027: FACTORS AFFECTING FAMILY PLANNING SERVICE DELIVERY BY COMMUNITY HEALTH WORKERS IN DISTRICT 2, QUEZON CITY, PHILIPPINES

Abstract BackgroundHigh fertility rates pose health risks to both mothers and children and impede economic growth; therefore, family planning use is vital to achieving sustainable population growth and to help build thriving communities. Contraceptive use in Rwanda has tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this unparalleled success in Rwanda. MethodsThis qualitative study in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with experienced family planning users.ResultsResults indicate a well-coordinated family planning service delivery system with community health workers and nurses filling different and complementary roles in meeting family planning client needs at the local level. In addition, integration of family planning into other maternal and child health services is the norm. ConclusionsThe coordination and integration of family planning across both providers and services may help explain the extraordinary increase in Rwanda’s contraceptive usage, and has potential applications for enhancing family planning service delivery in other settings as well.

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“…the availability of contraceptives is everywhere.”: Coordinated Family Planning Service Delivery in Rwanda Facilitates Integration into Other Health Services

10.21203/rs.2.11427/v1 ◽

2019 ◽

Author(s):

Adriana Scanteianu ◽

Hilary M Schwandt ◽

Angel Boulware ◽

Julia Corey ◽

Ana Herrera ◽

...

Keyword(s):

Family Planning ◽

Health Services ◽

Service Delivery ◽

Health Workers ◽

Family Planning Service ◽

Local Level ◽

Child Health Services ◽

High Fertility ◽

Planning Service ◽

Contraceptive Usage

Abstract Background High fertility rates pose health risks to both mothers and children and impede economic growth; therefore, family planning use is vital to achieving sustainable population growth and to help build thriving communities. Contraceptive use in Rwanda has tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this unparalleled success in Rwanda. Methods This qualitative study in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with experienced family planning users. Results Results indicate a well-coordinated family planning service delivery system with community health workers and nurses filling different and complementary roles in meeting family planning client needs at the local level. In addition, integration of family planning into other maternal and child health services is the norm. Conclusions The coordination and integration of family planning across both providers and services may help explain the extraordinary increase in Rwanda’s contraceptive usage, and has potential applications for enhancing family planning service delivery in other settings as well.

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“…the availability of contraceptives is everywhere.”: Coordinated and Integrated Family Planning Service Delivery in Rwanda

10.21203/rs.3.rs-86209/v1 ◽

2020 ◽

Author(s):

Adriana Scanteianu ◽

Hilary M. Schwandt ◽

Angel Boulware ◽

Julia Corey ◽

Ana Herrera ◽

...

Keyword(s):

Family Planning ◽

Service Delivery ◽

Contraceptive Use ◽

Health Workers ◽

Family Planning Service ◽

Local Level ◽

Child Health Services ◽

Planning Service ◽

Group Discussions ◽

Potential Applications

Abstract BackgroundContraceptive use in Rwanda tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this increase in contraceptive use in Rwanda.MethodsThis qualitative study in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with experienced family planning users.ResultsResults indicate a well-coordinated family planning service delivery system with community health workers and nurses filling different and complementary roles in meeting family planning client needs at the local level. In addition, integration of family planning into other maternal and child health services is the norm.ConclusionsThe coordination and integration of family planning across both providers and services may help explain the rapid increase in Rwanda’s contraceptive use and has potential applications for enhancing family planning service delivery in other settings.

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“…the availability of contraceptives is everywhere.”: Coordinated and Integrated Family Planning Service Delivery in Rwanda

10.21203/rs.3.rs-86209/v2 ◽

2021 ◽

Author(s):

Adriana Scanteianu ◽

Hilary M. Schwandt ◽

Angel Boulware ◽

Julia Corey ◽

Ana Herrera ◽

...

Keyword(s):

Family Planning ◽

Service Delivery ◽

Contraceptive Use ◽

Health Workers ◽

Family Planning Service ◽

Local Level ◽

Child Health Services ◽

Planning Service ◽

Group Discussions ◽

Potential Applications

Abstract Background Contraceptive use in Rwanda tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this increase in contraceptive use in Rwanda. Methods This qualitative study in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with experienced family planning users. Results Results indicate a well-coordinated family planning service delivery system with community health workers and nurses filling different and complementary roles in meeting family planning client needs at the local level. In addition, integration of family planning into other maternal and child health services is the norm. Conclusions The coordination and integration of family planning across both providers and services may help explain the rapid increase in Rwanda’s contraceptive use and has potential applications for enhancing family planning service delivery in other settings.

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Improving family planning service delivery in humanitarian crises

10.31899/rh4.1009 ◽

2017 ◽

Cited By ~ 1

Author(s):

Chi-Chi Undie ◽

Rajat Khosla ◽

Karl Blanchet

Keyword(s):

Family Planning ◽

Service Delivery ◽

Family Planning Service ◽

Planning Service ◽

Humanitarian Crises

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Contextual factors affecting the integration of community health workers into the health system in Limpopo Province, South Africa

International Health ◽

10.1093/inthealth/ihz082 ◽

2019 ◽

Vol 12 (4) ◽

pp. 281-286 ◽

Cited By ~ 2

Author(s):

Geoffrey Jobson ◽

Nireshni Naidoo ◽

Nthabiseng Matlakala ◽

Gert Marincowitz ◽

Jean Railton ◽

...

Keyword(s):

South Africa ◽

Community Health ◽

Community Health Workers ◽

Health Workers ◽

Limpopo Province ◽

Community Members ◽

Middle Income ◽

Factors Affecting ◽

Challenges And Opportunities ◽

Decision Making Processes

Abstract Background Community health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WBOTs) are South Africa’s latest iteration of the CHW programme and have been introduced as part of the National Department of Health’s Primary Health Care Re-engineering programme. Methods In order to assess the perceived effectiveness of the WBOTs in supporting the ongoing rollout of antiretroviral therapy, tuberculosis care and patient support, we conducted a qualitative investigation focusing on the perceived successes and challenges of the programme among CHWs, community leaders, healthcare workers and community members in the Mopani district, Limpopo province, South Africa. Results The CHW programme operates across these contexts, each associated with its own set of challenges and opportunities. Conclusions While these challenges may be interrelated, a contextual analysis provides a useful means of understanding the programme’s implementation as part of ongoing decision-making processes.

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