Part of the family: Planning for permanence in long-term family foster care

2012 ◽  
Vol 34 (1) ◽  
pp. 244-253 ◽  
Author(s):  
Gillian Schofield ◽  
Mary Beek ◽  
Emma Ward
2000 ◽  
Vol 22 (8) ◽  
pp. 595-625 ◽  
Author(s):  
Cheryl Buehler ◽  
John G. Orme ◽  
James Post ◽  
David A. Patterson

2018 ◽  
Vol 6 (3) ◽  
pp. 1-6
Author(s):  
O.R. Balogun ◽  
A. Adewole ◽  
A.S. Adeniran ◽  
R. Adegboye

Despite multiple options for contraception, choices are limited with low satisfaction among clients in low resource countries. Effective counseling may improve satisfaction and compliance if adequately pursued. The objective of this study was to evaluate the influence of counseling on contraceptive choices and its associated factors. This was a prospective, descriptive study involving consenting family planning clients at the family planning clinic of a tertiary hospital in Ilorin, Nigeria. All participants completed an interviewer administered questionnaire designed for the study. Statistical analysis was done using SPSS version 21.0 (IBM, USA) and p value <0.05 was significant. Among the 260 participants, the mean age was 30.3±5.7 years, mean parity 3.0±1.0 and modal age 20–39years (93.5%). The commonest preferred contraceptive pre- and post-counseling was intrauterine device (36.5% vs. 53.5%); increased post-counseling desire was reported for injectables (28.8% vs. 35.4%) and implant (0% vs. 3.1%). Preferences increased post-counseling for highly effective methods (38.1% vs. 60.4%; p<0.0001), long term methods (38.1% vs. 60.4%; p<0.0001) and permanent methods (1.5% vs. 3.8%; p<0.001). Significant predictor of contraceptive choice precounseling was level of education (p=0.032) and parity (p<0.001) post-counseling. The study shows that counseling can improve choices, encourage satisfaction and possibly enhance compliance among contraceptive clients.Journal of Medical and Biomedical Sciences (2017) 6(3), 1 - 6


2021 ◽  
Vol 4 (5) ◽  
pp. 1227-1236
Author(s):  
Nora Veri ◽  
Alchalidi Alchalidi ◽  
Dewita Dewita ◽  
Nuswatul - Khaira ◽  
T. Iskandar Faisal

ABSTRAK Pemerintah menggalakan program Keluarga Berencana (KB) untuk mengendalikan pertumbuhan penduduk. Salah satu program KB adalah dengan penggunaan kontrasepsi. Metode kontrasepsi yang saat ini yang paling banyak digunakan oleh Wanita Usia Subur (WUS) adalah suntikan Depo Medroxy Progesterone Acetate (DMPA) yang berisi hormon progesteron. DMPA memiliki efek samping yang merugikan organ reproduksi untuk penggunaan jangka panjang. Tujuan kegiatan pengabdian dilakukan untuk meningkatkan pengetahuan wanita usia subur tentang efek samping penggunaan kontrasepsi hormonal DMPA jangka panjang pada organ reproduksi. Metode pelaksanaan adalah dengan edukasi peningkatan pengetahuan tentang kontrasepsi DMPA dengan sasaran wanita usia subur akseptor KB DMPA sebanyak 60 orang. Hasil kegiatan diperoleh bahwa mayoritas pengetahuan wanita usia subur pada kategori kurang pada saat pretest sebanyak 41 orang (68,33%) dan pada saat posttest mayoritas berada pada kategori baik sebanyak 53 orang (88,33%). Adanya peningkatan pengetahuan setelah dilakukan edukasi tentang penggunaan kontrasepsi DMPA dan efek samping yang ditimbulkan akibat penggunaan jangka panjang terhadap kesehatan organ reproduksi. Kata Kunci :   Depo Medroxy Progesterone Acetate (DMPA), Wanita Usia Subur, Kontrasepsi, Keluarga Berencana  ABSTRACT The government is promoting the Family Planning (KB) program to control population growth. One of the family planning programs is the use of contraception. The method of contraception currently most widely used by women of reproductive age is the injection of Depo Medroxy Progesterone Acetate (DMPA) which contains the progesterone hormone. DMPA has adverse side effects on reproductive organs for long-term use. The purpose of this service is to increase the knowledge of women of reproductive age about the side effects of long-term use of DMPA hormonal contraceptives on the reproductive organs. The method of implementation is education to increase knowledge about DMPA contraception with the target of women of reproductive age DMPA to acceptors as many as 60 people. The results of the activity showed that the majority of knowledge of women of reproductive age were in the lack knowledge at the time of the pretest as many as 41 people (68.33%) and at the time of the posttest the majority were in the good knowledge category as many as 53 people (88.33%). There is an increase in knowledge after education about the use of DMPA contraceptives and the side effects caused by long-term use on the health of the reproductive organs. Keywords: Depo Medroxy Progesterone Acetate (DMPA), women of reproductive age, Contraception, Family Planning


2019 ◽  
Vol 15 (2) ◽  
pp. e141-e152 ◽  
Author(s):  
Jessica M. Madrigal ◽  
Mokshasree Atluri ◽  
Erika K. Radeke ◽  
Ashlesha Patel

PURPOSE: Prioritization of cancer treatment initiation in women of reproductive age may underscore potential implications on reproductive health. This study describes a family planning quotient (FPQ) and reproductive life index (RepLI) tool designed to help providers to discuss effectively reproductive health with women with cancer. METHODS: We tailored the FPQ/RepLI tool for patients with cancer after development in the family planning setting and piloted it with 36 oncology patients referred to our family planning clinic. Each patient completed the FPQ/RepLI with a health educator or medical student and then met with a physician to create a reproductive life plan. A subsample evaluated the tool by rating satisfaction using a Likert scale. Summary statistics were calculated overall and by childbearing status. RESULTS: Of the 36 women, 22 did not desire additional children and received contraception. One third (n = 14) had not completed childbearing, four of whom continued with fertility preservation counseling. Women who desired childbearing were less likely to already have children ( P = .02), and more than one half were using long-term contraception. All agreed that the FPQ/RepLI helped them to talk to their provider about their reproductive goals. Only 44.4% agreed that their oncologist knew how many children they desired, and 88.9% found the tool helpful and would use it for future tracking of their reproductive goals. CONCLUSION: The FPQ/RepLI is useful for assessing the reproductive health of young women with a new cancer diagnosis, understanding desires of future childbearing, and providing effective contraception. We recommend the incorporation of this tool into practice to better understand patients’ reproductive needs.


2021 ◽  
pp. 251610322110138
Author(s):  
Frank Van Holen ◽  
Lisa Van Hove ◽  
Ann Clé ◽  
Camille Verheyden ◽  
Johan Vanderfaeillie

Background: Foster children often experience school problems and perform less well than average. This may result in failed school careers and compromised future career paths. Nonetheless, few studies have focused on the perspective of foster children regarding education. Method: Semi-structured interviews were conducted with 27 foster children (M = 14 years, range = 12–18 years) placed in long-term family foster care about their experiences regarding “school.” Results: A thematic analysis distinguished four main themes: (1) the importance of school for foster children; (2) the impact of the foster care placement on the school performance (3) support foster children receive with regard to their functioning and performance at school; and (4) the fear of stigmatization. Discussion: Foster children attach a great importance to school and receive support from different persons. Yet, many foster children are confronted with school difficulties, such as bullying, hindered concentration, and negative reactions to being placed in foster care. Interventions should be developed to support this group and improve their performances. Furthermore, actors who get in touch with foster children should be better acquainted with foster care.


2017 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Sumartini Sumartini ◽  
Diah Indriani

One of the most eff ective eff ort in the family planning program was to control fertilitas and press the population growth rate was used contraception. In the area of Puskesmas Pacar Keling Surabaya interest of acceptor which used short term contraceptive method still high than long term contraceptive method. This research used analytical observational study with case control methods. The population is all woman reproductive age couples aged 15-49 years old in the area of Puskesmas Pacar Keling Surabaya. Sampling technique used two stage random sampling and got 90 respondent. The variables were age, knowledge, side eff ects, desire to have a child again, husband and family support. Data were analyzed with multiple logistic regression with al level of signifi cance value α= 0,05. The result of logistic regression analysis signifi cant variables were age (p= 0,002), side eff ects (p= 0,005), desire to have a child again (p= 0,028), husband and family support (p= 0,008). Conclusion of research is that age, side effects, desire to have more children, husband and family support infl uencing reproductive age couples using long term contraceptive methods. This research suggest health workers provide Counselling and information about Family Planning to reproductive age couples specially they were 20-30 years old about explanation of the use of long term contraception method.


2020 ◽  
Vol 8 (1) ◽  
pp. 65
Author(s):  
Naddratul Huda ◽  
Ni mal Baroya ◽  
Christyana Sandra ◽  
Iswari Hariastuti

Background: Contraceptive use in Indonesia was still dominated by short-term contraception. Thus, Family Planning Village is created for promoting a Long-Term Contraception Method (LTCM).Aim: This study analyzed the implementation of the Family Planning Village Program for LTCM use in Dukuhsia Rambipuji, Jember.Method: This study was descriptive with a mixed-method approach. All of LTCM users in Dukuhsia amounting to 24 participated in the quantitative study. While there were five informants who were selected purposively in the qualitative research, including a Family Planning field worker, Coordinator of Women Empowerment, Child Protection and Family Planning Office, a midwife, Advocate Assistant for Village Family Planning, and a cadre under the Advocate Assistant for Village Family Planning. Qualitative data were obtained through in-depth interviews while quantitative data through structured interviews using questioner. Data were then analyzed using the Miles and Huberman Models and statistical-descriptive analysis.Results: Most aspects of the input factor were not in accordance with the technical guidelines of Family Planning Village. Whereas the implementation method complies with the guidelines. Most aspects of the process factor were relevant to the guidelines, but there were still many obstacles in the implementation. Good participation in the family planning village program is only 37.5%. Since the program launch, the prevalence of long-term contraceptive use increase from 6.07% to 6.21%. However, it does not significantly increase the use of LTCM because the prevalence was much smaller than the prevalence of LTCM at the village level.Conclusion: The implementation of the Family Planning Village in Dukuhsia could increase LTCM users. However, it could not increase the ideal proportion of LTCM users. Therefore, it is necessary to improve input and process of the Family Planning Village through the Contraceptive Technology Update (CTU) training for midwives and conduct a training of LTCM use for cadres to enhance their communicative skill in campaigning the use of LCTM.Keywords: users, contraception, family planning village, implementation.


2020 ◽  
Vol 9 (2) ◽  
pp. 161
Author(s):  
Cempaka Puspita Siwi ◽  
Yasmine Nurfirdaus

The success of the Family Planning program can be measured from the ratio of the use of the Long-Term Contraceptive Method by the couples of childbearing age in each region. The approach used in the Family Planning program is a regional approach, so this study aimed to group sub-districts based on the proportion users of the Long-Term Contraceptive Method by couples of childbearing age in Sidoarjo in 2018. This study was non-reactive study, which is a type of research using secondary data. The data source came from the Report of the Office of Women's Empowerment and Child Protection, Family Planning Sidoarjo in 2018. This study used cross-sectional design with the K-Means Clustering model data analysis. The results of this study produced three regional clusters: Cluster 1 with a low success rate sub-districts category with 8 sub-districts; Cluster 2 with a medium success rate category that has 6 subdistrict members; and Cluster 3 with a high success rate category consisting of 4 sub-districts in Sidoarjo. Based on the study results, broad accessibility was needed to obtain information so that the level of the Long-Term Contraceptive Method users in Sidoarjo increases.


2021 ◽  
Vol 8 (2) ◽  
pp. 70-74
Author(s):  
Surya Anita ◽  
Dewi Rismauli Bancin ◽  
Friska Sitorus

The decrease in TFR (Total Fertility Rate) will be closer to the condition of the population growing in balance, a strategy is needed in the implementation of the family planning program. Activities that can be carried out are promoting long-term effective contraceptive methods. This study aims to determine the understanding and support of husbands for the participation of mothers in becoming IUD KB acceptors in Secanggang District, Langkat Regency. The research design used in this study was an analytical survey with cross sectional approach. The sample in this study was 30 respondents who came and wanted to do family planning. The data analysis used was univariate and bivariate analysis. The results of this study indicate that there is a significant relationship between Husband's understanding of the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency, with a  pvalue of 0.000. And there is a significant relationship between the husband's support for the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency  with a p value of 0,000. It is hoped that it can increase respondents' knowledge about contraceptives so that they can support and understand their wives in choosing contraceptives.   Keywords: Understanding, Support, IUD


2005 ◽  
Vol 29 (4) ◽  
pp. 23-33 ◽  
Author(s):  
Kevin Browne

Research evidence increasingly suggests that young children in residential care without parents are at risk of harm in terms of attachment disorder, developmental delay and normal brain development. This damage caused by early privation of parenting has been shown to have long-term consequences. Kevin Browne and colleagues* report on a survey of 33 European countries that was conducted to identify the number and characteristics of children aged less than three years placed in residential care without their parents for more than three months during the year ending 31 December 2003. Ministries of Health in Europe were asked for official data. For the 31 countries who responded it was estimated that 23,099 children (11.2 per 10,000) aged less than three years were living in institutions. There was great variation between countries for the proportion of young children in institutions and family foster care. Although residential care was shown to cost on average three times as much as foster care, 33 per cent of countries had more young children in institutions than fostered. Those countries with lower GDP and health expenditure had larger proportions of young children in institutions associated mainly with abandonment, disability and medical problems. Only four per cent of children were biological orphans with deceased parents. It is recommended that no child less than three years should be placed in residential care without a parent. Even when high-quality institutions are used as an emergency measure, research has suggested that a child should be moved into family foster care as soon as possible.


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