Contraceptive Methods

2016 ◽  
Vol 30 (1) ◽  
pp. 130-135 ◽  
Author(s):  
Charlie W. Colquitt ◽  
Tonya S. Martin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Product Selection ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Practice Of Medicine ◽  
Hormonal Content ◽  
Contraceptive Product

The prevention of pregnancy remains an important part of the practice of medicine. Contraception can occur at a number of points in the basic reproductive biological process and through a number of contraceptive product options. Pharmacists are health care providers appropriately positioned to assist patients in suitable contraceptive product selection based on their personal situations and lifestyles. This article provides an overview of available products for prevention of pregnancy and associated risks and benefits. Contraceptive products are categorized by their hormonal content and method of action. Hormonal options include oral contraceptive pills, contraceptive patch, implants, injection, intravaginal, and intrauterine devices. Barrier products prevent pregnancy by creating a physical obstacle to the successful fertilization of an egg by sperm. All products and methods are associated with benefits and potential complications that must be considered as patients, and health care providers select the most satisfactory option.

scholarly journals Barriers to Contraceptive Use Among Urban Adolescents and Youth in Conakry, in 2019, Guinea

2021 ◽  
Vol 2 ◽  
Author(s):  
Nafissatou Dioubaté ◽  
Hawa Manet ◽  
Charlotte Bangoura ◽  
Sidikiba Sidibé ◽  
Mariama Kouyaté ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Urban Adolescents ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Care System

Background: Despite efforts to improve access to family planning, contraceptive prevalence remains relatively low among adolescents and youth in Guinea. The objective of this study was to understand the barriers to the use of modern contraceptive methods among urban adolescents and youth (15–24 years) in Conakry, Guinea.Methods: This was a qualitative study using an exploratory design. It was conducted in the capital city of Guinea, Conakry in 2019. Respondents included adolescents and youth aged 15–24 years, health care providers, and parents of adolescents and youth. In-depth individual interviews (IDIs) and focus group discussions (FGDs) were used to collect the data. Sixty IDIs and ten FGDs were planned in Conakry. These data were recorded and transcribed, when applicable, from the local languages into French in an anonymous manner. The data were analyzed using a mixed (inductive and deductive) thematic approach following the elements of the socio-ecological model.Results: Overall, 56 IDIs and 10 FGDs were conducted with 136 participants and included in this analysis. Respondents were adolescents (16%), youth (30%), and key informants (54%) who were health care providers (public and private), decision-makers, parents of adolescents and youth, and neighbors. Among adolescent respondents, 75% were female, and of the youth, 61% were female. Our analysis indicates various and interrelated barriers that limit the access and use of contraceptives by adolescents and youth. These included the individual (fear of side effects, cost, and rumor-related misinformation), interpersonal or family (spouse perception and sexuality taboo and perception of sexual activity before marriage), sociocultural (religious prohibitions and ethnicity), and health care system (breakdown of contraceptive methods in public health facilities, perception of service delivery, provider attitudes, visiting hours, geographic proximity of services, and quality of training received by health care providers) barriers.Conclusion: In our context, the use of modern contraceptive methods by adolescents and youth is influenced by an interaction of various barriers, including individual, interpersonal, sociocultural, and health care system factors. Strengthening contraceptive uptake interventions by involving different stakeholders, including adolescents, parents, religious, and community leaders, and improving the quality of sexual and reproductive health services would help in reducing barriers to contraceptive use among adolescents and youth.

Online Medical Records: A Decade of Experience

1999 ◽  
Vol 38 (04/05) ◽  
pp. 308-312 ◽  
Author(s):  
D. Z. Sands ◽  
D. M. Rind ◽  
C. Safran
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Medical Center ◽  
Work Flow ◽  
Care Providers ◽  
Electronic Patient Records ◽  
Face To Face ◽  
Care Services ◽  
Practice Of Medicine

AbstractThe electronic patient record at the Beth Israel Deaconess Medical Center has fundamentally changed the practice of medicine in ways that its developers never foresaw. This type of highly interactive and work flow enabled program is creating new collaborative roles for computers in complex organizations [4]. With the system able to supervise and monitor care, computers are able to perform many care coordination and documentation functions, freeing people to concentrate more on interpersonal interactions and provision of health care services. One of the challenges in the design of electronic patient records to assist health care providers is how to support collaboration while not requiring that people meet face-to-face. Moreover, a greater challenge for each of us as clinicians is to use this technology as a bridge (rather than a barrier) towards better patient-doctor relationships.

scholarly journals Quality of care in public sector family planning services in KwaZulu-Natal, South Africa: a qualitative evaluation from community and health care provider perspectives

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yolandie Kriel ◽  
Cecilia Milford ◽  
Joanna Paula Cordero ◽  
Fatima Suleman ◽  
Petrus S. Steyn ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Quality Of Care ◽  
Family Planning ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Integration Of Services

Abstract Background Quality of care is a multidimensional concept that forms an integral part of the uptake and use of modern contraceptive methods. Satisfaction with services is a significant factor in the continued use of services. While much is known about quality of care in the general public health care service, little is known about family planning specific quality of care in South Africa. This paper aims to fill the gap in the research by using the Bruce-Jain family planning quality of care framework. Methods This formative qualitative study was conducted in South Africa, Zambia, and Kenya to explore the uptake of family planning and contraception. The results presented in this paper are from the South African data. Fourteen focus group discussions, twelve with community members and two with health care providers, were conducted along with eight in-depth interviews with key informants. Thematic content analysis using the Bruce-Jain Quality of Care framework was conducted to analyse this data using NVIVO 10. Results Family planning quality of care was defined by participants as the quality of contraceptive methods, attitudes of health care providers, and outcomes of contraceptive use. The data showed that women have limited autonomy in their choice to either use contraception or the method that they might prefer. Important elements that relate to quality of care were identified and described by participants and grouped according to the structural or process components of the framework. Structure-related sub-themes identified included the lack of technically trained providers; integration of services that contributed to long waiting times and mixing of a variety of clients; and poor infrastructure. Sub-themes raised under the process category included poor interpersonal relations; lack of counselling/information exchange, fear; and time constraints. Neither providers nor users discussed follow up mechanisms which is a key aspect to ensure continuity of contraceptive use. Conclusion Using a qualitative methodology and applying the Bruce-Jain Quality of Care framework provided key insights into perceptions and challenges about family planning quality of care. Identifying which components are specific to family planning is important for improving contraceptive outcomes. In particular, autonomy in user choice of contraceptive method, integration of services, and the acceptability of overall family planning care was raised as areas of concern.

scholarly journals Prevalence of and Barriers to Dual-Contraceptive Methods Use among Married Men and Women Living with HIV in India

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Venkatesan Chakrapani ◽  
Trace Kershaw ◽  
Murali Shunmugam ◽  
Peter A. Newman ◽  
Deborah H. Cornman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Contraceptive Method ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Hiv Diagnosis ◽  
Women Living With Hiv ◽  
Persons Living With Hiv ◽  
Prevention Method ◽  
Living With Hiv

Objective. To describe the prevalence and correlates of dual-contraceptive methods use (condomsandaneffectivepregnancy prevention method) and barriers to their use among married persons living with HIV (PLHIV) in India.Methods. We conducted a quantitative survey (93 men, 97 women), 25 in-depth interviews, seven focus groups, and five key informant interviews.Results. Prevalence of dual- contraceptive method use increased from 5% before HIV diagnosis to 23% after diagnosis (P < 0.001). Condoms were the most common contraceptive method, with prevalence increasing from 13% before diagnosis to 92% after diagnosis (P < 0.001). Barriers to using noncondom contraceptives were lack of discussion about noncondom contraceptives by health care providers, lack of acceptability of noncondom contraceptives among PLHIV, and lack of involvement of husbands in family planning counseling.Conclusion. There is a need for interventions, including training of health care providers, to increase dual-contraceptive methods use among married PLHIV.

scholarly journals Corrigendum to “Utilization of Long-Acting Contraceptive Methods and Associated Factors among Female Health Care Providers in East Gojjam Zone, Northwest Ethiopia, in 2018”

2020 ◽  
Vol 2020 ◽  
pp. 1-1
Author(s):  
Manaye Meku Gella ◽  
Liknaw Bewket Zeleke ◽  
Hunegnaw Almaw Derseh ◽  
Addisu Alehegn Alemu ◽  
Eskeziaw Abebe Kassahun ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Long Acting

scholarly journals Provision of Sexual and Reproductive Health Services in Community Pharmacies: A Cross-Sectional Assessment of Structures and Processes in Jos, Nigeria

2019 ◽  
pp. 1-9
Author(s):  
M. P. Dapar ◽  
B. N. Joseph ◽  
A. P. Damun ◽  
R. C. Okunlola ◽  
H. A. Ibrahim ◽  
...  
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Sexual And Reproductive Health ◽  
Universal Coverage ◽  
Community Pharmacies ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Oral Contraceptive Pills

Background: Community pharmacies are located close to the people, open long hours and weekends, making them ideal for provision of sexual and reproductive health (SRH) services, as a means of enhancing access and achieving universal coverage. However, structures (encompassing facilities and resources such as funds, private counselling space, number and qualification of staff) and processes (denoting actual activities undertaken such as: client screening, counselling, mechanisms for referral and collaboration with other healthcare professional) determine the suitability and capacity of community pharmacies to deliver quality SRH services.  Objective: To assess the structures and processes of SRH services in community pharmacies in Jos, Nigeria. Methods: A cross-sectional questionnaire survey of staff in 63 community pharmacies of Jos metropolis, Plateau state, Nigeria. Three hundred and ten copies of the questionnaire were distributed to consenting participants.  Statistical Package for Social Sciences (SPSS) ® version 21 was used to manage data. Results were presented as descriptive statistics for structures and processes of SRH in the study population.         Results: A total of 296 completed questionnaires were retrieved. Eighty-two percent of respondents reported providing SRH services, which was mainly the sale of family planning (FP) products and counselling. Majority of these services 75%, were only offered on clients’ demand. SRH products sold were mainly oral contraceptive pills and the male condom. In terms of processes, about half (49.7%) of the respondents reported offering SRH services in collaboration with other health care providers, mainly in primary health care centres and private clinics. However, only a small proportion of the staff had any formal SRH specific training.      Conclusion: The composition and qualification of mix of staff in community pharmacies presented some inherent weaknesses in their capacity to deliver quality and effective SRH services. This may impede the desired goal of promoting wider access and achieving universal coverage of SRH services.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

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