Since joining Family Planning projects in Indonesia I have been involving in Service Quality improvement process to strengthen Post-Partum Family planning services in facilities. Improve health provider capacity in Counseling skill, Clinical skill as well as Insert Post-Partum Intra Uterine device, improve recording and reporting system in facilities , engaging districts stake holders and facilities management to enable environment for support Post-Partum family planning service in three selected province In Indonesia. Through this project I have develop Post-Partum family planning service guidance include counselling and clinical skill for mentoring process. and now working with country stake holders for standardization and certification process.
Fact that family planning can reduce maternal and newborn mortality made me has full intrest to family planing. Women during pregnancy and Post-Partum period should have appropriate information regarding family planning especial post-partum Family planing and able to have choice one of correct method before discharge from facility. Post-partum women before discharge should be able to plan her healthy time for birth spacing to have good quality of life for her and her baby.
Complicated of multiple service and health service system in facilities create barrier to implement simple service of Post-partum family planning. Inadequate Post-partum Family planning counseling during Antenatal Care will affect the success of Post-partum Family Planning adopted by women after delivery before discharge. Strengthen PPFP Counseling and recording system of women choices as part of ANC service during pregnancy is strategy to make PPFP success adopted by Post-partum Women.
Indonesia as huge archipelago country with high number of population has big challenge in distribute contraception to providers and family planning client, also to provide tools and skill or knowledge update as well as skill of counseling and PPFP service to all providers include to whom work in remote area. Make sure contraception supply chain mechanism, use mentor-ship method to improve skill and knowledge is the way to address those barrier.
i aim to improve service of Postpartum family Planning in all health facilities by skilled of Postpartum Family planning providers whose recognized and support by indonesia health system, expand PPFP service to use various method,providers have standard skill certification, Indonesian health universal coverage will support all various method to improve PPFP acceptance.