scholarly journals One in three: challenging heteronormative assumptions in family planning health centers

Contraception ◽  
2018 ◽  
Vol 98 (4) ◽  
pp. 270-274 ◽  
Author(s):  
Bethany G. Everett ◽  
Jessica N. Sanders ◽  
Kyl Myers ◽  
Claudia Geist ◽  
David K. Turok
Keyword(s):  
Family Planning ◽  
Health Centers

scholarly journals 1535. Impact of Defunding Family Planning Health Centers on Gonorrhea and Chlamydia Cases in Iowa: A Spatiotemporal Analysis

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S768-S768
Author(s):  
Megan L Srinivas ◽  
Eileen Yang ◽  
Weiming Tang ◽  
Joseph Tucker
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Rural Areas ◽  
Spatiotemporal Analysis ◽  
Incidence Rates ◽  
Health Centers ◽  
Transmitted Infection ◽  
Missed Opportunities ◽  
Linear Regression Modeling ◽  
The Impact

Abstract Background Fifteen states have defunded family planning health centers (FPHCs), causing thousands to be left without health services. This has accelerated in the COVID-19 era. FPHCs provide low-income individuals in rural areas with essential primary care services, including sexually transmitted infection prevention, testing, and treatment. The purpose of this analysis is to use spatiotemporal methods to examine the impact of FPHC closures in Iowa on the reported number of gonorrhea and chlamydia cases at the county level. Methods This analysis investigates the association between FPHC closures and changes in the number of gonorrhea and chlamydia cases between 2016 and 2018. Iowa implemented defunding policies for family planning clinics, resulting in four FPHC closures in June 2017. 2016 pre-closure STI incidence rates were compared to 2018 post-closure rates. Gonorrhea and chlamydia rates in the four Iowa counties with clinic closures were compared to the 95 Iowa counties without closures. T tests were used to compare changes in reported gonorrhea and chlamydia rates in the two settings. Linear regression modeling was used to determine the relationship between clinic closures and changes in gonorrhea and chlamydia cases. Results The gonorrhea burden in Iowa increased from 83 cases per 100,000 people in 2016 to 153.8 cases per 100,000 people in 2018. The four counties with clinic closures experienced a significantly larger increase (absolute 217 cases per 100,000 population) in their gonorrhea rate compared to counties without FPHC closures (absolute 121 cases per 100,000 population). There was also a significant relationship between clinic closures and increasing gonorrhea rates (p = 0.0015). Over the three-year period, there was no change in chlamydia rates (p = 0.1182). However, there was a trend towards counties with more FPHC closures having a higher number of chlamydia cases (p = 0.057). Conclusion Despite the fact that many STI diagnoses are made and reported by FPHCs, our data suggest that clinic closures may have contributed to an increase in gonorrhea and chlamydia cases. This is consistent with delayed diagnoses and missed opportunities for providing essential STI services to vulnerable and under-served rural residents. Legislative action is urgently needed to curtail this trend. Disclosures All Authors: No reported disclosures

Assessment of government health center needs to implement long-acting reversible contraception services in rural Rwanda

2019 ◽  
Author(s):  
Amelia Mazzei ◽  
Rosine Ingabire ◽  
Etienne Karita ◽  
Jeannine Mukamuyango ◽  
Julien Nyombayire ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Center ◽  
Rural Health ◽  
Health Centers ◽  
Power Supplies ◽  
Government Health ◽  
Family Planning Counseling ◽  
Rural Health Centers ◽  
Long Acting ◽  
Gynecological Exam

Abstract Background. There is unmet need for family planning in Rwanda. We previously developed an evidence-based couples’ family planning counseling (C)FPC program in the capital city that combines: 1) fertility goal-based family planning counseling with a focus on long-acting reversible contraceptive (LARC) for couples wishing to delay pregnancy; 2) health center capacity building for provision of LARC methods, and 3) LARC promotion by community health workers (CHW) trained in community-based provision (CBP) of oral and injectable contraception. From 2015-2016, this service was integrated into eight government health centers in Kigali, reaching 6,072 clients and resulting in 5,743 LARC insertions. Methods. From May-July 2016, we conducted health center needs assessments in 30 rural health centers using surveys, key informant interviews, logbook extraction, and structured observations. The assessment focused on the infrastructure, materials, and human resources needed for LARC demand creation and provision.Results. Few nurses had received training in LARC insertion (41% implant, 27% intrauterine device (IUD)). All health centers reported working with CHW, but none trained in LARC promotion. Health centers had limited numbers of IUDs (average 16.4), implants (average 56.1), functional gynecological exam tables (average 2.3), and lamps for viewing the cervix (average <1). Many did not have backup power supplies (40%). Most health centers reported no funding partners for family planning assistance (60%). Per national guidelines, couples’ voluntary HIV counseling and testing (CVCT) was provided at the first antenatal visit at all clinics, reaching over 80% of pregnant women and their partners. However, only 10% of health centers had integrated family planning and HIV services. Conclusions. To successfully implement (C)FPC and LARC services in rural health centers across Rwanda, material and human resource capacity for LARC provision will need to be greatly strengthened through equipment (gynecological exam tables, sterilization capacity, lamps, and backup power supplies), provider trainings and follow-up supervision, and new funding partnerships. Simultaneously, awareness of LARC methods will need to be increased among couples through education and promotion to ensure that demand and supply scale up together. The potential for integrating (C)FPC with ongoing CVCT in antenatal clinics is unique in Africa and should be pursued.

The Organization and Delivery of Family Planning Services in Community Health Centers

2015 ◽  
Vol 25 (3) ◽  
pp. 202-208 ◽  
Author(s):  
Debora Goetz Goldberg ◽  
Susan F. Wood ◽  
Kay Johnson ◽  
Katherine (Holly) Mead ◽  
Tishra Beeson ◽  
...  
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Family Planning Services

scholarly journals PENGARUH DUKUNGAN SUAMI DAN KADER POSYANDU TERHADAP MINAT IBU MENGGUNAKAN KB IMPLAN

2021 ◽  
Vol 7 (2) ◽  
pp. 110-115
Author(s):  
Agustina Widayati
Keyword(s):  
Family Planning ◽  
Regular Education ◽  
Health Workers ◽  
Health Centers ◽  
P Value ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Care Groups ◽  
Husband Support ◽  
Spearman Test

Berdasarkan Profil Kesehatan Indonesia cakupan KB implant sebesar 11,20%. Proporsi KB aktif implan di Jawa Timur sebesar 10,23%. Data dari Dinas Kesehatan Kota Probolinggo tahun 2019, di Kelurahan Sumbertaman terdapat KB Aktifnya yaitu 1.470 PUS dan Implan (146 PUS) serta yang ber KB di RW 1 sebanyak 21 orang. Tujuan menganalisis Pengaruh  Dukungan Suami Dan Kader Posyandu terhadap Minat Ibu Menggunakan KB Implan di RW 1 Kelurahan Sumbertaman  Kota Probolinggo. Desain penelitian analitik korelasional dengan metode cross sectional. Penelitian dilaksanakan Bulan Mei - Juni di kelurahan Sumbertaman Kota Probolinggo dengan 107 sampel. Data dianalisis dengan uji Spearman dan Regresi Ordinal ?: 0,05. Hasil penelitian menunjukkan dukungan suami sangat mendukung sebesar 47 responden (43,9%), dukungan kader posyandu kurang mendukung sebesar 59 responden (55,1%), minat ibu dalam menggunakan alat kontrasepsi implant dengan kategori minat tinggi sebesar 57 responden (53,5%) dengan p value : 0,000. Kesimpulan  ada Pengaruh  Dukungan Suami Dan Kader Posyandu Terhadap Minat Ibu Menggunakan KB Implan. Saran bagi  puskesmas/tenaga kesehatan meningkatkan pemberian edukasi secara berkala kepada suami dan keluarga tentang pentingnya menggunakan alat kontrasepsi dan membentuk kelompok peduli KB.   Kata kunci: Dukungan Suami, Dukungan Kader Posyandu, Minat Ibu, Alat Kontrasepsi Implan   ABSTRACT Based on the Indonesian Health Profile, the coverage of implant family planning is 11.20%. The proportion of active implant family planning in East Java is 10.23%. Data from the Probolinggo Health Office in 2019, in Sumbertaman Village there were, namely 1,470 Childbearing Age Couple and implants (146 Childbearing Age Couple ) and 21 people who had an interest in implant Contraceptive in RW 1. The purpose was to analize the influence between husband support and Posyandu cadres to maternal interest in using implant family planning in RW 1, Sumbertaman, Probolinggo. The design of this research is correlational analytic using cross sectional method. The research was conducted on May - June in Sumbertaman, Probolinggo with 107 samples. Data collection analyzed by Spearman test and Ordinal Regression ?: 0.05. The results showed husband's support in the very supportive category was 47 respondents (43.9%), the support of posyandu cadres with less supportive criteria was 59 respondents (55.1%), the mother's interest in using implant contraceptives with high interest categories was 57 respondents (53,5%) with p value: 0,000. The conclusion of the study shows there is a influence between husband support and Posyandu cadres to maternal interest in using implant family planning. Suggestions are put forward for health centers / health workers to increase the provision of regular education to husbands and families about the importance of using contraceptives and to form family planning care groups or family planning villages.   Keywords: Husband's Support, Posyandu Cadre Support, Mother's Interest, Implant Contraceptives

scholarly journals The Lebanese Family Planning Association

1970 ◽  
pp. 10-11
Author(s):  
Aida Arasoghli
Keyword(s):  
Family Planning ◽  
Health Centers ◽  
Women's Groups ◽  
Women’S Groups ◽  
The Media

The Lebanese Family Planning Organization held its fourth conference on «The Image of Women in the Media» to assess and evaluate the conditions of women in Lebanon. Among the participants were fifty delegates representing women's groups, federations, social and health centers, as well as members of the association.

scholarly journals Efektivitas dan Efisiensi Sistem Informasi Keluarga Berencana di Puskesmas

2011 ◽  
Vol 5 (4) ◽  
pp. 171
Author(s):  
Aragar Putri ◽  
Besral Besral
Keyword(s):  
Information System ◽  
Family Planning ◽  
Health Centers ◽  
P Value ◽  
New Family ◽  
Significant Difference ◽  
The Family ◽  
Efficiency And Effectiveness ◽  
The Mean ◽  
Effectiveness And Efficiency

Efisiensi dan efektivitas sistem informasi keluarga berencana (KB)-kesehatan yang telah disosialisasikan sejak tahun 2007 dibandingkan dengan sistem yang lama belum diketahui. Suatu penelitian survei dilakukan di empat provinsi, yaitu DKI Jakarta, Lampung, Kalimatan Tengah, dan Bali. Di tiap provinsi dipilih dua kabupaten/kota dan pada tiap kabupaten/kota dipilih dua puskesmas (kecamatan) yang sudah menerapkan sistem informasi KB-kesehatan tersebut. Pengumpulan data dilakukan pada bulan Juni-September 2008. Penelitian ini menemukan bahwa efektivitas dan efisiensi sistem informasi KB yang baru cukup baik, 77,8% responden menyatakan lebih efektif atau sangat lebih efektif dan 66,7% responden menyatakan lebih efisien atau sangat lebih efisien dibandingkan dengan sistem yang lama. Skor efektivitas dan efisiensi berbeda antar provinsi (nilai p <0,01), skor terendah di provinsi Bali (rata-rata 68,9 untuk efektivitas dan 61,3 untuk efisiensi), dan skor tertinggi di Kalimantan Tengah (rata-rata 82,7 untuk efektivitas dan 82,2 untuk efisiensi). Tidak ada perbedaan skor efektivitas dan efisiensi sistem informasi KB menurut lingkup kerja dan jabatan responden (nilai p> 0,05). Disarankan kepada Kementerian Kesehatan untuk dapat melakukan perbaikan pada komponen sistem informasi keluarga berencana, terutama dalam pembuatan grafik pemantauan wilayah setempat KB dan mengimplementasikannya di pelayanan KBdi puskemas beserta jaringannya.Kata kunci: Efektivitas, efisiensi, sistem informasi, keluarga berencanaAbstractA study is to know the efficiency and effectiveness of the new family planning information system that has been socialized since 2007. To compare with the previous information system, this study was conducted in four provinces i.e., DKI Jakarta, Lampung, Central Kalimatan, and Bali. In each province two districts were randomly selected, and from each selected district two health centers were then randomly selected. Data was collected from June to September 2008. Results of this study revealed that the effectiveness and efficiency of the new family planning information system is considered good, where 77,8% of the respondents reported it as effective or more effective, and 66,7% stated more or much more efficient compared to the previous system. The mean score for effectiveness and efficiency vary between provinces (p-value <0,01). The lowest score was found in Bali (mean 68,9 for effectiveness and 61,3 for efficiency), and the highest scorewas in Central Kalimantan (mean 82.7 for effectiveness and 82.2 for efficiency). There is no significant difference of the score according to characteristics of the respondents. This study recommends to improve the family planning information system, especially by providing and implementing thelocal monitoring graph, in the health center and its network.Key words: Effectiveness, efficiency, information system, family planning

scholarly journals Studi Dampak Kontrasepsi Suntik terhadap Akseptor Puskesmas Antang Perumnas Antang dalam Kaidah al-Ḍarar Yuzāl

Al-Mizan ◽  
2020 ◽  
Vol 16 (2) ◽  
pp. 299-322
Author(s):  
Jujuri Perdamaian Dunia ◽  
Askar Patahuddin ◽  
Edi Gunawan
Keyword(s):  
Family Planning ◽  
Birth Control ◽  
Uterine Cancer ◽  
Field Research ◽  
Qualitative Approach ◽  
Health Centers ◽  
Legal Implications ◽  
Religious Understanding ◽  
Research Show ◽  
External Reasons

This study aims to determine the impacts of contraceptive injection for acceptor health centers Antang Perumnas of the al-Ḍarar Yuzāl rule. This type of research is the qualitative approach to field research. The results of this research show that firstly, the condition of acceptors in health centers of Antang Perumnas Manggala is quite diverse, acceptors in this region belong to the middle and lower economic classes with varying levels of religious understanding; secondly, two reasons cause family planning acceptors to inject, namely internal and external reasons with different impacts on their acceptors; thirdly, the application of al-Ḍarar Yuzāl's rule for the use of contraceptive injections has the following Islamic legal implications:  wajib when the acceptor is awake from diseases such as uterine cancer, or death if having a pregnancy, becomes makruh if the acceptor feels pain during menstruation and intercourse, or the emergence of uterine myoma in the endometrium, and becomes haram when removing sexual sensitivity, not passionate until the feeling of anger towards the husband that ends in divorce. This research is expected to contribute to the medical world to find healthy birth control solutions for acceptors and make acceptors wiser before deciding to use contraceptive injection.

scholarly journals Implementation of Adolescent and Youth Friendly Health Services in a Rural Region of Tigray, Ethiopia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Cigliano ◽  
H Gebremichael ◽  
K Teklay ◽  
B Ayele ◽  
D Negash ◽  
...  
Keyword(s):  
Family Planning ◽  
Young People ◽  
Health Services ◽  
Sex Education ◽  
Low Income ◽  
Public Health Problem ◽  
Health Centers ◽  
Low Income Countries ◽  
Sexual Life ◽  
Youth Friendly

Abstract Background The Eastern Zone of the Tigray (Ethiopia) is inhabited by 900,000 people, 34% of whom are adolescents and young people between 10-24 years of age, who are easily influenced by the social and family context and are exposed to significant health risks associated with the earliness of their approach to sexual life. Nonetheless, even if a complete health service is available, the quality is often undermined by the lack of the so-called Youth-Friendly Corners (high confidentiality spaces reserved for young people), promoted internationally by WHO. The aim of the study is to evaluate the effectiveness of the program established in this zone by the Medical Collaboration Committee regarding the creation of friendly health services for adolescent and youth people (AYFHS), especially built for sex education, family planning, abortion, and sexual transmitted infection (STI) prevention. Methods The program “#Youths at the centre!” was implemented in 20 rural health centers in the North-East Tigray on April 2018. Data from these AYFHS were collected monthly in aggregated indicators, separated for gender and age class. Use of AYFHS during 2018 and 2019 was assessed using percentage and 95% confidence interval and the period of implementation of the project and centers' characteristics were analyzed to investigate differences in AYFHS utilization. Results A monthly mean of 6.04% (6.01% - 6.08%) of adolescents and young people utilized an AYHFS for any of its service; 0.03% accessed for counseling, diagnosis, and treatment of STI, 1.31% for family planning, 1.09% for delivery, and 0.05% for legal abortion. Lower level of utilization was observed in more remote health centers, despite a general increase across the study period. Conclusions This project shows the importance of providing friendly facilities dedicated to adolescents and youth in low-income countries, in order to increment the utilization of health services from this population, especially in rural contexts. Key messages In rural areas of Africa the risks associated with poor health information of young people and the earliness of the beginning of sexual life remain a Public Health problem. In low income countries the presence of high confidentially spaces for young people in the Health Services could increase their utilization, especially for sex education and family planning.

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