MALE PARTICIPATION IN FAMILY PLANNING: RESULTS FROM A QUALITATIVE STUDY IN MPIGI DISTRICT, UGANDA

2005 ◽  
Vol 37 (3) ◽  
pp. 269-286 ◽  
Author(s):  
ANGELA KAIDA ◽  
WALTER KIPP ◽  
PATRICK HESSEL ◽  
JOSEPH KONDE-LULE
Keyword(s):  
Family Planning ◽  
Public Attitudes ◽  
Structured Interview ◽  
Group Discussions ◽  
Family Planning Services ◽  
Spousal Communication ◽  
Interview Guide ◽  
Modern Family ◽  
The Government ◽  
Almost All

The aim of this study was to determine men’s perceptions about family planning and how they participate or wish to participate in family planning activities in Mpigi District, central Uganda. Four focus group discussions were conducted with married men and with family planning providers from both the government and private sector. In addition, seven key informants were interviewed using a semi-structured interview guide. The results indicate that men have limited knowledge about family planning, that family planning services do not adequately meet the needs of men, and that spousal communication about family planning issues is generally poor. However, almost all men approved of modern family planning and expressed great interest in participating. The positive change of the beliefs and attitudes of men towards family planning in the past years has not been recognized by family planning programme managers, since available services are not in line with current public attitudes. A more couple-oriented approach to family planning is needed. Measures could include, for example, recruiting males as family planning providers, offering more family planning counselling for couples, and promoting female-oriented methods with men and vice versa.

scholarly journals “…we were like tourists in the theatre, the interns assisted almost all procedures…” Challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania

2021 ◽  
Author(s):  
Nathanael Sirili ◽  
Amani Anaeli ◽  
Lilian Mselle ◽  
Obadia Venance Nyongole ◽  
Siriel Massawe
Keyword(s):  
Caesarean Section ◽  
Holistic Approach ◽  
Structured Interview ◽  
Group Discussions ◽  
District Hospitals ◽  
Caesarean Section Delivery ◽  
District Management ◽  
The Government ◽  
Almost All

Abstract Background: Training of mid-level providers is a task-sharing strategy that has gained popularity in the recent past for addressing the critical shortage of the health workforce. In Tanzania, training of mid-level providers has existed for over five decades; however, concerns exist regarding the quality of mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania. Methods: An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMO training colleges in Tanzania. A semi-structured interview guide was used to interview 29 key informants from the district hospitals, district management, regional management, AMO training college, and one retired AMO. Also, four focus group discussions were conducted with 35 AMO trainees.Results: Training of AMOs in Tanzania faces many challenges. The challenges include: use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), inadequate teaching infrastructure in the existence of many other trainees, including interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions: The findings of this study underscore that the challenges facing AMO training for the performance of Caesarean section delivery have the potential to negatively impact the quality of Caesarean sections performed by this cadre. A holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors, and improving the competencies of the available tutors through continuing medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges in teaching infrastructure and providing financial support to this cadre that has continued to be the backbone of primary healthcare in Tanzania. Long-term solutions should consider deploying medical officers at the primary facilities and phasing out the performance of Caesarean section by AMOs.

scholarly journals “ … we were like tourists in the theatre, the interns assisted almost all procedures … ” Challenges facing the assistant medical officers training for the performance of caesarean section delivery in Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathanael Sirili ◽  
Amani Anaeli ◽  
Lilian Mselle ◽  
Obadia Nyongole ◽  
Siriel Massawe
Keyword(s):  
Caesarean Section ◽  
Holistic Approach ◽  
Structured Interview ◽  
Group Discussions ◽  
District Hospitals ◽  
Caesarean Section Delivery ◽  
District Management ◽  
The Government ◽  
Almost All

Abstract Background Training of mid-level providers is a task-sharing strategy that has gained popularity in the recent past for addressing the critical shortage of the health workforce. In Tanzania, training of mid-level providers has existed for over five decades; however, concerns exist regarding the quality of mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania. Methods An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMO training colleges in Tanzania. A semi-structured interview guide was used to interview 29 key informants from the district hospitals, district management, regional management, AMO training college, and one retired AMO. Also, four focus group discussions were conducted with 35 AMO trainees. Results Training of AMOs in Tanzania faces many challenges. The challenges include: use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), inadequate teaching infrastructure in the existence of many other trainees, including interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions The findings of this study underscore that the challenges facing AMO training for the performance of Caesarean section delivery have the potential to negatively impact the quality of Caesarean sections performed by this cadre. A holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors, and improving the competencies of the available tutors through continuing medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges in teaching infrastructure and providing financial support to this cadre that has continued to be the backbone of primary healthcare in Tanzania. Long-term solutions should consider deploying medical officers at the primary facilities and phasing out the performance of Caesarean section by AMOs.

scholarly journals “…we were like tourists in the theatre, the interns assisted almost all procedures…” Challenges facing the training of Assistant Medical Officers in Tanzania

2020 ◽  
Author(s):  
Nathanael Sirili ◽  
Amani Anaeli ◽  
Lilian Mselle ◽  
Obadia Venance Nyongole ◽  
Siriel Massawe
Keyword(s):  
Holistic Approach ◽  
Structured Interview ◽  
Group Discussions ◽  
District Hospitals ◽  
District Management ◽  
The Government ◽  
Almost All ◽  
Phase Out ◽  
Continued Medical Education

Abstract Background: Training of mid-level providers is a task sharing strategy that has gained popularity in the recent past for addressing critical shortage of health workforce. In Tanzania, training of mid-level providers has existed for over five decades, however, concerns are upon the quality of the mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the training of the Assistant Medical Offices in Tanzania.Methods: An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMOs Training Colleges in Tanzania. A semi-structured interview guide was used to interview 29 Key informants from the district hospitals, district management, regional management, AMOs training college and one retired AMO. In addition, four focus group discussions were conducted with 35 AMO trainees.Results: Training of AMOs in Tanzania faces many challenges. The challenges include; use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), Inadequate teaching infrastructure in existence of many other trainees to include interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions: The findings of this study underscore that the challenges facing AMO training have the potentials to negatively impact the quality of care rendered by this cadre. Holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors and improving the competencies of the available tutors through continued medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges on teaching infrastructure and financial support to this cadre that has continued to be the backbone of the primary health care in Tanzania. Long term solution should consider to deploy the medical officers at the primary facilities and phase out the AMOs. Finally, challenges facing mid-level providers in Tanzania and similar settings are similar, thus these findings can be used as a starting pointing in addressing them.

Operations Research on the Female Village-Based Family Planning Worker Program of Pakistan

1998 ◽  
Vol 18 (3) ◽  
pp. 283-305
Author(s):  
Louisiana Lush ◽  
George P. Cernada ◽  
A. K. Ubaidur Rob ◽  
Mohammed Shafiq Arif ◽  
Minhaj Ul Haque ◽  
...  
Keyword(s):  
Family Planning ◽  
Operations Research ◽  
Technical Assistance ◽  
Field Studies ◽  
Family Planning Services ◽  
Training And Supervision ◽  
The Government ◽  
And Training ◽  
Broad Program

This article presents the results of a number of operations research studies (OR) of family planning services provided by a new cadre of female village-based family planning workers in Punjab Province, Pakistan. This cadre of workers, recruited nationwide, have been trained to visit women in their villages to provide information and family planning services. The studies were conducted as part of a broad program of technical assistance to the Government of Pakistan. Surveys investigated the quality of their training as well as attitudes among clients to the new program. They found that the program is developing well but there is room for improvement, particularly in counseling and training. Additional field studies are ongoing and recommendations for change have been incorporated in training and supervision. The program is expanding on a national scale.

scholarly journals Pelayanan Kesehatan Ibu, Anak, dan Keluarga Berencana di Puskesmas Cirimekar, Bogor

2020 ◽  
Vol 11 (2) ◽  
pp. 31-36
Author(s):  
Winnie Tunggal Mutika ◽  
Magda Doria ◽  
Mita Meliani Putri ◽  
Ninda Sari ◽  
Yohana Anggriani ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Functional Organization ◽  
Health Workers ◽  
Descriptive Analysis ◽  
Active Role ◽  
Service Evaluation ◽  
Narrative Form ◽  
Interview Guide ◽  
The Government

Pusat Kesehatan Masyarakat (Puskesmas) adalah organisasi fungsional yang menyelenggarakan upaya kesehatan yang bersifat menyeluruh, terpadu, merata, dapat diterima, terjangkau oleh masyarakat, dengan peran serta aktif masyarakat dan menggunakan hasil pengembangan ilmu pengetahuan dan teknologi tepat guna, dengan biaya yang dapat dipikul oleh pemerintah dan masyarakat. Salah satu tugas dan fungsi puskesmas adalah melaksanakan enam upaya kesehatan wajib diantaranya adalah upaya pelayanan kesehatan ibu, anak, dan keluarga berencana. Penelitian dengan menggunakan pendekatan deskriptif (explanatory research). Pengumpulan data dilakukan melalui observasi serta wawancara kepada tenaga kesehatan dan pasien khususnya yang menerima pelayanan kesehatan ibu, anak, dan keluarga berencana di Puskesmas Cirimekar. Instrumen yang digunakan adalah panduan wawancara evaluasi pelayanan dari tim praktik klinik Program Studi Kebidanan Universitas Gunadarma. Hasil wawancara dan observasi dibuat dalam bentuk narasi sehingga dapat diberikan ke lahan praktik untuk meningkatkan pelayanan Puskesmas Cirimekar. Hasil pelayanan kesehatan ibu, anak, dan keluarga berencana menunjukkan prosedur pelayanan, waktu pelayanan, sarana dan prasarana yang terdapat di puskesmas sudah cukup baik.Keterbatasan sumber daya manusia yaitu petugas kesehatan yang ada di Puskesmas Cirimekar menyebabkan waktu tunggu lebih lama yang ditunjukkan adanya antrian pasien KIA dan KB sehingga pelayanan yang diberikan dirasa kurang optimal.    Public health center (Puskesmas) is a functional organization who held comprehensive, integrated, and acceptable health efforts to society with active role from society and using  science and technology, with cost comes from the government and society. Puskesmas duty is doing six health efforts obligatory in society, one of the obligatory is mother, child, and family planning health services. This research is using explanatory research. Data was collected through observation and interviews with health workers and patients, especially those who received maternal, child and family planning health services in Puskesmas Cirimekar. The instrument used was service evaluation interview guide from the clinical practice team of the Program Study of Universitas Gunadarma. The results of interviews and observations were made in narrative form so that they could be given to practice fields to improve Puskesmas Cirimekar services.Result from interview and observation processed using descriptive analysis. The result shows that health service for mother, child and family planning health services in Puskesmas Cirimekar is pretty good based on procedure, time and facilities. But, the limited of human resources (health workers) in Puskesmas Cirimekar sometimes make a long queue for services at mother health, child health and also family planning, and it makes the services not optimal.

scholarly journals Perceptions and Experiences Regarding Vasectomy Among Vasectomized Men at Larterbiokorshie.

2021 ◽  
Author(s):  
Awube Menlah ◽  
Evans Appiah Appiah Osei ◽  
Isabella Garti ◽  
Stella Appiah ◽  
Dorothy Baffour Awuah ◽  
...  
Keyword(s):  
Public Perception ◽  
Monitoring And Evaluation ◽  
Structured Interview ◽  
Positive Perception ◽  
Interview Guide ◽  
Phenomenological Research Design ◽  
The Government ◽  
Effective Contraceptive Method ◽  
Ongoing Monitoring ◽  
Effective Contraceptive

Abstract BackgroundVasectomy is an effective contraceptive method that has been approved worldwide and proven to be an effective method of contraception among males in the perspective of controlling a population. Although safer, simpler, less expensive and equally as effective as female sterilization, throughout the world, it is one of the least used and least known methods of contraception. It is perceived to be a form of castration, which can make men weak and incapable, thereby unable to satisfy their wives sexually, leading to marital conflicts. The study aimed at determining perceptions and experiences regarding vasectomy among vasectomized men at Larterbiokorshie. MethodsThis study adopted a qualitative method utilizing Phenomenological research design. The sample consisted of 18 vasectomized men selected through purposive sampling method. Face-face interviews were conducted with participants using a semi-structured interview guide. ResultsThe study discovered that the vasectomized men have a positive perception about vasectomy in terms of promoting couples sexual Health. Nevertheless, public perception regarding vasectomy was found to be poor. Socio-cultural and religious factors were also found to influence vasectomy uptake. In addition, several reasons were cited for motivating men regarding their decision on vasectomy and finally, participants shared their experiences following their vasectomy. ConclusionConclusively, despite all the misconceptions and concerns raised about vasectomy, the study revealed a positive perception among the vasectomized men. The study recommends that the government should formulate policies which will improve the utilization of vasectomy through ongoing monitoring and evaluation of services.

scholarly journals Hubungan Kebutuhan Pelayanan Keluarga Berencana pada Remaja Belum Kawin dengan Niat Menggunakan Kontrasepsi di Masa Dewasa (Analisis SDKI 2017)

2021 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Tiara Adella ◽  
Rita Damayanti ◽  
Martya Rahmaniati Makful
Keyword(s):  
Family Planning ◽  
Intention To Use ◽  
Family Planning Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Male Adolescents ◽  
Chi Square Test ◽  
Sample Amount ◽  
The Government ◽  
The Relationship

Latar Belakang. Indonesia adalah negara dengan populasi terbanyak di Asia Tenggara. Dalam mengantisipasi masalah laju pertumbuhan penduduk, Pemerintah mempersiapkan program Keluarga Berencana dan salah satu sasarannya adalah remaja.Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan antara kebutuhan pelayanan keluarga berencana pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasaMetode. Penelitian menggunakan kuantitatif analitik dengan pendekatan cross sectional. Kuesioner yang digunakan Remaja Pria (RP) dan Wanita Usia Subur (WUS). Populasi dalam penelitian ini adalah seluruh remaja belum kawin di Indonesia dengan sampel berjumlah 18.464 responden.Hasil. 82,6% remaja yang berniat menggunakan kontrasepsi di masa dewasa. Hasil uji chi-square terdapat hubungan antara kebutuhan pelayanan KB pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasa. Hasil analisis multivariat, ada hubungan antara kebutuhan pelayanan KB pada remaja belum kawin dengan niat menggunakan kontrasepsi di masa dewasa setelah di kontrol variabel perancu.Kesimpulan. Remaja pria belum kawin yang tidak butuh pelayanan KB, terpapar media massa, memiliki pengetahuan <4 alat/cara KB lebih tidak berniat menggunakan kontrasepsi di masa dewasa. ABSTRACTBackground. Indonesia is the country with the most population in Southeast Asia. In anticipating a Population Growth Rate problem, the government is preparing a family planning program with youth as one of the targets. Objective. This study aimed to determine the relationship between the need for family planning services in unmarried adolescents and the intention to use contraception in adulthood.Method. The study is quantitative analytic with a cross-sectional approach. The questionnaire used by Adolescent Men (RP) and Women of Fertile Age (WUS). The population in this study were all unmarried adolescents in Indonesia, with sample amount 18,464 respondents. Results. 82.6% of adolescents intend to use contraception in the future. Chi-square test results show a relationship between the need for family planning services for unmarried adolescents with the intention to use contraception in adulthood. The result of the multivariate analysis shows a relationship between the need for family planning services for unmarried adolescents with the intention to use contraception in adulthood after being controlled for confounding variables.Conclusion: Unmarried male adolescents who do not need family planning services, are exposed to mass media, have knowledge of <4 methods/methods of contraception and do not intend to use contraception in adulthood.

scholarly journals Nexuses between Malnutrition, Social Exclusion of Children and Human Capital: A Qualitative Study

2020 ◽  
Vol 6 (2) ◽  
pp. 415-422
Author(s):  
Uzma Niaz ◽  
Nazia Malik ◽  
Sadaf Mahmood ◽  
Zahira Batool
Keyword(s):  
Human Capital ◽  
Social Exclusion ◽  
Research Approach ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Academic Achievements ◽  
Malnourished Children ◽  
Interview Guide ◽  
The Government ◽  
Socially Excluded

The present study describes the parents’ attitude towards malnutrition, social exclusion of children, and human capital in three districts of South Punjab, Pakistan. The qualitative research approach is applied with three Focus Group Discussions (FGDs) with parents of children. The interview guide was used to collect data and thematic analysis approach was done. It was concluded that malnutrition made the children socially excluded by damaging their health, academic achievements, and losing their interests in games. It was also concluded that no education and skills of malnourished children become socially excluded from their workplaces. Finally, it was concluded that this situation of malnutrition leads them toward social exclusion. Therefore, this social capital of the future in the shape of social exclusion of children increases the economic burden of family and ultimately nation. To overcome this issue, steps should be taken by the government and community level.

scholarly journals Access and Impact of Microcredit on Economic Activities of Organized Women Groups in the Adentan Municipality, Ghana

2020 ◽  
pp. 92-100
Author(s):  
Benzies Isaac Adu-Okoree ◽  
Daniella Delali Sedegah ◽  
Pancy-Patience Wemoanu Kuyiba ◽  
Samuel Kwashie Sedegah
Keyword(s):  
Sampling Technique ◽  
Structured Interview ◽  
Economic Activities ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Record Keeping ◽  
Medical Needs ◽  
Interview Guide ◽  
Women Groups ◽  
Descriptive Survey

The paper examines the accessibility of women groups within the Adentan Municipality to micro-credits and their impacts economic activities. Descriptive survey research design was used in the study. Purposive sampling technique was used to select 80 respondents. A semi-structured interview guide and focus group discussions were employed for data collection. The study revealed that respondents accessed microcredits through the initiative of their associations while others did so through their friends or introduction by workers of Microfinance organizations to the women associations. However, the lack of record keeping and inconsistent saving patterns creates challenges in accessing micro-credits. Micro-credits have helped women to improve their capacity to set aside income from their economic activities for savings, pay for their children’s education, as well as improve on their nutritional and medical needs. The study recommends among others that the leadership of women associations need to collaborate with the management of MFOs to educate their members on how to access microcredit services that they provide and the requirements that are needed. This would help those who are yet to access the credits to prepare adequately so that they will not have to face challenges when accessing micro-credits and having to let middle men or women to exploit them.

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