About the HTSP Implementation Kit
Healthy Timing and Spacing of Pregnancy (HTSP) is an under-utilized approach to family planning (FP) and maternal and child health (MCH) education, counseling and services to help families have planned pregnancies at the healthiest times of their lives for the best outcomes for mother and child. Although many FP and MCH programs promote birth spacing, HTSP elevates the role of spacing between pregnancies, rather than births, and stresses the impact on maternal, neonatal and child health. Specifically, HTSP emphasizes preventing four types of high-risk pregnancies:
- Those too closely spaced (a birth-to-pregnancy interval of less than 24 months)
- Those that occur too early in a mother’s life (before the age of 18)
- Those that occur too late in a mother’s life (at or after age 35)
- Those that occur to a mother with who has had many (five or more) live or stillborn births already
HC3 conducted qualitative research around the drivers and determinants of AMA and HP pregnancies in Togo and Niger, and pretested approaches to address them using SBCC. HC3 then developed this implementation kit (I-Kit) to help program managers emphasize and include AMA and HP pregnancy risk information in their existing FP and MCH programs.
What Is the Purpose of the Implementation Kit?
This I-Kit aims to help program managers use SBCC to include AMA and HP pregnancy topics in their existing or planned FP or MCH programs. The I-Kit includes a set of adaptable HTSP communication materials and tools that focus on preventing AMA and HP pregnancies for various priority audiences.
Who is the Audience for the Implementation Kit?
The HTSP AMA/HP I-Kit is for international or local non-governmental organization (NGOs), government divisions or community group program managers who want to use communication approaches to help reduce AMA and HP pregnancies in their community.
How is the Implementation Kit Organized?
The I-Kit outlines a five-step process to integrating AMA and HP into existing FP and MCH programs:
Step 2: Use SBCC approaches to design a program strategy, including: i) identifying primary and secondary audiences, ii) developing a positioning concept, and iii) drafting key AMA/HP messages (See Sections 3, 4 and 5).
Step 4: Review and adapt AMA and HP communication tools (See Section 8).
Step 5: Prepare to monitor and evaluate your plan (M&E) (See Section 9).
Additional information about SBCC’s guiding theories and resources are provided in Annex A.
What Does the Implementation Kit Include?
To get started click on the sections below:
An introduction to HTSP and the evidence related to AMA and HP pregnancies.
Key questions to examine the local AMA and HP context.
Brief overview of behavioral determinants and the use of SBCC approaches.
Suggested primary and secondary audiences for AMA and HP programs and messages.
Illustrative examples to present key HP and AMA information in culturally sensitive and relevant ways.
Guidance and illustrative activities on how to integrate AMA and HP into FP and MCH programs.
A simple checklist and key questions to guide next steps.
An overview of the Implementation Kit’s adaptable tools for AMA and HP.
Recommended indicators for AMA and HP.
A collection of SBCC resources and communication tools.