Ensuring mothers are provided appropriate antenatal and delivery care, and offering the proper information and services for mothers to time and space their pregnancies are essential to building healthy families. World Vision will describe their work with religious leaders in Garba Tulla, Kenya to help pregnant moms thrive during their childbearing years.

1. Sub-
awardee
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Melanie Lopez, MPH
21 June 2016
www.worldvision.org/our-impact/health
The GarbaTulla HealthyTiming & Spacing of
Pregnancy Project: Increasing Contraceptive
Uptake in Northern Kenya
Healthy Mothers, Healthy Children: The
Role of Faith Communities
Washington DC

2. Sub-
awardee
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Background/Context:
Garba Tulla, Kenya
Garba Tulla is a USAID-funded program, integrated into a larger
Maternal and Child Health project (funded by WV Canada).
Goal:To increase access to and use of voluntary Family Planning
(FP) services through integration of Healthy Timing & Spacing of
Pregnancies (HTSP) into a Maternal and Child Health (MCH)
project in Garba Tulla District, Kenya
• SO1: Increase access to FP services in the community
• SO2: Increased knowledge & interest in HTSP/FP
• SO3: Improved social & policy environment for FP services
and positive Reproductive Health behaviors

3. Sub-
awardee
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Healthy Timing & Spacing of Pregnancies
(HTSP). What does it mean?
• An intervention that focuses on healthy fertility to
help women, men and families, time and space their
pregnancies to achieve desired family size and the
healthiest outcomes for newborns, children, and
women.
• HTSP works within the context of free, informed and
voluntary contraceptive choices.

4. Sub-
awardee
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Where in the world is GarbaTulla, Kenya?
KENYA ISIOLO GARBA TULLA

5. Sub-
awardee
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Points of integration to increase
utilization for HTSP/FP
• Antenatal care: 73% of women get tetanus
toxoid coverage during the fourth antenatal
care visit
• Immunization: High immunization coverage
(72.6 percent) for fully immunized children
under 2

6. Sub-
awardee
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Points of integration to increase
utilization for HTSP/FP
• Faith Leaders: Sheiks and Imams
• Male Leaders: Chiefs, teachers, husbands, elders
• Community HealthVolunteers (CHVs) and
Community Health ExtensionWorkers
(CHEWs)

7. Sub-
awardee
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SO: Community
Mobilization –
Faith Leaders, Male
involvement

8. Sub-
awardee
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Results
0
100
200
300
400
500
600
Capacity Building, Male-FP
counseling/services for CHWs
Capacity Building, Male-FP
counseling/services for other providers
working in health facilities
Cacacity Building, Female-FP
counseling/services for CHWs
Capacity Building, Female-FP
counseling/services for other providers
working in health facilities
Number of community health workers (CHWs) and/or other health providers
trained or supported, disaggregated by gender

9. Sub-
awardee
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Results
0
200
400
600
800
1000
1200
1400
Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15
Number of community members reached with family planning messages by type of provider
By CHEW (Other service providers in health facilities) By CHVs (Community health workers (CHWs)

10. Sub-
awardee
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Successes
0
50
100
150
200
250
300
350
400
450
500
Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15
# of clients receiving FP services integrated into MNCH services at the same location and
time, disaggregated by sex
Male Female

11. Sub-
awardee
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Successes
2870
0
1867
184
3
0
45
1098
1
605
0
514
724
0 500 1000 1500 2000 2500 3000
Male condom, Male
Male Sterilization, Male
SDM, Male
Emergency Contraception, Female
Female condom, Female
Female Sterilization
Implants, Female
Injectables, Female
IUD, Female
Female Lactational Amenorrhea
Male condom, Female
Oral Contraceptive Pills, Female
Standard Days Method (SDM), Female
# of current users, disaggregated by sex and method
# of current users by gender and method

12. Sub-
awardee
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Successes
18
89
376
179
451
757
0
200
400
600
800
1000
1200
Sep-14 Dec-14 Mar-16 Jun-16 Sep-16 Dec,2015
Male condom, Male Male Sterilization, Male SDM, Male
Emergency Contraception, Female Female condom, Female Female Sterilization
Implants, Female Injectables, Female IUD, Female
Female Lactational Amenorrhea Oral Contraceptive Pills, Female Standard Days Method (SDM), Female
# of current users over time, disaggregated by sex and method

13. Sub-
awardee
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Lessons Learned
• The pivotal importance of men in FP programs
In traditional societies, where men are the gate-keepers who control all access to
resources, the initial focus of FP programs must be on men – chiefs, elders, imams and
fathers
• Increasing Contraceptive Use in conservative rural societies takes
time
In cultures with no tradition of contraceptive use, the initial step succeeds when it focuses
on culturally compatible hormonal methods.
• Socio-cultural factors like early child marriage must be taken into
consideration
Need to work on issues underlying child marriage through social norm-change
interventions as well as economic interventions

14. Sub-
awardee
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Acknowledgements
Project Staff:
• Cynthia Nyakwama – WV Kenya
• Shano Guyo – WV Kenya
• Adrienne Allison – WVUS
We thank:
• USAID
• Advancing Partners & Communities
• Ministry of Health – Gov’t of Kenya