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Demand-side
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Underserved communities in hard-to-reach areas (C)
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Monthly provision of integrated FP services in routine outreach clinics (I)
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Women (A) are motivated to attend outreach clinics due to relatively short travel distances (M1)
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Increased access to FP services (O)
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Some husbands are not supportive of FP (C)
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Integration of FP and childhood immunisation services (I)
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Women (A) feel confident that they can access FP services without their husband knowing (M2)
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Women (A) choose discreet MCMs (M3)
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Women opt to use injectables (O)
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Some husbands support birth spacing for financial reasons (C)
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Integration of FP and childhood immunisation services (I)
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Women (A) feel confident to accept MCMs when these are offered (M4)
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Same-day uptake of MCMs (O)
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Supply-side
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The health services needed by women and children are not available in underserved communities (C)
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HSAs are trained on the outreach clinics’ client flow, and on childhood immunisation and FP services (I)
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HSAs (A) are empowered by their knowledge of FP injectables (M5)
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HSAs provide FP injectables (O)
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HSAs (A) are confident they can provide the services needed (M6)
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Integrated services are provided at outreach clinics (O)
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Limited health service providers work in rural areas and a high demand for services in routine outreach clinics (C)
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Volunteers support HSAs in maintaining the client flow in outreach clinics (I)
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HSAs and volunteers (A) are motivated by team work (M7)
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HSAs (A) are motivated by feeling their work is valued and recognised (M8)
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Routine outreach clinics are located in hard to reach areas (C)
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No defined intervention (I)
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Some HSAs (A) are unwilling to walk long distances to reach remote outreach clinics (M9)
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Understaffing in some outreach clinics (O)
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