Systematic screening as a strategy to increase services integration and revenues in Honduras

This operations research study, undertaken by the Honduras Family Planning Association (Asociación Hondureña de Planificación de Familia—ASHONPLAFA), tested the effectiveness of systematic screening to increase the number of services and revenue per visit in a reproductive health program. Despite monitoring plans, provider compliance with the intervention was low; the overall proportion of clients screened was less than 11 percent, and the frequency of screening varied greatly by clinic contact point. Although the study did not show an increase in the mean number of services per client, the negative results could reasonably be attributed to lack of implementation of the intervention. After consultation with the ASHONPLAFA marketing department, the executive director ordered that the strategy be implemented in all clinics, along with a system to monitor the utilization of a simplified screening form, designed to be less time consuming and less intrusive than the form tested during the experiment. The new form is limited to services most likely to be needed by clients, as indicated by the study’s analysis of unmet need and potential demand