Has the SDM already been incorporated into the country’s
official family planning norms? Alternatively, does a
written directive exist?
Do the norms include natural methods as a general category?
How often does the program update family planning norms?
Are there any public sector organizations that have
already started to offer the SDM?
What type of collaboration should be considered for
better commun-ication with public sector officials?
Investigate what natural methods are included in the
country’s official family planning norms.
Identify who are the key stakeholders to work with
for incorporating SDM into the official norms.
Be familiar with international service delivery guidelines
for the SDM.
Ensure that SDM guidelines are incorporated into the
organization’s policies and procedures.
Recognize that some providers will have biases and
address these biases.
Training
Key
Questions
Key
Actions
Does the organization have a mechanism to provide continued
training of providers or contraceptive technology updates
for its personnel?
Are there other local training organizations or training
resources that could support training activities for the
SDM?
Do healthcare providers have access to continuing education
programs or re-certification programs that might be appropriate
for including information on the SDM?
Develop a training plan that determines training activities
for primary and secondary providers of the SDM, as well
as sensitization for other staff.
Ensure that the training exercises incorporate use of
the SDM job aids and tools.
Ensure mechanisms are in place for monitoring the effectiveness
of training activities and improving providers’
knowledge and skills in the SDM as needed,
Use of the Knowledge Implementation Tool [KIT] during
supervision visits to support activities).
Counseling
Key
Questions
Key
Actions
Which providers are responsible for family planning
counseling?
Does the organization have and follow service protocols
for providing family planning?
How are service protocols made known to service providers?
Have service providers been trained in counseling,
family planning, informed choice, interpersonal communications,
sexuality, gender?
What support materials exist for service providers?
Is there a supervision mechanism to support and monitor
service provision?
Determine which providers will be directly responsible
for SDM counseling and how other providers/staff will
support the process.
Determine how and where to include SDM information in
counseling materials for providers.
Ensure that job aids and other SDM teaching tools are
accessible to SDM providers.
Ensure that providers understand the importance of screening
and monitoring of cycle length for SDM users.
Ensure that counseling also includes strategies on how
to avoid unprotected intercourse.
Ensure mechanisms for periodically monitoring provider
competency.
IEC
Key
Questions
Key
Actions
Does the facility take advantage of the client’s
waiting period to provide information?
Are informational materials easily accessible to clients?
Does the organization have community outreach and education
activities?
What steps are needed to make SDM information available
through IEC and community outreach?
Develop a plan for internal and external IEC activities.
Select and adapt materials to be used in SDM informational
and educational activities.
Integrate information on the SDM into existing client
and provider materials.
Translate and adapt training materials and job aids,
client materials as required (for local context).
Conduct sensitization activities to address provider
concerns about natural methods.
Assuring
Quality
Key
Questions
Key
Actions
Does the organization have monitoring systems in place
to monitor provider performance?
Does the organization have a mechanism in place to
solicit client feedback on services?
Does the organization have an appropriate management
information system in place to collect information on
SDM services?
Determine what supervisory mechanisms must be established
for service delivery.
Determine what mechanisms will be established to ensure
appropriate client follow-up.
Ensure that the MIS system has the capability to track
the SDM users and monitor services.
Determine who will monitor the impact of SDM services
in the short- and long-term.
Procurement
& Logistics
Key
Questions
Key
Actions
Does the organization currently have a centrally managed
logistics and distribution system for distributing medical
supplies and information materials to its service sites?
Will the organization be able to procure CycleBeads
based on estimated demand for the method?
What additional steps will need to be addressed to
ensure smooth procurement and distribution of CycleBeads?
Will clients be charged for SDM? How much?
Develop a timeline for procurement and international
shipping of CycleBeads.
Asses how CycleBeads will be included in existing logistics
systems.
Investigate local importation and any registration
requirements applicable to CycleBeads.
Determine whether CycleBeads will be sold to end users,
and if so, establish aprice to the consumer.
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