Implementation strategies, facilitators, and barriers to scaling up and sustaining demand generation in family planning, a mixed-methods systematic review protocol

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Abstract Objectives The aim of this study is to systematically review the impact of demand generation to scale up family planning, the facilitators for and barriers to demand generation activities. Search methods We will search the following electronic bibliographic databases (from inception to 15th October 2022): MEDLINE, PubMed, Scopus, the Cochrane Library, and Global Index Medicus, World Health Organization. We will also search gray literature using the search engines and websites of relevant organizations. We will hand search citations in included articles. We will contact experts and groups of scientists in the field for relevant reports. Selection criteria We will include published and unpublished reports (quantitative, qualitative, and mixed methods) on family planning demand generation strategies. We will include studies conducted in any country, language, and publication date. We will not exclude studies based on methodological limitations. Data collection and analysis We will assess abstracts, titles and full-text papers according to the inclusion criteria. We will include reports that met the inclusion criteria. We will extract information, such as country, country's economic status (low-, middle-, or high-income), study type and design. We will extract the demand generation strategies mentioned in each study, the target of the demand generation activity, implementation outcome evaluated in each study, and barriers and facilitators. We will use a deductive thematic synthesis process. We will use GRADE-CERQual to assess our confidence in the findings Results This is a protocol of a mixed methods review. The review will include Quantitative, Qualitative, and Mixed methods primary studies from all countries of all regions whether high or Low-Minddle income countries. We will report the risk of bias in the included studies. We will summarize strategies of scaling-up demand generation for family planning and the barriers and facilitators that influence these strategies. Discussion The results of the review will be disseminated and can contribute to the development of guidance and programmatic tools for planning, implementing, and evaluating demand generation interventions in family planning.

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