scholarly journals Youths’ perceptions of community health workers’ delivery of family planning services: a cross-sectional, mixed-methods study in Nakaseke District, Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Robert Kalyesubula ◽  
Jessica Mitter Pardo ◽  
Stephanie Yeh ◽  
Richard Munana ◽  
Ivan Weswa ◽  
...  

Abstract Background High rates of unintended adolescent pregnancy are a significant health problem in Uganda. To improve access to family planning (FP) services, community-based Village Health Teams (VHTs) are widely employed in Uganda to deliver education and services. However, evaluations of FP programs suggest that mainly older, married women use VHT FP services. Methods To better understand youth reluctance to use VHTs, we collected quantitative FP and contraceptive-seeking behavior data from a survey of 250 youths aged 15–25 in randomly selected households in Nakaseke District, which we triangulated with data from 3 focus group discussions (FGDs) (n = 15). Results Most respondents received FP services from the formal health sector, not VHTs. Only half had talked to a VHT, but 65% knew that VHTs provide free FP services, and most (82%) felt comfortable talking to VHTs about FP. The main reasons for discomfort were fear that VHTs would violate privacy (mentioned by 60% of those not comfortable), that VHTs would talk to parents (33%), shyness (mentioned by 42% of those ≤18), and fear of being judged (14%). Concern about side effects was the most common reason for not using FP methods. Survey respondents said having VHTs of the same sex was important, particularly those in the youngest age group (OR = 4.45; 95%CI: 1.24, 16.00) and those who were unmarried (OR = 5.02; 95%CI: 2.42, 10.39). However, FGD participants (who were older than survey respondents on average) often preferred older VHTs of the opposite sex, whom they viewed as more professional and trustworthy. Respondents said the primary deciding factors for using VHTs were whether privacy would be respected, the proximity of care, and the respectfulness of care. Conclusions VHTs are a known source of FP services but not widely used by youth due to privacy and quality of care concerns. VHT messaging and training should increase focus on ensuring privacy, protecting confidentiality, providing respectful care, and addressing concerns about contraceptive side effects. Preferences for VHTs of similar age and sex may be more important for younger adolescents than older youths for whom quality concerns predominate.

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ademola Adelekan ◽  
Philomena Omoregie ◽  
Elizabeth Edoni

Public health officials have advocated the involvement of men as a strategy for addressing the dismal performance of family planning (FP) programmes. This study was therefore designed to explore the challenges and determine way forward to male involvement in FP in Olorunda Local Government Area, Osogbo, Nigeria. This cross-sectional study involved the use of a four-stage sampling technique to select 500 married men and interviewed them using semistructured questionnaire. In addition, four focus group discussions (FGDs) were also conducted. Mean age of respondents was 28.5 ± 10.3 years. Some (37.9%) of the respondents’ spouse had ever used FP and out of which 19.0% were currently using FP. Only 4.8% of the respondents had ever been involved in FP. Identified barriers to male involvement included the perception that FP is woman’s activity and was not their custom to participate in FP programme. More than half of the FGD discussants were of the view that men should provide their wives with transport fare and other resources they may need for FP. The majority of the respondents had never been involved in family planning with their wives. Community sensitization programmes aimed at improving male involvement in FP should be provided by government and nongovernmental agencies.


Author(s):  
Alpana Saxena ◽  
S. B. Gupta ◽  
Atul K. Singh ◽  
Meenakshi Singh ◽  
Huma Khan

Background: It is very critical to understand that awareness of family planning and proper utilization of contraceptives is an important indicator for reducing maternal and neonatal mortality and morbidity. It also plays an important role in promoting reproductive health of the women in an underdeveloped country. Objective was to assess knowledge and practice of modern contraception in rural area.Methods: A community based cross sectional study. A cross-sectional descriptive study was carried out in the in a   rural area of Bareilly, Uttar Pradesh. 458 randomly selected eligible couples were included in the study. A pre-structured questionnaire was used to collect information about family planning methods knowledge, source of knowledge and   current practices and reasons of nonuse. The appropriate statistical analysis was done to present the results.Results: 48.03% eligible couples had adopted one or the other current modern contraceptive measure. Female sterilization was the most common method used.Conclusions: Overall usage of postpartum contraception was low need to focus at every step to contact with health facility or health workers.


2021 ◽  
Vol 5 (01) ◽  
pp. 29-32
Author(s):  
Joko Sapto Pramono ◽  
Nilam Noorma ◽  
Andi Lis Arming Gandini ◽  
Sopia Fitriani

Pulmonary tuberculosis treatment causes various side effects including nausea and vomiting, itching, vision problems, and anemia. Drug side effects in the early stages are one of the causes of non-adherence to complete treatment. The purpose of this study was to analyze the effect of the side effects Tuberculosis treatment in the early stages on treatment compliance for tuberculosis patients. This study used a cross sectional design. Samples were taken as many as 71 respondents, the instruments used were side effects of early-stage tuberculosis treatment and compliance with tuberculosis treatment in tuberculosis patients from the Morisky Medication Adherence Scale (MMAS). The results of the study found 97.7% adherent and 2.3% non-adherent, 39.5% mild side effects and 60.5% severe side effects. Chi-square test showed that no significant difference between the side effects of TB treatment in the early stages of tuberculosis treatment compliance in patients p = 0.669 at significant level of 95% (α = 0.05). There was no effect between the side effects of Tuberculosis treatment in the early stages of treatment compliance for Tuberculosis patients. It was recommended that health workers continue to monitor the side effects of tuberculosis treatment and provide motivation to carry out treatment completely. Keywords: side effects; early stage; treatment; pulmonary tuberculosis; compliance


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Tsegaw Yehuala ◽  
Ergoye Melese ◽  
Kassawmar Angaw Bogale ◽  
Baye Dagnew

Background. Implanon is a long-acting reversible contraceptive method that is 99% effective in preventing unintended pregnancy. Despite its effectiveness, the rate of Implanon discontinuation is high. In Ethiopia, there is limited information about determinants of Implanon discontinuation. Therefore, this study aimed to identify the determinants of Implanon discontinuation among women who used Implanon at Bahir Dar town health institutions. Methods. We employed an unmatched case-control study to find out the determinants of Implanon discontinuation at Bahir Dar town health institutions from March to June 2019 using the multistage stratified sampling technique to select study participants. Cases were women who had discontinued Implanon before completion of 3 years, and controls were women who had removed Implanon at the date of appointment (3 years). A pretested, structured questionnaire with face-to-face interviews was used. Binary logistic regression was performed to identify determinants of Implanon discontinuation. In the final model, variables with a p value of <0.05 were considered significant at 95% confidence interval and the strength of association was measured using odds ratio. Results. Primary education (AOR = 0.104, 95% CI (0.02–0.48)), secondary education (AOR = 0.48, 95% CI (0.24–0.952)), women who have no child (AOR = 2.04, 95% CI (1.2–3.4)), women who had no discussion with their partner (AOR = 2.2, 95% CI (1.39–3.57)), mass counseling (AOR = 3.5, 95% CI (1.75–7.01)), women who had no counseling about side effects (AOR = 1.7, 95% CI (1.07–2.07)), women who experienced side effects (AOR = 2.2, 95% CI (1.4–3.4)), and purpose of family planning use (AOR = 2.5, 95% CI (1.14–4.8)) were determinants of Implanon discontinuation. Conclusion. Implanon discontinuation is attributed by multifactorial involvement. Women’s educational status, nulliparity, no counseling, not informed of side effects, and no partner discussion are significant factors. Health sector stakeholders need to tailor counseling services at individual level to bolster family planning utilization until the desired time.


2020 ◽  
Vol 8 ◽  
pp. 205031212094512
Author(s):  
MaryJoy Umoke ◽  
Prince Christian Ifeanachor Umoke ◽  
Ignatius O Nwimo ◽  
Chioma Adaora Nwalieji ◽  
Rosemary N Onwe ◽  
...  

Background: Patient satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Objective: To investigate patients’ satisfaction with quality of care in general hospitals in Ebonyi State, South East, Nigeria, using the SERVQUAL. Methods: A cross-sectional descriptive study design was employed on a sample of 400 patients using a 27-item structured open-ended patients’ satisfaction questionnaire with a multi-stage cluster sampling technique. Patients included in the study were those who must have come for an outpatient clinic within the period, be 18 years and above, and those who gave consent to participate. Of 400 questionnaires administered, 396 (99%) were retrieved. SPSS version 20 was used for data analysis. Descriptive statistics, such as frequencies, percentages, mean score ( x), and standard deviation, were employed for interpretation. Results: Out of 396 patients, 156 (39.4%) were male and 240 (60.6%) were females. Most patients were 18–39 years (233 (58.8%)), had secondary education (139 (35.1%)), married (221 (55.8%)), earned <18,000 (170(42.9%)), and were traders (136 (34.3%)). Patients were satisfied with tangibility (2.57 ± 0.99) and reliability (2.84 ± 0.95) and very satisfied with responsiveness (3.06 ± 0.63), assurance (3.07 ± 0.63), and empathy (3.12 ± 0.57). Conclusions: Patients were satisfied with the quality of care. However, satisfaction was highest with empathy and lowest with tangibility. Thus, managers should focus their quality improvement efforts on areas of the neat appearance of health workers, waiting facilities for attendants and patients, and hygienic conditions at the hospital. Also, biannual assessment of patients’ satisfaction should be done and the results generated use judiciously to provide a platform for health sector reform.


2017 ◽  
Vol 5 (2) ◽  
pp. 172
Author(s):  
Merhawi Gebremedhin ◽  
Ayele Belachew ◽  
Demeke Desta

Contraceptive method choice is a fundamental indicator of quality of care in a family planning program. Contraceptive choice is one component of quality in family planning and offering minimum of three modern methods of contraceptives is a critical indicator. One-third of developing countries have many skewed method mixes, which is a risky for discontinuation, contraceptive dissatisfaction and unintended pregnancy. In Ethiopia, the prevalence of contraceptive is highly skewed, 76% for injectable. Therefore, the purpose of qualitative study was to assess determinants of modern contraceptive preference among reproductive age (15-49 years) in Central Zone of Tigray.Methodology: the study was conducted in the central zone of Tigray and community, and facility based qualitative cross-sectional study was applied. Six focus group discussion entails of reproductive age mothers and 15 In-depth Interview with health workers constitutes the sample. Data was first transcribed and then translated into English language. Open code software was applied to analyze data and data was coded segment by segment then categorized using thematic analysis to give meaning.Result: community’s awareness and acceptance to use modern contraceptives have improved from time to time. Contraceptive preference is determined by community acceptance, health care system problem, individual context and socio-cultural problem. For majority of respondents, preference to long acting contraceptive is mainly influenced by husband.Conclusion: currently, women are preferring short-acting contraceptive preferably injectable than long acting.Implanon is preferred next to injectable. A strong information, education and communication that address all portions of the population and able to change the community’s attitude should do at the grass root level.


Author(s):  
N.M. Rai Widiastuti ◽  
N.L.P Suaryani ◽  
Mangku Karmaya

Background and purpose: The Indonesian Demographic Health Survey of 2012 indicated that the prevalence of contraceptive use in Bali Province has decreased compared to 2007. In addition, the proportion of the use an intrauterine device (IUD) also continues to decline. To increase number of IUD acceptors is to promote post-placental intrauterine device (PPIUCD), however the acceptance remains low. This study aims to determine factors associated with acceptance of post-placental intrauterine device in Denpasar.Methods: Study was cross sectional with a total of 100 respondents selected by consecutive sampling. Respondents were mothers who had gave birth in January-February 2016 at Wangaya General Hospital and three health centers (Dauh Puri Sub Health Center, East Denpasar I and South Denpasar IV). Data were collected by interview in hospital and health center. Chi square test was conducted for bivariate analysis and multivariate using logistic regression.Results: Proportion of PPIUCD acceptance was 35%. Multivariate analysis indicated that PPIUCD acceptance was associated with perception of benefits (AOR=10.39; 95% CI: 2.792-38.56), perception of low side effects (AOR=5.288; 95%CI: 1.085-25.761), role of health workers (AOR=7.1; 95%CI: 1.781-28.60) and support of the husband (AOR=12.020; 95% CI=2.888-50.01).Conclusion: Variables associated with PPIUCD acceptance were perception of low side effects, perception of benefits, role of health workers and husband support.


Author(s):  
Made Ayu Lely Suratri ◽  
Vebby Amelia Edwin ◽  
Galih Ajeng Kencana Ayu

Abstrak Motivasi merupakan suatu proses psikologis pada diri seseorang yang dipengaruhi oleh berbagai faktor. Motivasi individu sangat dipengaruhi oleh faktor internal maupun eksternal. Tujuan dari analisis ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan motivasi kerja tenaga di bidang kesehatan di rumah sakit.Desain penelitian potong lintang. Sampel penelitian adalah petugas kesehatan di rumah sakit pemerintah dan swasta di seluruh Indonesia, masing masing berjumlah 30 orang di 2.325 rumah sakit. Pengambilan data dengan cara wawancara dan pengisian kuesioner oleh responden. Analisis data menggunakan analisis Chi-square dan multivariat regresi logistik. Total 66.994 responden direkrut dan didapatkan hasil, proporsi yang tinggi untuk tenaga di bidang kesehatan dengan motivasi tinggi di rumah sakit umum, lebih besar daripada tenaga di bidang kesehatan yang bekerja di rumah sakit khusus, (p-value=0,049), dengan OR= 1,051(95% CI 1,001–1,103). Tenaga di bidang kesehatan yang bekerja di rumah sakit terakreditasi memiliki proporsi motivasi tinggi lebih besar daripada tenaga di bidang kesehatan yang bekerja di rumah sakit tidak terakreditasi, (p=0,0001), dengan OR= 1,122 (95% CI 1,079–1,167). Tenaga di bidang kesehatan yang memiliki akses ke rumah sakit yang mudah, memiliki proporsi motivasi tinggi yang lebih besar daripada yang memiliki akses yang sulit, (p=0,0001, dengan OR= 1,165 (95% CI 1,081–1,255). Waktu perjalanan tenaga di bidang kesehatan ke rumah sakit tidak bermakna dengan motivasi kerja (p = 0,582). Jenis rumah sakit, akreditasi rumah sakit, dan akses ke rumah sakit berhubungan dengan motivasi kerja dari tenaga di bidang kesehatan di rumah sakit. Kata kunci: rumah sakit, tenaga di bidang kesehatan, motivasi kerja Abstract Motivation is a psychological process in someone and is influenced by various factors. Those factors could be both internal and external factors. The purpose of this analysis is to find out the factors associated with the work motivation of employees in the health sector in the hospital. The study design was cross-sectional. The study population was employees in the health sector in government and private hospitals throughout Indonesia. Thirty employees in the health sector were selected from each hospital in 2.325 hospitals. Data was collected by interviewing respondents using a structured questionnaire and a self-administered questionnaire. A total of 66.994 respondents were interviewed. The results showed that employees in the health sector in general hospitals had a higher proportion of high motivation than health workers in special hospitals (p-value = 0.049), with OR = 1.051 (95% CI 1.0011.103). Those who worked in accredited hospitals had a higher proportion of high motivation than health workers in hospitals that were not accredited (p= 0.0001), with OR= 1.122 (95% CI 1.079-1.167). Employees in the health sector who had easy access to hospitals, had a greater proportion of high motivation than those with difficult access, (p= 0.0001), with OR= 1.165 (95% CI 1.081-1.255). Travel time to the hospital was not significantly associated with work motivation (p= 0.582). The type of hospital, hospital accreditation, and access to the hospital were associated with the work motivation of employees in the health sector in the hospital. Keywords: hospital, employees in the health sector, work motivation


2021 ◽  
Vol 7 (2) ◽  
pp. 110-115
Author(s):  
Agustina Widayati

Berdasarkan Profil Kesehatan Indonesia cakupan KB implant sebesar 11,20%. Proporsi KB aktif implan di Jawa Timur sebesar 10,23%. Data dari Dinas Kesehatan Kota Probolinggo tahun 2019, di Kelurahan Sumbertaman terdapat KB Aktifnya yaitu 1.470 PUS dan Implan (146 PUS) serta yang ber KB di RW 1 sebanyak 21 orang. Tujuan menganalisis Pengaruh  Dukungan Suami Dan Kader Posyandu terhadap Minat Ibu Menggunakan KB Implan di RW 1 Kelurahan Sumbertaman  Kota Probolinggo. Desain penelitian analitik korelasional dengan metode cross sectional. Penelitian dilaksanakan Bulan Mei - Juni di kelurahan Sumbertaman Kota Probolinggo dengan 107 sampel. Data dianalisis dengan uji Spearman dan Regresi Ordinal ?: 0,05. Hasil penelitian menunjukkan dukungan suami sangat mendukung sebesar 47 responden (43,9%), dukungan kader posyandu kurang mendukung sebesar 59 responden (55,1%), minat ibu dalam menggunakan alat kontrasepsi implant dengan kategori minat tinggi sebesar 57 responden (53,5%) dengan p value : 0,000. Kesimpulan  ada Pengaruh  Dukungan Suami Dan Kader Posyandu Terhadap Minat Ibu Menggunakan KB Implan. Saran bagi  puskesmas/tenaga kesehatan meningkatkan pemberian edukasi secara berkala kepada suami dan keluarga tentang pentingnya menggunakan alat kontrasepsi dan membentuk kelompok peduli KB.   Kata kunci: Dukungan Suami, Dukungan Kader Posyandu, Minat Ibu, Alat Kontrasepsi Implan   ABSTRACT Based on the Indonesian Health Profile, the coverage of implant family planning is 11.20%. The proportion of active implant family planning in East Java is 10.23%. Data from the Probolinggo Health Office in 2019, in Sumbertaman Village there were, namely 1,470 Childbearing Age Couple and implants (146 Childbearing Age Couple ) and 21 people who had an interest in implant Contraceptive in RW 1. The purpose was to analize the influence between husband support and Posyandu cadres to maternal interest in using implant family planning in RW 1, Sumbertaman, Probolinggo. The design of this research is correlational analytic using cross sectional method. The research was conducted on May - June in Sumbertaman, Probolinggo with 107 samples. Data collection analyzed by Spearman test and Ordinal Regression ?: 0.05. The results showed husband's support in the very supportive category was 47 respondents (43.9%), the support of posyandu cadres with less supportive criteria was 59 respondents (55.1%), the mother's interest in using implant contraceptives with high interest categories was 57 respondents (53,5%) with p value: 0,000. The conclusion of the study shows there is a influence between husband support and Posyandu cadres to maternal interest in using implant family planning. Suggestions are put forward for health centers / health workers to increase the provision of regular education to husbands and families about the importance of using contraceptives and to form family planning care groups or family planning villages.   Keywords: Husband's Support, Posyandu Cadre Support, Mother's Interest, Implant Contraceptives


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