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The WHO Decision- making Tool/Flipchart for FP clients and providers: Adaptation process

Project Focus
Quality improvement of Family Planning Care in primary and secondary level health services.

Project Location


Duration of Project
2002 – (ongoing)

Project Partners

Project Donors
WHO/Department of Reproductive Health and Research

Contact Details
Jenni Smit

Project Aim/ Objectives
  1. To engage clients fully in reproductive and family planning decision-making so that they make a healthy contraceptive choice tailored to their needs.
  2. To improve the quality of technical information being offered by providers, by giving them a user-friendly resource that contains accurate technical information on contraceptive use and other reproductive health topics.
  3. To improve the counselling and communication skills of providers so that they are empowered to interact positively with their clients and offer them a high quality reproductive health and family planning service.
Project Activities
This is a multi-country project implemented in South Africa, Mexico and Indonesia.


  • Adaptation conducted in 4 workshops from 2002-2004 facilitated by RHRU.
  • Participants were mainly public health care facility providers, national and provincial departments of health, WHO, RHRU & tertiary institution experts. The adapted tool was then reviewed.
  • The first phase in field-testing the tool in South Africa involved feedback from family planning providers, programme managers and experts in counselling, communication and family planning service delivery. Subsequent phases of evaluation involved pilot-testing of the tool with providers and clients, which will build a basis for future and more extensive evaluations of the impact of the tool on performance, quality and satisfaction.
  • The final phase of testing involved operations research to initiate adaptation of the tool at country level and to inform procedures for on-going monitoring, evaluation and improvement in the design, training and country adaptation process.

Anticipated/Actual Results

  • Workshops were organized for members of the WHO, family planning facilities managers and researchers from across South Africa. Similar workshops were held in Indonesia and Mexico.
  • Field-testing of the WHO tool undertaken in the provinces in South Africa
  • Field-test report written and final report being undertaken.
  • A SA summary was provided to WHO
  • Meetings were held with WHO, DoH & RHRU to share the results
  • A final report on the project has been written

Additional Outputs
Papers presented:
  1. Manzini N, Smit J, Mqhayi M, Beksinska M, Gokul M. Field-testing the South African Adaptation of the WHO Decision-making Tool for Family Planning Clients and Providers. (Paper presented at theReproductive Health Priorities Conferences in South Africa)
  2. Nzwakie Mosery, Jenni Smit, Mmabatho Mqhayi, Ntsiki Manzini. Adapting and field – testing the World Health Organization Decision-Making Tool for Family Planning Clients and Providers: South Africa. (Paper was presentation at the WHO/ UNFPA meeting on the implementation of the best practice tool in Ethiopia)
Future Plans
  • Working on a Scientific paper on the adaptation process
  • Distribution of the adapted tool at DoH health facilities
  • Further training of rest of health care providers in KZN

Projects in the Barrier Methods & Contraceptions Cluster:

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