Operationalizing Integrated Immunization and Family Planning Services in Rural Liberia: Lessons Learned From Evaluating Service Quality and Utilization

Figures & Tables

TABLE 1.

Baseline Characteristics of Intervention and Comparison Facilities in Liberia, by County, May to October 2016

Facility Characteristics	Grand Bassa County		Lofa County
Facility Characteristics	Intervention Facilities	Comparison Facilities	Intervention Facilities	Comparison Facilities
Catchment population (2016),^{^a} No.	8,280	7,421	3,772	2,901
Facility type, No.
Hospital	0	0	2	2
Health center	0	0	0	0
Clinic	11	11	4	4
Facility ownership, No.
Public	9	9	1	1
Private faith-based	2	2	5	5
Facility monthly client load^{^b}
Immunization clients: Pentavalent 3 doses administered, mean (SD)	33.8 (14.5)	32.4 (17.7)	16.9 (15.8)	17.7 (10.0)
Family planning clients: Total family planning users, mean (SD)	119.7 (118.3)	66.2 (80.7)	77.8 (121.2)	81.9 (193.1)

Abbreviation: SD, standard deviation.
↵a Median facility catchment population among all facilities in the study group.
↵b Monthly mean number of clients among all facilities in the study group during baseline period: May to October 2016.

TABLE 2.

FGD and KII Participants, by County and Intervention Group, Liberia, 2017

	Number of Participants
	Intervention Facilities	Comparison Facilities	County and National Level	District Level	Total
Grand Bassa County
FGD
Family planning referral acceptors	48	N/A			48
Family planning referral nonacceptors	47	N/A			47
Fathers of <1 children	30	N/A			30
Mothers of <1 children	N/A	19			19
KII
Supervisor/manager	2	0	2	3	7
Family planning provider	5	1			6
Vaccinator	6	2			8
Lofa County
FGD
Family planning referral acceptors	54	N/A			54
Family planning referral nonacceptors	53	N/A			53
Fathers of <1 children	17	N/A			17
Mothers of <1 children	N/A	19			19
KII
Supervisor/manager	2	0	4	2	8
Family planning provider	5	2			7
Vaccinator	6	1			7
National-level manager			1		1
Total	275	44	7	5	331

TABLE 3.

Total Family Planning Users in Intervention and Comparison Facilities, by Quarter and County, Liberia, 2016–2017

County	Pre-intervention		Post-intervention			Comparison
County	Q1 (May–Jul 2016)	Q2 (Aug–Oct 2016)	Q3 (Nov 2016–Jan 2017)	Q4 (Feb–Apr 2017)	Q5 (May–Jul 2017)	% Change (Q3–Q1)	% Change (Q4–Q1)	% Change (Q5–Q1)^{^a}
Grand Bassa County
Comparison facilities	3,363	2,914	3,365	2,986	2,388	0%	−11%	−29%
Intervention facilities	4,862	4,378	5,998	5,786	4,538	23%	19%	−7%
Lofa County
Comparison facilities	1,566	1,924	2,062	1,749	1,121	32%	12%	−28%
Intervention facilities	1,174	2,059	2,323	3,049	1,098	98%	160%	−6%