Population Council Research that makes a difference

Pinpointing problems in family planning service delivery

Situation analysis is a methodology invented by Population Council researchers to pinpoint problems in family planning service delivery. The first situation analysis was conducted in Kenya in 1989. It has since been used in dozens of countries around the world.

The methodology is often coupled with operations research and technical assistance to devise strategies for solving the problems identified in the situation analysis. The situation analysis has been adopted over time to meet different needs. The newest component evaluates HIV and AIDS services.

The methodology integrates a number of different types of family planning program evaluation, including identifying crucial subsystem components of program operation; visiting a large sample of providers; using a client-oriented perspective; interviewing managers, providers, and clients; recording data on clinic facilities, equipment, and commodities; and observing client–provider interactions.

Family planning professionals can use the methodology to assess the quality of care; evaluate the extent to which other reproductive health services are available to family planning program clients; estimate staff training needs; examine the availability of information, education, and communication  materials; highlight equipment requirements; guide plans for facility renovation; quantify contraceptive supply levels; and provide data for policy formulation.

Resources

A rapid situation analysis of the access to care project in northern Thailand (PDF)
Horizons Final Report
Community Medicine Department, Chiang Mai University in collaboration with Office of Disease Prevention and Control Region 10 Chiang Mai, AIDS Section, Ministry of Public Health; Horizons Program
Publication date: 2004

Formal and informal abortion services in Rajasthan, India: Results of a situation analysis (PDF)
Barge, Sandhya; Bracken, Hillary; Elul, Batya; Kumar, Nayan; Khan, Wajahat U.; Verma, Shalini; Camlin, Carol
Publication date: 2004

Reproductive health services in KwaZulu Natal, South Africa: A situation analysis study focusing on HIV/AIDS services (PDF)
Ndhlovu, Lewis; Searle, Catherine; Miller, Robert; Fisher, Andrew; Snyman, Ester; Sloan, Nancy
Publication date: 2003

Designing HIV/AIDS Intervention Studies: An Operations Research Handbook (PDF)
Fisher, Andrew A.; Foreit, James R.
Publication date: 2002

Clinic-Based Family Planning and Reproductive Health Services in Africa (PDF)
Miller, Kate; Miller, Robert; Askew, Ian; Horn, Marjorie C.; Ndhlovu, Lewis (eds.)
Publication date: 1998

The Situation Analysis Approach to Assessing Family Planning and Reproductive Health Services: A Handbook (PDF)
Miller, Robert; Fisher, Andrew; Miller, Kate; Ndhlovu, Lewis; Maggwa, Baker N.; Askew, Ian; Sanogo, Diouratié; Tapsoba, Placide
Publication date: 1997

Guidelines and Instruments for a Family Planning Situation Analysis Study
Fisher, Andrew; Mensch, Barbara; Miller, Robert; Askew, Ian; Jain, Anrudh; Ndeti, Cecilia; Ndhlovu, Lewis; Tapsoba, Placide
Publication date: 1992