Antenatal care, family planning, and HIV/AIDS, sexual and reproductive health Other
Conditions
Interventions
Current interventions as of 01/10/2024:
WHO launched the SMART Guidelines initiative to support countries’ digitization journeys and facilitate a structured approach to embedding WHO recommendations a
Sponsors
UNDP/UNFPA/UNICEF/World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current participant inclusion criteria as of 01/10/2024: In a facility where: 1. Country-supported digital system for tracking health services/maintaining health records available 2. Existing digital system for SRH-HIV or willingness to digitize SRH-HIV services 3. SRH-HIV services provided by facility/health workers in the catchment area 4. Minimum volume of required sample size Previous participant inclusion criteria: In a facility where: 1. Country-supported digital system for tracking health services/maintaining health records available 2. Existing digital system for SRH-HIV or willingness to digitize SRH-HIV services 3. SRH-HIV services provided by facility/health workers in the catchment area 4. Minimum volume of monthly average of 100 pregnant women and women of reproductive age
Exclusion criteria
Exclusion criteria: 1. In a facility where settings where services could not be digitized 2. Single service facilities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 01/10/2024: Collected from extractions of de-identified data from clients’ service delivery records/medical records at a single time point: 1. The proportion of pregnant women tested for HIV at first ANC contact 2. The proportion of pregnant women receiving haemoglobin/haematocrit test at first ANC contact 3. The proportion of clients screened for STI during FP consultation 4. The proportion of people living with HIV (PLHIV) clients receiving viral load testing within 6 months of HIV diagnosis 5. The proportion of pregnant women re-tested for HIV at ANC visit during 26-34 gestation weeks if negative for HIV at first ANC contact 6. The proportion of new Family Planning clients who were counselled all 7 family planning methods available in Ghana (progestin-only pill, implant, injectable, IUD, lactational amenorrhea, barrier methods, and sterilization) 7. The proportion of PLHIV who have defaulted to refill medication Previous primary outcome measure: Collected from extractions of de-identified data from clients’ service delivery records/medical records at a single time point: 1. Proportion of pregnant women screened for syphilis during ANC of all pregnant women with ANC1 (main outcome for powering sample size) 2. Proportion of postpartum clients who initiate modern contraceptive method within 1 year of delivery 3. Proportion of women registered on the digital system as having prior initiation of modern contraception that are continuing users of modern contraception (main outcome for powering sample size) 4. Proportion of individuals seeking contraception/FP who were tested for HIV 5. HIV+ pregnant women on ART | — |
Secondary
| Measure | Time frame |
|---|---|
| Collected from extractions of de-identified data from clients’ service delivery records/medical records at a single time point: 1. Proportion of data elements for selected indicators are available in the national HMIS 2. Time taken to prepare and submit indicator data reports into the national HMIS from the facility 3. Availability of disaggregated indicators (particularly for family planning) For the qualitative component, the outcomes are related to experience of end-users (digital health, HIS, health programme leads and software development teams) in using the DAKs (through grounded theory and thematic analysis). | — |
Countries
Ethiopia, Ghana
Outcome results
None listed