FP in Hospital Documentation as a Good Practice and Promising Intervention

Guide for FGD with FP in Hospital implementing facilities

Date of FGD
(dd/mm/yyyy)
Name of Hospital City of General Trias Doctors Medical Center
Name of Moderator/
Interviewer
Name of
Note-Taker/Documente
r
Time Start
(hh:mm AM/PM)
Time End
(hh:mm AM/PM)
Participants/Position
1.Dr.Annalyn S. Nazareno PhD RN – Chief Nurse
2.Beatrice Martinez - newlyhired FP coordinator
3.
4.
5.

Introduction
Thank you very much for agreeing to talk with me today. (Proceed with self-introduction).
Based on our initial discussions with your family planning focal persons and the program
monitoring activities conducted by our field staff, your hospital is implementing the Family
Planning Program in the Hospital and has installed most of its components, specifically
service delivery, demand generation, recording and reporting, and program structure, among
others.
(Give each participant a list of the elements of FP Program in the Hospital and review the
elements)
I am having this interview with you to understand and document your feedback, learnings,
experiences, and recommendations on the implementation of FP program in hospitals. The
information you will share will be used in: 1) documenting the implementation of the program in
different types of hospitals; and 2) will serve as basis in enhancing this strategy’s
implementation. This discussion is not an evaluation of your knowledge and practice. There are
no right or wrong answers, and all information shared will be kept private and confidential. So,
please feel free to share your thoughts. If you decide to participate in this discussion, we’ll be
requesting 30 – 60 minutes of your time.
Before we proceed with the FGD, I’ll be providing you with a copy of our informed consent form
that details the purpose of our study and the extent of your participation in it. Kindly read
through it and please feel free to raise questions on this and on other aspects of the study.
Through this consent form, we’ll be seeking and documenting your consent to be a respondent
to this interview as well as your consent to have this conversation recorded. We’re requesting to
record our discussion so that we’ll be able to capture all your responses.
(Provide each participant a copy of the informed consent form and give them time to review and
sign the form should they decide to participate. If any of the invited participants decide not to be
part of the session, politely ask them to leave the venue).
Before we begin our FGD, we have a few reminders to keep in mind.
1. There is no specific order by which you should speak. But since there are many of us
today, please wait to be acknowledged before speaking
2. Each of your inputs is important to the success of this FGD. As such, we are asking you
to actively participate in our discussion.
3. To further ensure privacy and confidentiality, we’re also asking you not to discuss any
information shared today with your other colleagues.
At this point, we’ll start our FGD and the recording of our session.

Guide Questions
1. How did you start the establishment of FP Program in the Hospital?
a. What activities were conducted?
b. Who supported you (ask to mention the TA providers – whether DOH, LGU,
USAID projects)?

o Seminar on establishing FP service in hospital setting – July 2018

o Creation of Committee
o Creation of FP policy and guidelines
o Training of FP coordinator and staff
o Requisition of supplies and equipment for FP clinic
o Identification of FP clinic location
o Creation of Action Plan for FP program
o Implementation of FP program

2. What Elements of FP Program in the Hospital are easy to install? What made you say
so? (refer to the list distributed)
a. Program structure
b. Family Planning services
c. Demand Generation

3. What Elements of FP Program did you find difficult to put up? Why?
 a. Capacity – training fro FCBT 1, FCBT2 , Recording and Reporting training
happened only once a year. We find it difficult if our trained staff resigned and
nobody is available to continue the program
b. Reporting and Recording – if the trained staff resigned , lapses on reporting and
recording

3.1. What did you do to overcome these challenges?

o Nursing Service coordinate with OPD secretary to direct the client at
NSO to accommodate and provide the FP service.
o NSO covered the recording and reporting of FP services provided in
absence of FP coordinator
o Hire new staff for FP program and request a training slot from DOH -
RO

4. Can you describe your implementation of FP services before and after you implemented
the FP in hospital strategy, particularly on the following areas?

Before After
FP Promotion OPD Buntis Day Program FP Classat OPD and Ward
by Private Doctor conducted by FPcoordinator
Dissemination of FP methods
available can attract more client
to adopt FP methods.

FP Service Provided by their private doctor Provided by FP

Provision Coordinator .accessibility of
service anytime even their private
doctor is not available is one
factor to engage themselves on
FPmethods

FP service No point person to give More acceptors of FP method

utilization information and utilized FP willing to avail the service ,it
(number of methods become accessible convenient
FP acceptors) on their time and location
 FP recording No recording and reporting After implementation of the
and reporting done program , we can monitor our
client, preferred
FPmethod,reason why they drop
out of the program..

Follow up No follow up done Referral of client for continuity

care of the service is available.

5. Of the different FP Program elements and specific activities that you implement, which
do you think is instrumental in improving your FP service utilization or FP
performance? What made you say so? (Ask this question only if service utilization
increased based on respondents’ answers in number 4 – Service Utilization).

Trained Focal Person to provide Family Planning services and conduct education to all

productive mothers. Through education and counselling , understanding of all client will

be broaden regarding advantages and disadvantages of FP . They can also choose

what FP methods best for them. Availability of FP method is one factor to achieved the

FP goal. They can right away decide and avail the service after counselling.

6. What are the successes you’ve had in your implementation of FP in the Hospital? Can
you cite examples? Please also share the important contributions to your hospital of
establishing/implementing FP program, if there are (including those that benefited other
services/operations)

Having additional services we can offer to our patient is an achievement in our

hospital, We are happy that we can provide help to all modern family and at the
same time we are also helping our country to achieve the unmet need and
promote Universal Health.
Contribution:
o Lack of FP providers contribute to increase the unmet needs for modern
family planning
o Availability of FP service to private institution can contribute to reduce the
unmet needs for modern FP
 o Readily available commodities and supplies are contributing factor to
encourage new acceptor
o It provide additional services and client to our hospital

7. What are the challenges you are experiencing in your FP in hospital implementation?

Challenges How did you overcome Recommendations

Availability of commodities
FP coordinator
Recording and Reporting
this challenge?
Ms.Medy Bituin always
ready to provide us
commodities once
available
Fast turn over of nurses, We are planning to train
most of our trained nurses nursing assisstant or
resigned due to family midwife for the position
reason,salary
With constant monitoring of To trained new focal
REACH, we are being person on reporting and
guided how to do recording of FP services.
recording and reporting .
Temporarily nursing
service is incharge of
recording and reporting

8. What are your recommendations on how we can further improve the FP in Hospital
intervention?
 Availability of training for FCBT1, FCBT2, and Recording of FP. We find it difficult to
appoint personnel right a way to do the job without proper training.

9. What do you think should be done to sustain FP in Hospital implementation in your facility?

Availability of commodities, focal person (trained), and assistance from LGU/RO for any
inquiry or referral.

Closing
We have reached the end of our FGD. Are there any other recommendations or barriers that
were not discussed prior that you wish to raise now? If there are none, thank you for your
participation. Once we have completed collection and processing of all data, we’ll get in touch
with you on how we’ll be sharing the results of our study.