O252 SIMPLIFIED WHO DECISION MAKING TOOL AND COUNSELING GUIDE ON FAMILY PLANNING FOR COMMUNITY HEALTH WORKERS AND THEIR CLIENTS

2012 ◽  
Vol 119 ◽  
pp. S349-S349
Author(s):  
M.P.R. Festin
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Decision Making Tool

scholarly journals Family Planning Counseling in Your Pocket: A Mobile Job Aid for Community Health Workers in Tanzania

2016 ◽  
Vol 4 (2) ◽  
pp. 300-310 ◽  
Author(s):  
Smisha Agarwal ◽  
Christine Lasway ◽  
Kelly L’Engle ◽  
Rick Homan ◽  
Erica Layer ◽  
...  
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Family Planning Counseling ◽  
Job Aid

scholarly journals WHAT INFLUENCES FAMILY PLANNING IN RURAL PAKISTAN: FRANCHISED SERVICE PROVIDER AND COMMUNITY HEALTH WORKER PERSPECTIVE

2018 ◽  
Vol 8 (2) ◽  
pp. 100-106 ◽  
Author(s):  
Waqas Hameed ◽  
Junaid-ur-Rehman Siddiqui ◽  
Muhammad Ishaque ◽  
Sharmeen Hussain ◽  
Xaher Gul ◽  
...  
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Community Health Workers ◽  
Service Provision ◽  
Service Providers ◽  
Health Workers ◽  
Organizational Factors ◽  
Modern Contraceptive ◽  
Family Planning Services ◽  
Private Service

Background: Pakistan has a low modern contraceptive prevalence rate, 26%, leading family planning (FP) programmes to explore partnerships with local private providers to improve access to quality FP services. This study aims to understand the socio-cultural and organizational factors that influence delivery of quality family planning services. Methods: This qualitative study was conducted with private service providers and community health workers (CHW) in Marie Stopes Society's (MSS) social franchise network. A total of 31 providers and 28 CHWs from Sindh, Punjab, and Khyber Pakhtunkhwa provinces of Pakistan were purposively selected for in-depth interviews. The study used thematic content analysis to understand providers' and health workers' perspectives of family planning service provision. Results: This study found that normative environment, propagation of myths and misconceptions, and health concerns remain major barriers to service provision in rural communities. Findings showed that CHWs were instrumental in increasing awareness and positive attitudes towards family planning in the catchment areas. Moreover, social franchising was effective in increasing access to high-quality, subsidised family planning services amongst economically marginalised and low-awareness communities. Providers and health workers expressed satisfaction with the franchising approach, and revealed that being part of this network substantially increased their client volume and ability to serve poorer segments of the population. Conclusion: The study found that franchising private service providers in rural areas enhances their ability to serve clients, and when coupled with demand-generation elements, such as vouchers and community health workers, it substantially increases their client volume. Albeit effective, the franchising approach currently lacks the element of long-term service provision at the current scale, and may require further strategizing by the franchisor. Moreover, alternate strategies should be explored to ensure continued provision of FP services without vouchers and CHWs.

scholarly journals Residual Barriers for Utilization of Maternal and Child Health Services: Community Perceptions From Rural Pakistan

2015 ◽  
Vol 8 (7) ◽  
pp. 47 ◽  
Author(s):  
Zahid Memon ◽  
Shehla Zaidi ◽  
Atif Riaz
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Community Health ◽  
Community Health Workers ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Health Workers ◽  
Functional Health ◽  
Child Health Services ◽  
And Child Health

<p>Low utilization of maternal and child care services in rural areas has constrained Pakistan from meeting targets of Millennium Development Goals (MDGs) 4 and 5. This study explores community barriers in accessing Maternal and Child Health (MCH) services in ten remote rural districts of Pakistan. It further presents how the barriers differ across a range of MCH services, and also whether the presence of Community Health Workers (CHWs) reduces client barriers. Qualitative methods were used involving altogether sixty focus group discussions with mothers, their spouses and community health workers. Low awareness, formidable distances, expense, and poorly functional services were the main barriers reported, while cultural and religious restrictions were lesser reported. For preventive services including antenatal care (ANC), facility deliveries, postnatal care (PNC), childhood immunization and family planning, the main barrier was low awareness. Conversely, formidable distances and poorly functional services were the main reported constraints in the event of maternal complications and acute child illnesses. The study also found that clients residing in areas served by CHWs had better awareness only of ANC and family planning, while other MCH services were overlooked by the health worker program. The paper highlights that traditional policy emphasis on health facility infrastructure expansion is not likely to address poor utilization rates in remote rural areas. Preventive MCH services require concerted attention to building community awareness, task shifting from facility to community for services provision, and re-energization of CHW program. For maternal and child emergencies there is strong community demand to utilize health facilities, but this will require catalytic support for transport networks and functional health care centers.</p>

scholarly journals 227The use of cross-sectional series as a source of evidence for policymaker decision in Brazil

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Hermano Alexandre Lima Rocha ◽  
Luciano Lima Correia ◽  
Dra Sabrina Gabriele Maia Oliveira Rocha ◽  
Álvaro Jorge Madeiro Leite ◽  
Márcia Maria Tavares Machado ◽  
...  
Keyword(s):  
Decision Making ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Public Policies ◽  
Population Level ◽  
Cross Sectional ◽  
Oral Rehydration ◽  
In Series ◽  
Cross Sectional Studies

Abstract Background To verify the effectiveness of public policies, two or more cross-sectional studies can be carried out in series. The objective of this work is to present the maternal and child health research of Ceará (PESMIC), Brazil, a series of cross-sectional studies carried out in a partnership between the university and the local government. Methods PESMIC is a series of cross-sectional studies with constant methodology, a sample obtained in multiple stages, with systematic and clusters sampling, state-wide representative, which visits 8000 households in 1987, 1990, 1994, 2001, 2007 and 2017. Around 300 variables are collected, in three different questionnaires, for the home, mothers, and children. Results PESMIC demonstrated over 30 years the improvement of several indicators such as the drop in infant mortality from 120 to 10 per thousand, the reduction of child malnutrition from 26.8% to 8.6%, the increase in infant breastfeeding for six months from 3% to 99%, the increase in maternal literacy from 58% to 97%. Conclusions Over 30 years, PESMIC presented results that allowed the evaluation of public policies and the occurrence of epidemiological transitions that occurred at the population level. The use of oral rehydration serum applied by community health workers, both unprecedented in Brazil when they started in Ceará, had their effectiveness demonstrated by PESMIC and were expanded to the rest of the country soon afterward. We conclude that the transversal series are studies that can help guide decision making by public health managers. Key messages The use of cross-sectional series can be a feasible alternative for the formation of evidence to aid decision-making The use of the PESMIC transversal series in Ceará helps Brazil in making important decisions such as the expansion of the community health workers program

scholarly journals Conformity and communal decision-making: First-tester effects on acceptance of home-based HIV counseling and testing in Uganda

2018 ◽  
Author(s):  
Mari Armstrong-Hough ◽  
Amanda J Meyer ◽  
Achilles Katamba ◽  
J. Lucian Davis
Keyword(s):  
Decision Making ◽  
Hiv Testing ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
First Person ◽  
Home Based ◽  
Group Members ◽  
Household Members ◽  
Individual Decisions

Background: Individuals’ observation of how group members ahead of them behave can profoundly shape their perceptions, judgements, and subsequent behaviors. Moreover, social influence theories from the sociology of networks suggest that individuals’ social status and social network position determine the scope of their influence on other group members. We set out to examine the role of conformity and communal decision-making in shaping individual decisions to test for HIV during home-based TB contact investigation in Kampala, Uganda. Methods: We analyzed the HIV testing decisions of individuals who were offered free, optional, home-based HIV testing during a home visit by community health workers. We used generalized estimating equations (GEE) to estimate how the testing decision made by the first individual in a household offered testing influenced the subsequent testing decisions of other household members. Results: Community health workers visited 55 households with two or more eligible household members and offered 160 individuals HIV testing. Seventy-five (47%) declined the test. Individuals in households where the first person invited declined HIV testing had four times the risk of declining themselves (RR: 3.96, 95% CI: 1.7-9.0, p=0.001) compared to individuals in households where the first person invited agreed to HIV testing, controlling for individual age and gender. Conclusions: The decision of the first individual offered HIV testing seems to influence the decisions of subsequent household members when they are also offered testing. Even when results are confidential, individual decisions may be shaped by the testing behavior of the first household member offered the test.

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