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Nurse in Lundazi District received training on delivering FP and HIV serviced and on how to facilitate dialogues at community level. Photo by Theresa Hwang, CARE


Research on Family Planning Services and HIV Service Integration

C-Change partnered with CARE in Zambia’s Lundazi district on operations research to determine the effects of community-informed behavior change communication strategies on family planning (FP) uptake. Specifically, the program investigated how social norms influence FP uptake and the best ways to reach HIV-infected individuals with FP information.

To begin, the program integrated FP counseling services and distribution of FP commodities (pills, injectables, implants, and condoms) into an existing TB/HIV/AIDS programs at the clinic and community level. CARE provided training to clinic staff and community health workers on delivering FP and HIV services and on how to facilitate dialogues at the community level.

Then, in late 2009, baseline assessments were conducted to learn more about misconceptions around FP methods and the role that gender relations and exposure to FP information plays in uptake of these services.

C-Change used the baseline results and input from community leaders and community health workers (traditional birth attendants, supporters of TB care, and FP distributors) to develop communication strategies that address social norms and barriers to FP use. The research report aims to inform subsequent SBCC interventions, including dialogues and the development of SBCC materials and messages.