Utilization of Private Sector Family Planning Services in Malaysia

2020 ◽  
pp. 0272684X2097286
Author(s):  
Siow Li Lai ◽  
Nai Peng Tey ◽  
Adzmel Mahmud ◽  
Najihah Ismail
Keyword(s):  
Family Planning ◽  
Private Sector ◽  
Working Women ◽  
Modern Method ◽  
Eastern Region ◽  
Family Planning Services ◽  
The Public ◽  
Malaysian Population ◽  
Private Providers ◽  
Contraceptive Prevalence

Background The private sector is playing an increasingly important role in family planning services globally. The active participation of private providers is associated with a higher contraceptive prevalence rate. Objectives To examine the differentials and determinants of the utilization of private providers for family planning services. Method This study used the 2014 Malaysian Population and Family Survey data. Cross-tabulations and logistic regression were performed on 1,817 current users of modern methods. Results Overall, 26% of modern method users obtained their supplies from private clinics/pharmacies and 15.2% from other sources, such as drug stores and sundry shops. The odds of utilizing the private sector for family planning services differ significantly across regions and socio-economic groups. The odds of obtaining supply from the private clinics/pharmacies were higher among the Chinese and urban women (AOR > 1), and it was lower among those from the eastern region (AOR = 0.47, 95% CI = 0.30–0.73). Non-Bumiputera, urban, higher educated, and working women, and those whose husbands decided on family planning had higher odds of obtaining the supply from the other sources (AOR > 1). Conclusion The private sector complements and supplements the public sector in providing family planning services to the public.

scholarly journals Exploring the potential for private pharmacies to provide family planning services in Senegal

2018 ◽  
Keyword(s):  
Family Planning ◽  
Private Sector ◽  
Action Plan ◽  
Modern Contraceptive ◽  
Family Planning Services ◽  
Optimal Position ◽  
The Public ◽  
Specific Advice ◽  
Contraceptive Prevalence

In Senegal, the National Action Plan for Family Planning (NAPFP) 2012–2015 and the National Strategic Framework for Family Planning 2016–2020 adopted a multi-sectoral approach to broaden access to family planning (FP) services and to reach 45% modern contraceptive prevalence (mCPR) by 2020 (NAPFP, 2012). The private sector and community actors are key partners with the public sector in implementing this approach. However, private pharmacies have not been actively involved in the provision of FP services due to legal and nonlegal barriers that limit their role to selling contraceptives and providing method-specific advice. As Senegal seeks to involve the private sector in improving access to FP, this study found that the country is in an optimal position to increase the role of private pharmacies in FP, which could contribute to the country reaching its mCPR goals.

scholarly journals 'n Ondersoek na faktore wat met kontraseptiewe staking verband hou: Kleurlingvroue in die metropolitaanse gebied van Kaapstad

Curationis ◽  
1985 ◽  
Vol 8 (2) ◽  
Author(s):  
Marietjie Strydom
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Good Reason ◽  
Drop Out ◽  
Health Clinic ◽  
Specific Reference ◽  
Family Planning Services ◽  
The Public ◽  
Child Health Clinic ◽  
Unplanned Pregnancies

There is concern over persons who fail to attend family planning clinics without a motivated reason. This represnts one of the major stumbling blocks to a successful family planning program. The author investigated factors associated with clinic drop-out among coloured women in a metropolitan area. Almost half of those who ceased to attend had a good reason for doing so. The main findings regarding the other defaulters was that there is a lack of motivation among Coloured women to prevent unplanned pregnancies through temporary contraception and that (he program may not meet all the needs of the public. In this regard specific reference is made to the need of those women who no longer bring their youngest child to a child health clinic as family planning services are usually integrated with this clinic.

scholarly journals Socio-demographic determinants and modern family planning usage pattern-an analysis of National Family Health Survey-IV data

2019 ◽  
Vol 6 (2) ◽  
pp. 738 ◽  
Author(s):  
Ajit Kumar Dey
Keyword(s):  
Family Planning ◽  
Prevalence Rate ◽  
Wealth Index ◽  
Modern Method ◽  
Statistical Testing ◽  
Vulnerable Groups ◽  
Population Increase ◽  
Family Welfare ◽  
Contraceptive Prevalence Rate ◽  
Contraceptive Prevalence

Background: India, which accounts for world's 17.5 percent population, is the second most populous country in the world next only to China (19.4%). The major objective of the NFHS surveys has been to strengthen India’s demographic and health database, to anticipate and meet the country’s needs for data on emerging health and family welfare issues. The objectives of the study were to study the different background characteristics of women adopting different family planning methods and to analyze the associated socio-demographic factors..Methods: Secondary data analysis of NFHS 4 datasets obtained from DHS program portal. Appropriate statistical testing of associated socio-demographic variables done and interpreted accordingly.Results: Out of total 63696 couples, 99.2% women and 98.6% men knew modern method of contraception, 48.6% were currently using modern method of contraception and 7.4% traditional method. The majority (34%) women adopted female sterilization as current method of contraception. There is interstate variation in the contraceptive prevalence rate highest (80.60%) in Chandigarh compared to least (26.64%) in Goa. There is significant association observed between place of residence, religion, wealth index, women education, education of husband towards current contraceptive use.Conclusions: About 45% of population increase is contributed by births above two children per family. The adoption of appropriate method of contraception by couples made available through quality family planning services and empowering women by proper behavior change communication will help improve the present contraceptive prevalence rate especially among the vulnerable groups.

scholarly journals Factors influencing the utilization of family planning services among HIV infected women in a Kenyan health facility

2017 ◽  
Vol 6 (5) ◽  
pp. 1746 ◽  
Author(s):  
Esther Njuguna ◽  
Syokau Ilovi ◽  
Peter Muiruri ◽  
Kenneth Mutai ◽  
John Kinuthia ◽  
...  
Keyword(s):  
Family Planning ◽  
Adverse Reactions ◽  
Unmet Need ◽  
Married Couples ◽  
Single Women ◽  
Reproductive Health Services ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Inferential Analysis ◽  
Contraceptive Prevalence

Background: Women’s knowledge and access to reproductive health services improves their ability to safely achieve their required fertility and reduces maternal and infant morbidity and mortality. We aimed to determine the utilization of family planning (FP) among HIV Infected women visiting the HIV clinic.Methods: A cross-sectional mixed quantitative and qualitative study among HIV positive females in Nairobi, Kenya was conducted. Consenting women completed a questionnaire that assessed the utilization of FP services. Descriptive and inferential analysis was carried out on quantitative data to determine significant associations with FP utilization. Qualitative data were analyzed after coding for significant clauses and transcribing to determine themes arising.Results: We enrolled a total of 387 patients, mean age (IQ range) 40 years (36-44). The contraceptive prevalence was 53% with an unmet need of family planning of 38.5%. Patients were more likely to use family planning if they were married, if condoms were offered at the clinic, if they discussed contraception with the clinic staff and their partners. They were less likely to use FP if they had expressed fertility desire. Widows were less likely to use any form of FP than married couples despite having sexual partners. The main themes on the barriers of utilization of family planning services included lack of knowledge, pill burden, and adverse reactions to hormonal FP.Conclusions: The unmet need of family planning is high, and heightened measures need to be taken to improve the utilization of the service. Particular groups such as sexually active widows and single women should be targeted for these interventions.

scholarly journals Contraceptive Practice and Protection of Women’s Health

1970 ◽  
Vol 39 (1) ◽  
pp. 11-15
Author(s):  
Rabeya Akther
Keyword(s):  
Family Planning ◽  
Fertility Control ◽  
Modern Method ◽  
Cross Sectional Study ◽  
Fertility Rate ◽  
Barrier Method ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Contraceptive Prevalence ◽  
Contraceptive Practice

Family planning is an essential tool for reducing fertility rate. An increase in contraceptive prevalence results in reduction of population growth, which in turn contributes significantly to the improvement of maternal health. It is a cross-sectional study done during period of April-July 2007 in a large Medical Centre at Motijheel, Dhaka. Information on reproductive history was obtained to find out their contraceptive prevalence and regulation of fertility. Two hundred and thirty one (231) women (childbearing age) were selected randomly to find out their contraceptive prevalence. Eighty four (n=197) percent women needs family planning service .Among them 87.82 percent (N-173) use any method of contraception. 79.76% ( N-138) women use modern method and 20.23 percent ( N-35) couple use natural method .Thirty three (33.53 %)percent couple practice barrier method, twenty two (22.54%) percent use oral pill. Present study revealed that contraceptive practice and fertility rate both are low among servicing women. Contraception and fertility control is an underlying factor for the achievement of several Millennium Development Goals (MDGs). For reduction of infant mortality (4th MDG) and maternal mortality (5th MDG) contraception is essential. Finally it plays a role in combating poverty within the first MDG. DOI: 10.3329/bmj.v39i1.6227 Bangladesh Medical Journal 2010; 39(1): 11-15

scholarly journals Accessing DMPA-SC through the public and private sectors in Nigeria: users’ characteristics and their experiences

2018 ◽  
Vol 2 ◽  
pp. 73 ◽  
Author(s):  
Jenny Liu ◽  
Jennifer Shen ◽  
Eric Schatzkin ◽  
Olanike Adedeji ◽  
Eugene Kongnyuy ◽  
...  
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Scale Up ◽  
Poor Quality ◽  
Private Provider ◽  
Care Seeking ◽  
Convenience Sample ◽  
The Public ◽  
Private Providers ◽  
Quality Item

Background: Beginning in 2015, subcutaneous depot medroxyprogesterone acetate (DMPA-SC) was added to the contraceptive method mix in Nigeria, primarily through social marketing in the private sector and community-based distribution in the public sector. We compare user experiences in acquiring DMPA-SC across sectors during this national scale-up. Methods: From October 2017 to February 2018, 459 women (Npublic=235; Nprivate=224) completed a phone survey from a convenience sample of 1,444 women (Npublic=912; Nprivate=532) who obtained DMPA-SC from participating providers and agreed to be contacted. We examined the sociodemographic predictors of attending a public vs. private provider and analyzed differences in care-seeking across sectors (becoming aware of DMPA-SC, choosing a provider, choosing DMPA-SC, quality of care). Results: Respondents obtaining DMPA-SC from public providers were younger and less educated than those attending private providers. Both program respondents were comprised of similar percentages of new users of modern contraception (58.7-60.3%), although most respondents became aware of DMPA-SC through a friend/family member (43.1%) or a provider (41.5%). Relatively more public sector respondents also heard about DMPA-SC through community outreaches whereas relatively more private sector respondents became aware through media. Convenience was the most common reason for choosing a provider—43.8% among all respondents (higher among public sector respondents). Private sector respondents were also more likely to choose a past or usual provider. Having overall higher quality interactions were more likely among clients who attended private providers than public providers, but responses to individual quality item measures show specific areas of poor quality for providers in each sector. Conclusions: Training emphasizing technical thoroughness, sensitivity toward younger women, and client choice may help improve women’s experiences with obtaining DMPA-SC, ultimately contributing to accelerating demand for and uptake of DMPA-SC specifically and contraception in general.

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