Table 1 Coordinated and integrated family planning service delivery in Rwanda themes

Coordinated FP service delivery

First point of contact: CHW

Proximity: CHWs enable easy access to FP provider and methods

Rapport: CHWs accessible as friends and confidants

Provision: information, resupply, and counseling on side effects

CHW refers client to health center

CHW may accompany client to health center

Pregnancy tests in case of delayed resupply

Unmanageable side effects

Medical tests at the health center

Tests prior to initiation of new method

Tests during sustained use

Nurses transfer client back to CHW

Clients transferred back to CHWs for resupply of short term methods

CHWs reconnect with all clients

Coordinated integration of FP during antenatal and postnatal care

Timing of integration

FP information during pregnancy

FP initiation during infant health checks