vitamin A and
 Micronutrient Powder {MNP}.

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