scholarly journals Challenges and opportunities for effective contraceptive counselling in a low-resource setting: insights from a qualitative study in western Kenya

2020 ◽  
Vol 34 (2) ◽  
Author(s):  
Francis Obare ◽  
George Odwe ◽  
John Cleland
Keyword(s):  
Qualitative Study ◽  
Western Kenya ◽  
Low Resource ◽  
Contraceptive Counselling ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Challenges And Opportunities ◽  
Effective Contraceptive

scholarly journals Suicidal behavior risks during adolescent pregnancy in a low-resource setting: A qualitative study

PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0236269
Author(s):  
Christine W. Musyimi ◽  
Victoria N. Mutiso ◽  
Darius N. Nyamai ◽  
Ikenna Ebuenyi ◽  
David M. Ndetei
Keyword(s):  
Qualitative Study ◽  
Adolescent Pregnancy ◽  
Suicidal Behavior ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

Evaluation of a simulation faculty training workshop in a low-resource setting: a qualitative study

2021 ◽  
pp. bmjstel-2020-000829
Author(s):  
Rajasri Rao Seethamraju ◽  
Kimberly Stone ◽  
Michael Shepherd
Keyword(s):  
Qualitative Study ◽  
Positive Impact ◽  
Faculty Training ◽  
Research Approach ◽  
Instructor Training ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Kirkpatrick Model

IntroductionSimulation instructor training courses are infrequent in low-resource countries. PediSTARS India organisation has been conducting a Training of Trainers (TOT) workshop annually since 2014 and has trained 380 instructors in the last 6 years. The objective of this study is to evaluate this workshop using the basic Kirkpatrick model with a blended evaluation approach.MethodsA qualitative study design was used with purposive sampling from the 2018 workshop cohort. An initial online questionnaire gathered demographic and professional profile of participants. Semistructured interviews with those who consented explored their perceptions about the workshop and their experiences using simulation for training at their workplaces. The analysis was done based on a deductive research approach around the framework of the first three levels of the Kirkpatrick model.ResultsA total of 11 in-depth interviews were conducted. Participants reported long-term retention, translation and positive impact of the knowledge and skills gained at the TOT workshop. The results achieved saturation and underwent respondent validation.ConclusionThis study provides evidence to support simulation faculty training workshops as an effective educational intervention in promoting simulation-related workplace-based education and training among health practitioners and that follow-up activity may be useful in some cases. This is the first study of its kind in a low-resource setting, and supports similar simulation instructor training in these settings and provides a blueprint for such training. Follow-up studies are required to evaluate the longer term impact of this simulation instructor training.

scholarly journals Post-abortion care with misoprostol – equally effective, safe and accepted when administered by midwives compared to physicians: a randomised controlled equivalence trial in a low-resource setting in Kenya

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016157 ◽  
Author(s):  
Marlene Makenzius ◽  
Monica Oguttu ◽  
Marie Klingberg-Allvin ◽  
Kristina Gemzell-Danielsson ◽  
Theresa M A Odero ◽  
...  
Keyword(s):  
Equivalence Trial ◽  
Low Resource ◽  
Contraceptive Counselling ◽  
Abortion Care ◽  
Incomplete Abortion ◽  
Post Abortion Care ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Randomised Controlled ◽  
Post Abortion

ObjectiveTo assess the effectiveness of midwives administering misoprostol to women with incomplete abortion seeking post-abortion care (PAC), compared with physicians.DesignA multicentre randomised controlled equivalence trial. The study was not masked.SettingsGynaecological departments in two hospitals in a low-resource setting, Kenya.PopulationWomen (n=1094) with incomplete abortion in the first trimester, seeking PAC between 1 June 2013 to 31 May 2016. Participants were randomly assigned to receive treatment from midwives or physicians. 409 and 401 women in the midwife and physician groups, respectively, were included in the per-protocol analysis.Interventions600 µg misoprostol orally, and contraceptive counselling by a physician or midwife.Main outcome measuresComplete abortion not needing surgical intervention within 7–10 days. The main outcome was analysed on the per-protocol population with a generalised estimating equation model. The predefined equivalence range was –4% to 4%. Secondary outcomes were analysed descriptively.ResultsThe proportion of complete abortion was 94.8% (768/810): 390 (95.4%) in the midwife group and 378 (94.3%) in the physician group. The proportion of incomplete abortion was 5.2% (42/810), similarly distributed between midwives and physicians. The model-based risk difference for midwives versus physicians was 1.0% (–4.1 to 2.2). Most women felt safe (97%; 779/799), and 93% (748/801) perceived the treatment as expected/easier than expected. After contraceptive counselling the uptake of a contraceptive method after 7–10 days occurred in 76% (613/810). No serious adverse events were recorded.ConclusionsTreatment of incomplete abortion with misoprostol provided by midwives is equally effective, safe and accepted by women as when administered by physicians in a low-resource setting. Systematically provided contraceptive counselling in PAC is effective to mitigate unmet need for contraception.Trial registration numberNCT01865136; Results.

scholarly journals Needs, beliefs and barriers for contraceptive use among women in a low resource setting in Tamil Nadu: a qualitative study

2019 ◽  
Vol 8 (11) ◽  
pp. 4332
Author(s):  
Thacker S. Naveen ◽  
Sajitha M. F. Rahman ◽  
Pavan Mukherjee ◽  
Augustine . ◽  
Kirubah V. David ◽  
...  
Keyword(s):  
Side Effects ◽  
Qualitative Study ◽  
Tamil Nadu ◽  
Contraceptive Use ◽  
Group Discussion ◽  
Care Hospital ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Study Participants

Background: The decline in fertility rate based on the National Health Profile is attributed to the choice of permanent sterilisation as the preferred method of contraception among Indian women. The uptake of spacing methods has declined over the years in many parts of India related to low awareness about options other than sterilisation. Hence understanding the needs, beliefs and barriers of women regarding contraceptive use can identify the factors behind their choice of contraceptive methods. This study aims to explore the needs, beliefs and barriers of women in using different methods of contraception in a low-resource area of urban Vellore, Tamil Nadu.Methods: A qualitative study was conducted in three underserved areas of urban Vellore served by the secondary care hospital of a private academic institution. A descriptive qualitative method was chosen. Focus group discussion was carried out among study participants. Thematic analysis was used to analyse data.Results: The need for contraceptive use was felt after completing the families determining the type of method chosen. Fear of impending side-effects of commonly available spacing methods of contraception limited their use. The results highlight the forceful use of intra-uterine device among study participants reflecting the incentive-based family planning services implemented in most Indian states.Conclusions: Our study reinforces that neither the availability of contraceptives nor forceful implementation of policies will increase the utilisation of contraceptives. There is a need for community-based education on the indications, types and side-effects of reversible methods of contraception.

scholarly journals Development of a comprehensive and sustainable gynecologic oncology training program in western Kenya, a low resource setting

2017 ◽  
Vol 21 ◽  
pp. 122-127 ◽  
Author(s):  
Barry Rosen ◽  
Peter Itsura ◽  
Philip Tonui ◽  
Alan Covens ◽  
Luc van Lonkhuijzen ◽  
...  
Keyword(s):  
Training Program ◽  
Gynecologic Oncology ◽  
Western Kenya ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

Views of physiotherapists from a low resource setting about physiotherapy at a distance: a qualitative study

2019 ◽  
Vol 22 (1) ◽  
pp. 14-19
Author(s):  
Adesola Christiana Odole ◽  
Khadijah Olatoun Afolabi ◽  
Boniface Ayanbekongshie Ushie ◽  
Nse AyoOluwa Odunaiya
Keyword(s):  
Qualitative Study ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting
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