TCI University Toolkit: Demand Generation
What Is It?
The provision of health services by trained service providers outside health facilities. By taking health care services to communities, service providers reach people who may not normally have easy access to or are less likely to attend facility services. Integrated outreach venues may take place in temporary facilities, such as vehicles or tents, but often they take place in schools, religious buildings or social/town halls. Integrated outreach is also known as community or mobile outreach.
What Are the Benefits?
- Family planning and other related health services are provided as a package.
- By providing these services in venues outside health facilities, health teams are able to reach community members who otherwise might not be willing or able to seek or access health care.
- The provision of integrated services may help reduce stigma for some health services, such as family planning, HIV or tuberculosis.
How to Implement?
Assess Community Needs, Issues and Resources
Maximize Outreach through Service Integration
During the planning process, consider how to sustain outreach services. For example:
- Conduct advocacy with national, county/state, district and community stakeholders to ensure resources are allocated and available and that integrated outreach activities are included in the appropriate budget and plans.
- Allow county/state health teams to plan, coordinate and manage integrated outreach activities.
- Use cost-sharing to limit the expense of activities for each stakeholder.
- Leverage community and district resources to help minimize costs.
Collaborate with County/state, District and Community Health Management Teams
In Kenya, the county health management teams led the coordination and management of and carried out implementation of outreach activities. Stakeholders contributed by providing resources and technical assistance.
Collect and Prepare Materials for Outreach Activities
Ensure Quality Service by Trained Staff
Identify and Prepare Outreach Sites
- Be centrally located
- Provide privacy for clients
- Meet the storage, hygiene/infection prevention and safety needs for the services being provided and the population being targeted
Appropriate outreach sites may be temporary facilities – such as vehicles or tents – or existing buildings, such as schools, religious buildings or social/town halls.
Monitor and Evaluate Activities
- The number of integrated outreach sessions conducted within the catchment area
- The proportion of clients reached through outreach activities
What Is the Evidence?
Between 2011 and 2015, Kenya’s Tupange family planning outreach services reached poor populations in urban centers. In the five Tupange-supported sites, outreach services contributed to about 30% of long-acting and reversible contraceptive services provided by the project. By the end of 2013, more than 50,000 clients had received family planning through the integrated outreach of family planning, reproductive and child health services.
Between 2011 and 2015, 425,974 women accepted new forms of contraception, thanks to passionate and dedicated community health workers who drove outreach efforts.
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What are the benefits of integrated outreach whereby trained health workers provide services outside health facilities?CorrectIncorrect
To best measure the reach of outreach activities, it is important to consider the following:CorrectIncorrect
Integrating and packaging family planning services with other related health services, such as HIV testing and counseling, sexual and reproductive health services, child health care and immunization does NOT help generate demand for family planning. It is best to keep all these health services separated.CorrectIncorrect
Choosing the right site for providing integrated outreach services is important. It should:CorrectIncorrect
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- To best measure the reach of outreach activities, it is important to consider the following:
- Collect field data and collate these data with facility data.
- Consider maintaining separate registers if outreach services are part of routine services provided.
- Use previous data to help inform the planning of follow-up activities and additional outreach services.
- Consider which services should be integrated, taking into account staff skills, cost savings and convenience for clients.
- Implementation of outreach services may be limited by financial constraints, inadequate commodities and supplies, low demand for communities and services, lack of transportation and/or no follow-up care and support provided.
- Integrating too many services can overwhelm and overextend staff. When planning integrated outreach, limit the number of services to be integrated to two or three related health issues.
Tools Related to This Approach
- Client Exit Interview
- Integrated Family Planning Outreach Activities
- Integrated Family Planning Outreach Supply Checklist
- Integrated Outreach Group Action Plans
- Integrated Outreach Steps and Timelines
- Integrated Outreach Summary Form