Table 1. Time Frame and Key Activities for the Integrated EPI-Family Planning Pilot Initiative in Liberia
Time FrameActivityRemarks
Feb 2011Initial discussions with the MOHSW; stakeholder meeting with national EPI and family planning officials, county health teams, partnersDecision to work in Bong and Lofa; consensus to work only on facility-based integration for routine immunization
Apr–May 2011Formative research to inform details of integration modelSensitivity and stigma regarding postpartum women's use of family planning services revealed
Jun–Sep 2011Design, pretesting, and production of training materialsAddresses perceptions regarding use of contraceptives by postpartum women noted during formative assessment
Feb 2012Training of staff at 5 facilities each in Bong and Lofa3-day training for vaccinators and family planning providers, including field practice; 1-day orientation for county supervisors and officers in charge
Mar–Nov 2012Pilot of integrated EPI-family planning service delivery, including monthly supervision visits to participating facilitiesSupervision by MCHIP staff accompanied by representatives from Family Health Division, EPI, and county health teams
Jul–Aug 2012Refresher training and midterm assessment using quantitative and qualitative methodsBased on facility staff feedback, introduced privacy screens in vaccination area to enhance confidentiality of the mother's family planning decision
Dec 2012Final assessment using quantitative and qualitative methodsIncluded focus group discussions with referral acceptors and non-acceptors, interviews with service providers and facility officers in charge, and interviews with partner agency representatives and supervisors
Mar 2013Final stakeholder meetingPresentation of approach and key findings to the MOHSW, partners, and county health teams from 6 counties
  • Abbreviations: EPI, Expanded Programme on Immunization; MCHIP, Maternal and Child Health Integrated Program; MOHSW, Ministry of Health and Social Welfare.