ArticlePLOS global public health2025
Impact of integrating family planning with maternal and child health on uptake of contraception: A quasi-experimental study in rural, Sindh, Pakistan.
Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- Impact of The Challenge Initiative on Public-Sector Family Planning Service Provision in Pakistan: Evidence from a Difference-in-Differences Analysis.Open access journal of contraception · 2026Article
- The Process of Integrating Family Planning Services with Other Reproductive Health Services in Low and Middle-Income Countries: A Scoping Review.International journal of integrated careArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to evaluate the impact of integrating family planning with maternal and child health (FP-MCH) on the uptake of modern contraceptive methods (MCMs) and related health outcomes in two rural districts of Sindh, Pakistan using a quasi-experimental control before-after study design. Intervention package integrated FP with MCH in the existing public sector at facility and community levels. This included capacity building of health care providers, ensuring sustained supplies of family planning commodities, and community engagement activities through Lady Health Workers (LHW). Data was collected through household surveys at baseline (1st October- 31st December 2020) and endline (1st October- 31st December 2022). Sample size was calculated as 880 married women of reproductive age (MWRA) in each district. The Difference-in-Differences (DiD) analytical method was used to assess the impact of intervention. There was an increase of 11.7% in current use of MCMs in the intervention group compared to the control group (p-value <0.003), with increases observed in uptake of injections, implants, and condoms. Furthermore, family planning counseling during ANC (DiD 9.1%, p-value 0.162), LHW visits during pregnancy (DiD 15.4%, p-value 0.018), postnatal care (PNC) visits for mothers (DiD 24.0%, p-value <0.001), LHW visits after delivery (DiD 20.6%, p-value <0.001), and counseling by LHW about family planning at PNC visit (DiD 15.3%, p-value 0.027). The study concludes that integrating FP with MCH services proved impactful in increasing contraception uptake and minimizing missed opportunities. It underscores the necessity for cohesive efforts by the government and local stakeholders to design local, regional, and national policy frameworks pertaining to health and population planning for sustainable mother and child health improvements.
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Registered trials
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