Description of Organization of Antiretroviral Therapy and Family Planning Services, According to the Health Service Provider Within Selected Facilities, by Facility Type, Malawi
| Health Centers/Posts No. (%) | Public Hospitals No. (%) | CHAM Missions No. (%) | Integrated Health Centers No. (%) | Total No. (%) | |
|---|---|---|---|---|---|
| Total number of providers | 54 (44.3%) | 32 (26.2%) | 21 (17.2%) | 15 (12.3%) | 122 (100%) |
| Have ART services been reorganized to accommodate FP services? | |||||
| Yes | 43 (79.6%) | 26 (81.3%) | 17 (80.9%) | 15 (100%) | 101 (82.8%) |
| No | 11 (20.4%) | 6 (18.8%) | 4 (19.0%) | 0 | 21 (17.2%) |
| How have ART services been reorganized to accommodate provision of FP services?a | |||||
| Created more space | 8 (18.6%) | 4 (15.4%) | 3 (17.7%) | 4 (26.7%) | 19 (18.8%) |
| Revised ART on-site protocols to accommodate FP services | 12 (27.9%) | 17 (65.4%) | 5 (29.4%) | 8 (53.3%) | 42 (41.6%) |
| Trained ART providers in different FP methods | 21 (48.8%) | 11 (42.3%) | 4 (23.5%) | 12 (80.0%) | 48 (47.5%) |
| Created informal referral agreements within facility | 26 (60.5%) | 14 (53.8%) | 6 (35.3%) | 5 (33.3%) | 51 (50.5%) |
| Developed facility referral agreements across facilities | 14 (32.6%) | 10 (38.5%) | 5 (29.4%) | 2 (13.3%) | 31 (30.7%) |
| Revised ART client registers to accommodate FP services | 4 (9.3%) | 4 (15.4%) | 1 (5.9%) | 2 (13.3%) | 11 (10.9%) |
| Adjusted operating time for ART services | 7 (16.3%) | 2 (7.7%) | 2 (11.8%) | 4 (26.7%) | 15 (14.9%) |
| Provided ART/FP on same day | 3 (6.9%) | 3 (11.5%) | 1 (5.9%) | 0 | 7 (6.9%) |
| Do you have time/opportunity to counsel ART clients on FP methods? | |||||
| Yes | 51 (94.4%) | 29 (90.6%) | 20 (95.5%) | 14 (93.3%) | 144 (93.4%) |
| No | 2 (3.7%) | 2 (6.3%) | 1 (4.8%) | 1 (6.7%) | 6 (4.9%) |
| Not sure | 1 (1.9%) | 1 (3.1%) | 0 | 0 | 2 (1.6%) |
| What FP methods do you counsel ART clients on?a,b | |||||
| Fertility awareness methods | 51 (100%) | 29 (100%) | 20 (100%) | 14 (100%) | 144 (100%) |
| Pills | 44 (86.3%) | 21 (72.4%) | 18 (90.0%) | 12 (85.7%) | 95 (83.3%) |
| Male condoms | 51 (100%) | 26 (89.7%) | 20 (100%) | 14 (100%) | 111 (97.4%) |
| Female condoms | 45 (88.2%) | 25 (86.2%) | 19 (95.0%) | 13 (92.9%) | 102 (89.5%) |
| Injectables | 47 (92.2%) | 26 (89.7%) | 20 (100.0%) | 14 (100%) | 107 (93.9%) |
| IUD | 28 (54.9%) | 18 (62.1%) | 12 (60.0%) | 5 (35.7%) | 63 (55.3%) |
| Implants | 43 (84.3%) | 19 (65.5%) | 16 (80.0%) | 10 (71.4%) | 88 (77.2%) |
| Female sterilization | 34 (66.7%) | 20 (69.0%) | 11 (55.0%) | 7 (50.0%) | 72 (63.2%) |
| Male sterilization | 25 (49.0%) | 13 (44.8%) | 7 (35.0%) | 5 (35.7%) | 50 (43.9%) |
| Emergency contraception | 19 (37.3%) | 17 (58.6%) | 10 (50.0%) | 5 (35.7%) | 51 (44.7%) |
| Are clients referred out for services? | |||||
| Yes | 48 (88.9%) | 15 (46.9%) | 16 (76.2%) | 12 (80.0%) | 91 (74.6%) |
| No | 6 (11.1%) | 17 (53.1%) | 5 (23.8%) | 3 (20.0%) | 31 (25.4%) |
| What prior knowledge do you have of facilities to which you are referring clients for FP services?a,c | |||||
| Services provided | 32 (66.7%) | 10 (66.7%) | 12 (75.0%) | 9 (75.0%) | 63 (69.2%) |
| Weekdays on which services are provided | 34 (70.8%) | 11 (73.3%) | 6 (37.5%) | 7 (58.3%) | 58 (63.7%) |
| Times when services are provided | 25 (52.1%) | 5 (33.3%) | 5 (31.3%) | 5 (41.7%) | 40 (44.0%) |
| Transport costs to reach the referral site | 14 (29.2%) | 3 (20.0%) | 5 (31.3%) | 4 (33.3%) | 26 (28.6%) |
| No prior knowledge | 5 (10.4%) | 5 (33.3%) | 1 (6.3%) | 2 (16.7%) | 13 (14.3%) |