{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:19:45Z","timestamp":1785237585779,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009099","name":"Irish Aid","doi-asserted-by":"publisher","award":["HKI 1501"],"award-info":[{"award-number":["HKI 1501"]}],"id":[{"id":"10.13039\/100009099","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>From mid\u20102015, reproductive and child health interventions were integrated into a routine 6\u2010month contact point: vitamin A supplementation, nutrition counseling with the mother's participation in the preparation of a complementary food, and confidential family planning counseling with provision of modern forms of contraceptives. By mid\u20102017, these services had reached 28% of health facilities nationwide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate awareness and uptake of modern contraception and complementary feeding practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All health facilities were visited, and the health worker \u201cin\u2010charge\u201d were interviewed to ascertain their training status and supply chains. Within each catchment, community mothers of children 6 to 23\u00a0months of age were interviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Interviews were conducted with 321 \u201cin\u2010charges\u201d and 670 mothers. Advantages and different types of contraception were understood by 99.0% of mothers, and 52.7% reported they were utilizing depot injections, hormonal implants, or oral contraceptive pills (45.1%, 34.6%, and 20.6% of users, respectively). Uptake was higher among Christians (62.1%) versus Muslims (48.6%) and among those with secondary\/tertiary (61.5%) or primary education (60.5%) versus no education (43.3%) (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.005 and <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05, respectively).<\/jats:p><jats:p>Complementary feeding practices included minimal meal diversity, 49.2% (fed three or more of six food groups), and recommended minimal meal frequency appropriate for age, 52.6%.<\/jats:p><jats:p>Health workers reported frequent stockouts of vitamin A capsules (8%), male condoms (1%), oral contraceptives (10%), depot injections (20%), and hormonal implants (30%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In communities served by these integrated services, awareness and uptake of modern contraception exceeded national targets despite weak supply chains, and complementary feeding practices were favorable compared with the national survey.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpm.2728","type":"journal-article","created":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T04:52:17Z","timestamp":1548391937000},"page":"701-713","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Integrating reproductive and child health services enables access to modern contraception in Sierra Leone"],"prefix":"10.1002","volume":"34","author":[{"given":"Ami S.","family":"Koroma","sequence":"first","affiliation":[{"name":"Directorate of Food and Nutrition Ministry of Health and Sanitation  Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8614-9177","authenticated-orcid":false,"given":"Sonya K.","family":"Ghatahora","sequence":"additional","affiliation":[{"name":"Helen Keller International  Freetown Sierra 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al.Motivators and barriers to exclusive breastfeeding and diversity of complementary feeding in a rapidly urbanizing setting in Sierra Leone. HKI Report;2013."},{"key":"e_1_2_8_11_1","unstructured":"Statistics Sierra Leone.Sierra Leone multiple indicator cluster survey;2005.https:\/\/www.statistics.sl\/wp\u2010content\/uploads\/2017\/06\/sierra_leone_mics3_2005_report.pdf. 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