scholarly journals Correlates of Contraceptive Use and Health Facility Choice among Young Women in Malawi

2016 ◽  
Vol 669 (1) ◽  
pp. 93-124 ◽  
Author(s):  
Jean Digitale ◽  
Stephanie Psaki ◽  
Erica Soler-Hampejsek ◽  
Barbara S. Mensch
Keyword(s):  
Family Planning ◽  
Health Facility ◽  
Young Women ◽  
Service Provision ◽  
Contraceptive Use ◽  
Early Years ◽  
Family Planning Services ◽  
Facility Type ◽  
Almost All

We explore whether differential access to family-planning services and the quality of those services explain variability in uptake of contraception among young women in Malawi. We accomplish this by linking the Malawi Schooling and Adolescent Study, a longitudinal survey of young people, with the Malawi Service Provision Assessment collected in 2013–14. We also identify factors that determine choice of facility among those who use contraception. We find that the presence and characteristics of nearby facilities with contraception available did not appear to affect use. Rather, characteristics such as facility type and whether contraception was provided free of charge determined where women deciding to use contraception obtained their contraception. We argue that in a context where almost all respondents resided within 10 kilometers of a health facility, improving access to and quality of family-planning services may not markedly increase contraceptive use among young women without broader shifts in norms regarding childbearing in the early years of marriage.

THE IMPACT OF DEMAND FACTORS, QUALITY OF CARE AND ACCESS TO FACILITIES ON CONTRACEPTIVE USE IN TANZANIA

2005 ◽  
Vol 39 (1) ◽  
pp. 1-26 ◽  
Author(s):  
MARY ARENDS-KUENNING ◽  
FLORA L. KESSY
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Cultural Values ◽  
Contraceptive Use ◽  
Data Sets ◽  
Demand Side ◽  
Family Planning Services ◽  
Unmet Demand ◽  
The Impact

The low contraceptive prevalence rate and the existence of unmet demand for family planning services present a challenge for parties involved in family planning research in Tanzania. The observed situation has been explained by the demand-side variables such as socioeconomic characteristics and cultural values that maintain the demand for large families. A small, but growing body of research is examining the effect of supply-side factors such as quality of care of family planning services on the demand for contraceptives. This paper analyses the demand and supply factors determining contraceptive use in Tanzania using the Tanzania Service Availability Survey (1996) and the Tanzania Demographic and Health Survey (1996) data sets. The results show that access to family planning services and quality of care of services are important determinants of contraceptive use in Tanzania even after controlling for demand-side factors.

scholarly journals Factors Associated With Contraceptive Use In Reproductive Age Couples

2019 ◽  
Vol 7 (1) ◽  
pp. 47
Author(s):  
Desak Nyoman Suryaningrat ◽  
Ni Wayan Suniyadewi ◽  
Ni Luh Putu Dewi Puspawati
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Health Workers ◽  
Reproductive Age ◽  
P Value ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Factors Associated ◽  
Spearman Test

<em>Mothers are family members who play an important role in family life. Maternal deaths that occur in every minute at every day are mostly caused by complications related to pregnancy, childbirth, and puerperal. Contraceptive use in reproductive age couples is one of the strategies of the family planning to reduce maternal mortality. This study aimed to investigate the factors associated with contraceptive use in reproductive age couples. This study used a correlational design with a cross-sectional approach. The samples were 56 people selected using a non-probability sampling technique, i.e., purposive sampling.  Data were analyzed using Rank Spearman test and contingency coefficient test. The results showed that there was a correlation between contraceptive use and factors of age, education, employment, customs / culture and quality of family planning services with a p-value of &lt;0.05. This study recommends that Mengwi Public Health Center I provide a counseling room for family planning acceptors and increase the schedule of family planning services as well as improve the quality of health workers especially in giving counseling about contraceptive use.</em>

scholarly journals Dynamics of contraceptive use among young women in Nepal

2018 ◽  
Vol 18 (17) ◽  
pp. 33-42
Author(s):  
Ramesh Babu Kafle
Keyword(s):  
Family Planning ◽  
Young Women ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Married Women ◽  
The Family ◽  
Nationally Representative ◽  
Long Acting ◽  
Almost All ◽  
Method Mix

This paper examines the dynamics of contraceptive use of currently married young women (age 15-24) in Nepal by analyzing the trends and differentials in contraceptive use, the changes in method mix and the determinants of contraceptive use by selected socioeconomic and demographic characteristics. The reasons of non-use of contraception are also assessed. Data from the three rounds of nationally representative Nepal Demographic and Health Survey (NDHS) 2001, 2006 and 2011 are used. Currently married women aged 15-24 are selected and included in analysis. Study sample constitute 2573, 2398 and 2552 eligible women in NDHS 2001, 2006 and 2011 respectively. Use of contraception among young couples is gradually increasing in almost all subgroups of population in Nepal, with narrowing differentials by education and economic condition of household. Tendency of starting contraceptives before having a child is also emerging. There is declining share of sterilization among youth indicating either a probable shifting in age at sterilization or more favour towards temporary methods. Injection has the highest share in all the three surveys. The share of long acting temporary methods (IUD and Implants) is quite small and almost same in all the three surveys. Couples still feel safe to start using contraceptives after having at least one son however, the differences are declining. Reasons for non-use like fear of side effects and opposition to use are sharply declining over time but that due to husband’s absence is emerging as almost a sufficient reason for non-use of contraception among young married women in Nepal. The family planning program should focus on meeting the family planning needs of young couples of all strata of population with special thrust on those women whose husbands are currently in foreign country so that they would be able to avoid unintended pregnancy on their husband’s come back.

scholarly journals Addressing socio-cultural barriers to family planning and co-designing services to improve utilization: evidence from northern Nigeria

2019 ◽  
Author(s):  
Olugbenga Oguntunde ◽  
Jabulani Nyenwa ◽  
Sikiratu Kilani-Ahmadu ◽  
Abdulsamad Salihu ◽  
Issa Yusuf
Keyword(s):  
Family Planning ◽  
Health Facility ◽  
Service Utilization ◽  
Service Providers ◽  
Family Planning Service ◽  
Service Improvement ◽  
Community Perception ◽  
Planning Service ◽  
Family Planning Services

Abstract BACKGROUND: Family planning is a proven cost-effective intervention that has contributed to women empowerment and overall human development. Demand factors and women’s expectations and experiences at health facility for family planning services may influence their uptake and utilisation of these services. Increased awareness and positive community perception and quality of family planning services that meet clients’ expectations may greatly improve utilization. The aim of this study was to identify ways to improve family planning service users' experience at primary health care centres towards improving utilization of family planning services in two northern Nigerian states. METHODS: This qualitative study was part of a larger operations research that explored married women’s and service providers’ perception of quality of care along the RMNCH pathway to inform improvements in service delivery. The study utilised Experience-based co-design (EBCD) methodology that employed qualitative methods to explore clients and service providers’ experiences of healthcare services. A total of 92 IDIs and 4 FGDswere conducted in two communities each in Kano and in Yobe states. ‘Touch points’ from service providers’ and respondents’ experiences were extracted using thematic analysis. Joint workshops were further conducted with clients and providers to co-design a user-driven service pathway to improve service utilization. RESULTS: Key 'touch points' from providers’ experiences included stock out of family planning commodities, inadequate equipment and infrastructure and cultural and religious believes that prevent utilization of family planning services. In addition, clients reported challenges securing husband permission to utilize services, poor provider attitude and lack of female providers at health facility as obstacles to service utilization. Co-designing a service improvement plan by service providers and clients that involved increasing community awareness about the benefits of family planning by service providers, improving providers’ attitude, increasing family planning outreach and promoting men involvement in family planning programmes. CONCLUSION: EBCD provides a platform that make clients active contributors to family planning service improvement plans at the health facility thereby ensuring provision of quality services that meet the need of women.

EFFECT OF FAMILY PLANNING SERVICES ON MODERN CONTRACEPTIVE METHOD CONTINUATION IN VIETNAM

2006 ◽  
Vol 39 (2) ◽  
pp. 201-220 ◽  
Author(s):  
MAI P. DO ◽  
MICHAEL A. KOENIG
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Quality Of Services ◽  
Modern Contraceptive ◽  
Family Planning Services ◽  
Modern Contraceptive Method ◽  
Health Centres ◽  
Outreach Programme

Summary.Access to and quality of services have increasingly been the focus of family planning programme managers, implementers and researchers in the developing world. In Vietnam, a country characterized by recent significant achievements in family planning, not much is known about the linkages between service accessibility and quality and contraceptive behaviour. Data for this study come from the Vietnam 1997 Demographic and Health Survey, with individual contraceptive use information recorded in the calendar section. Measures of access to and quality of services come from the Community/Health Facility Questionnaire, with key informant interviews and facility visits. The study focuses on the effects of the outreach programme and commune health centres on contraceptive method discontinuation for three modern, temporary methods: the IUD, oral pills and condoms. Longer travel time to commune health centres is found to be associated with significantly increased risks of first- and all-method discontinuation for any reason, while residence in communities with higher quality health centres is associated with significantly lower risks of method discontinuation. Access to and quality of the outreach programme are, in contrast, not significant determinants of method discontinuation for any reason. Similar results are found for first- and all-method discontinuation for service-related reasons. The effects of programmatic factors are more pronounced among older women and during the first three months of method use. This study provides evidence for the importance of family planning services for contraceptive method continuation in Vietnam. The results also highlight the need for a thorough evaluation of the family planning outreach programme in terms of its facilitation of women’s continued use of contraception.

The Impact of the Quality of Family Planning Services on Contraceptive Use in Peru

1996 ◽  
Vol 27 (2) ◽  
pp. 59 ◽  
Author(s):  
Barbara Mensch ◽  
Mary Arends-Kuenning ◽  
Anrudh Jain
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Family Planning Services ◽  
The Impact

scholarly journals The distance-quality trade-off in women’s choice of family planning provider in North Eastern Tanzania

2020 ◽  
Vol 5 (2) ◽  
pp. e002149 ◽  
Author(s):  
Bilikisu Elewonibi ◽  
Ryoko Sato ◽  
Rachel Manongi ◽  
Sia Msuya ◽  
Iqbal Shah ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Facility ◽  
Contraceptive Use ◽  
Average Distance ◽  
Multinomial Logit Model ◽  
North Eastern ◽  
Planning Methods ◽  
Privacy And Anonymity ◽  
Family Planning Methods

IntroductionStudies on the determinants of contraceptive use often consider distance to the nearest health facility offering contraception as a key explanatory variable. Women, however, may not seek contraception from the nearest facility, rather opting for a more distant facility with better quality services or to ensure greater privacy and anonymity.MethodsThe dataset used include the name of facility where each women obtained contraception, measures of facility quality, and the distance between each woman’s home and 39 potential facilities she might visit. We use a conditional-multinomial logit model to estimate the determinants of her facility choice to visit and how women tradeoff travelling longer distances to use higher quality facilities.ResultsOnly 33% of woman who received contraception from a health facility used their nearest facility. While the nearest facility was 1.2 km away, the average distance to facility used was 2.9 km, indicating women are willing to travel significantly longer distances for higher quality. Women prefer facilities that specialise in providing contraception, provide a large range of methods, do not suffer from stock outs and do not charge fees. Furthermore, on average, women are willing to travel an additional 2 km for a facility that offers more family planning methods, 4.7 km for a facility without one additional health service, 9 km for a facility without fees for contraception and 11 km for a facility not experiencing stock out of an additional contraception.ConclusionOur results suggest that quality of services provided is an important driver of facility choice in addition to distance to facility.

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.

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