scholarly journals Study protocol for Post Pregnancy Family Planning Choices, an operations research study examining the effectiveness of interventions in the public and private sectors in Indonesia and Kenya

2020 ◽  
Vol 4 ◽  
pp. 89
Author(s):  
Elaine Charurat ◽  
Sara Kennedy ◽  
Siti Qomariyah ◽  
Anne Schuster ◽  
Megan Christofield ◽  
...  
Keyword(s):  
Family Planning ◽  
Study Protocol ◽  
Operations Research ◽  
Research Study ◽  
Scale Up ◽  
Unmet Need ◽  
Study Data ◽  
Multiple Time ◽  
Public And Private ◽  
The Public

Background: Global evidence suggests many postpartum and postabortion women have an unmet need for family planning (FP) after delivery or receiving care following loss of a pregnancy. Post Pregnancy Family Planning Choices, an operations research study, aims to examine the effectiveness of a package of postpregnancy FP interventions, inclusive of postpartum and postabortion FP. The interventions are being implemented in selected public and private facilities in Indonesia and Kenya and focus on quality FP counseling and service provision prior to discharge. This manuscript presents the study protocol, documenting how the study team intends to determine key factors that influence uptake of postpregnancy FP. Methods: This is a multi-country, quasi-experimental operations research study in Brebes and Batang Districts of Indonesia and Meru and Kilifi Counties of Kenya. Quantitative and qualitative data is collected from multiple data sources and participants through interviews and assessments at multiple time points. Participants include health facilities; antenatal, postpartum, and postabortion clients; and key informants at national, subnational, facility, and community levels. Quantitative study data is collected and managed through the use of REDCap (Research Electronic Data Capture). Once data are thoroughly cleaned and reviewed, regression models and multilevel analyses will explore quantitative data. Qualitative study data is collected using audio recordings and transcribed to Microsoft Word, then analyzed using ATLAS.ti. Qualitative datasets will be analyzed using grounded theory methods. Discussion: The ultimate goals of the study are to generate and disseminate actionable evidence of positive drivers, barriers, and activities that do not yield results with regard to increasing postpregnancy FP programmatic activities, and to institutionalize postpregnancy FP in the public and private sectors in Indonesia and Kenya. We hope these learnings and experience will contribute to global efforts to advance and scale up postpregnancy FP in similar settings beyond these two countries. Trial registration: ClinicalTrials.gov NCT03333473

scholarly journals Study protocol for Post Pregnancy Family Planning Choices, an operations research study examining the effectiveness of interventions in the public and private sectors in Indonesia and Kenya

2020 ◽  
Vol 4 ◽  
pp. 89
Author(s):  
Elaine Charurat ◽  
Sara Kennedy ◽  
Siti Qomariyah ◽  
Anne Schuster ◽  
Megan Christofield ◽  
...  
Keyword(s):  
Family Planning ◽  
Study Protocol ◽  
Operations Research ◽  
Research Study ◽  
Scale Up ◽  
Unmet Need ◽  
Study Data ◽  
Multiple Time ◽  
Public And Private ◽  
The Public

Background: Global evidence suggests many postpartum and postabortion women have an unmet need for family planning (FP) after delivery or receiving care following loss of a pregnancy. Post Pregnancy Family Planning Choices, an operations research study, aims to examine the effectiveness of a package of postpregnancy FP interventions, inclusive of postpartum and postabortion FP. The interventions are being implemented in selected public and private facilities in Indonesia and Kenya and focus on quality FP counseling and service provision prior to discharge. This manuscript presents the study protocol, documenting how the study team intends to determine key factors that influence uptake of postpregnancy FP. Methods: This is a multi-country, quasi-experimental three-year operations research study in Brebes and Batang Districts of Indonesia and Meru and Kilifi Counties of Kenya. Quantitative and qualitative data is collected longitudinally through interviews and health facility assessments at multiple time points. Data is gathered from 22 health facilities; 8,796 antenatal, postpartum, and postabortion clients; and key informants at national, subnational, facility, and community levels. Quantitative study data is collected and managed using REDCap (Research Electronic Data Capture). Once data are thoroughly cleaned and reviewed, regression models and multilevel analyses will explore quantitative data. Qualitative study data is collected using audio recordings and transcribed to Microsoft Word, then analyzed using ATLAS.ti. Qualitative datasets will be analyzed using grounded theory methods. Discussion: The ultimate goals of the study are to generate and disseminate actionable evidence of positive drivers, barriers, and activities that do not yield results with regard to increasing postpregnancy FP programmatic activities, and to institutionalize postpregnancy FP in the public and private sectors in Indonesia and Kenya. We hope these learnings and experience will contribute to global efforts to advance and scale up postpregnancy FP in similar settings beyond these two countries. Trial registration: ClinicalTrials.gov NCT03333473

Central European tech sector needs help to scale up

2017 ◽  
Keyword(s):  
Scale Up ◽  
Eastern European ◽  
Public And Private ◽  
Content Type ◽  
Central European ◽  
Eastern Partnership ◽  
The Public ◽  
Digital Community ◽  
High Performers ◽  
Central Eastern

Significance Tallinn is keen to showcase its success in developing its digital capabilities in both the public and private sectors. Estonia is one of a cluster of nine EU tech-sector high-performers, but is an outlier among Central-Eastern European (CEE) economies. Impacts Other CEE countries would profit from official policies as effective as Estonia's Digital Agenda 2020, adopted in 2014. However, Estonia may need a new impetus, having made no progress in its DESI ranking, unchanged in 2017 from 2016. The growth of the tech sector in those CEE states that are EU members will impact on the rest of the region. There are plans to create a 'digital community' with states of the Eastern Partnership. Companies based in Romania, Bulgaria and Poland are increasingly hiring graduates with tech skills from Moldova and Ukraine.

scholarly journals Investigating the feasibility and acceptability of Sayana® Press self-injection in Ghana

2018 ◽  
Author(s):  
Keyword(s):  
Health Service ◽  
Health Workers ◽  
Research Utilization ◽  
Scale Up ◽  
Modern Contraceptive ◽  
Public And Private ◽  
The Public ◽  
Study Process ◽  
Ghana Health ◽  
Ghana Health Service

At the request of the Ghana Health Service (GHS), the Evidence Project, through the Population Council and with funding from USAID/Ghana, is studying the feasibility and acceptability of Sayana® Press self-injection, and by extension, informing its introduction in Ghana. The primary objectives of the seven-month study are to assess the feasibility of introducing Sayana® Press self-injection and its acceptability among both health workers and injectable clients. Results from the study are expected to inform the national strategy, including procurement and scale-up of Sayana® Press in the public and private sectors. | The Ghana Health Service has a strong commitment to task shifting to accelerate access to modern contraceptive methods. GHS’s commitment to engaging all relevant stakeholders in the public, private and NGOs sectors in the study process provides an excellent model for maximizing research utilization.

scholarly journals A STUDY TO ASSESS THE FACTORS INFLUENCING UNMET NEED OF FAMILY PLANNING AMONG MARRIED WOMEN IN SELECTED VILLAGES OF UDUPI DISTRICT, KARNATAKA

2014 ◽  
Vol 04 (01) ◽  
pp. 024-027
Author(s):  
Lekshmi A. R. ◽  
◽  
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Married Women ◽  
Great Success ◽  
The Public ◽  
Factors Influencing ◽  
The Family ◽  
Living Children ◽  
Descriptive Survey ◽  
Structured Questionnaire

Abstract: Background: Millions of women worldwide who are sexually active, who would prefer to avoid becoming pregnant, but are not using any contraception, these women are considered to have an “unmet need” for Family Planning. The concept of “unmet need” points to 1 the gap between some women's reproductive intensions and their contraceptive behaviour. Bridging the gap can lead to a great success in the family planning programme and realization of the dream of stable population. Objectives: To assess the unmet need of family planning and the factors influencing the unmet need among married women. Materials and Methods:A descriptive survey was under taken among 280 married women selected using purposive sampling. Data were collected using structured questionnaire. Results: About 41.1% of the total subjects had the unmet need for family planning in that 32.2% were having unmet need for spacing and 67.8% for limiting. Majority (55.7%) were not using family planning because of fertility related reasons. The study revealed that there was a significant association between unmet need and variables like age and number of living children. There was a significant association between unmet need and fertility related reasons. Conclusion: Since the unmet need of family planning is existing, awareness of the public in relation to family planning should be ongoing especially to the general public with lower level of education.

scholarly journals Examining and strengthening the role of patent and proprietary medicine vendors in the provision of injectable contraception in Nigeria

2018 ◽  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Scale Up ◽  
Health Sector ◽  
Modern Contraceptive ◽  
Public And Private ◽  
Care Experience ◽  
Contraceptive Services ◽  
Injectable Contraceptives

Results from an implementation research study in Nigeria found that with training, Patent and Proprietary Medicine Vendors (PPMVs), regardless of their previous health care experience, could competently administer injectable contraceptives and that clients reported receiving quality services from trained PPMVs. From 2015 to 2018, the Evidence Project conducted a study to better understand the role of PPMVs in offering voluntary injectable services (e.g., selling, counseling, referring to health centers, and administering). The study was conducted in response to Nigeria's family planning context and the role of PPMVs in the informal health sector. | In Nigeria, the bulk of contraceptive services are provided by private sources, including hospitals, clinics, pharmacies, and PPMVs. Of the contraceptives used, injectable contraception is the most popular, accounting for approximately 40 percent of modern contraceptive use in the country. Among both public and private sources for family planning, PPMVs are the most popular for voluntary contraceptive services. According to Nigeria's 2013 National Demographic Health Survey, 38 percent of all contraceptive users and 13 percent of injectable users received their method from a PPMV. | The knowledge generated from this study helps inform the potential scale-up of PPMV delivery of voluntary injectable contraceptive services. The evidence provides insights on how to support and mentor PPMVs to provide quality FP counseling and provision of injectable contraceptives.

scholarly journals Scaling up family planning in Sierra Leone: A prospective cost–benefit analysis

2017 ◽  
Vol 13 (3) ◽  
pp. 43-57 ◽  
Author(s):  
Sarah Keen ◽  
Hashina Begum ◽  
Howard S Friedman ◽  
Chris D James
Keyword(s):  
Family Planning ◽  
Sierra Leone ◽  
Scale Up ◽  
Unmet Need ◽  
Scaling Up ◽  
Economic Benefits ◽  
Married Women ◽  
Family Planning Services ◽  
The Government ◽  
High Scenario

Family planning is commonly regarded as a highly cost-effective health intervention with wider social and economic benefits. Yet use of family planning services in Sierra Leone is currently low and 25.0% of married women have an unmet need for contraception. This study aims to estimate the costs and benefits of scaling up family planning in Sierra Leone. Using the OneHealth Tool, two scenarios of scaling up family planning coverage to currently married women in Sierra Leone over 2013–2035 were assessed and compared to a ‘no-change’ counterfactual. Our costing included direct costs of drugs, supplies and personnel time, programme costs and a share of health facility overhead costs. To monetise the benefits, we projected the cost savings of the government providing five essential social services – primary education, child immunisation, malaria prevention, maternal health services and improved drinking water – in the scale-up scenarios compared to the counterfactual. The total population, estimated at 6.1 million in 2013, is projected to reach 8.3 million by 2035 in the high scenario compared to a counterfactual of 9.6 million. We estimate that by 2035, there will be 1400 fewer maternal deaths and 700 fewer infant deaths in the high scenario compared to the counterfactual. Our modelling suggests that total costs of the family planning programme in Sierra Leone will increase from US$4.2 million in 2013 to US$10.6 million a year by 2035 in the high scenario. For every dollar spent on family planning, Sierra Leone is estimated to save US$2.10 in expenditure on the five selected social sector services over the period. There is a strong investment case for scaling up family planning services in Sierra Leone. The ambitious scale-up scenarios have historical precedent in other sub-Saharan African countries, but the extent to which they will be achieved depends on a commitment from both the government and donors to strengthening Sierra Leone’s health system post-Ebola.

scholarly journals Towards achieving the family planning targets in the African region: a rapid review of task sharing policies

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Leopold Ouedraogo ◽  
Desire Habonimana ◽  
Triphonie Nkurunziza ◽  
Asmani Chilanga ◽  
Elamin Hayfa ◽  
...  
Keyword(s):  
Family Planning ◽  
Universal Access ◽  
Scale Up ◽  
Healthcare Providers ◽  
Unmet Need ◽  
Healthcare Services ◽  
Task Sharing ◽  
Reproductive Healthcare ◽  
Ssa Countries ◽  
Unmet Need For Contraception

Abstract Background Expanding access and use of effective contraception is important in achieving universal access to reproductive healthcare services, especially in low- and middle-income countries (LMICs), such as those in sub-Saharan Africa (SSA). Shortage of trained healthcare providers is an important contributor to increased unmet need for contraception in SSA. The World Health Organization (WHO) recommends task sharing as an important strategy to improve access to sexual and reproductive healthcare services by addressing shortage of healthcare providers. This study explores the status, successes, challenges and impacts of the implementation of task sharing for family planning in five SSA countries. This evidence is aimed at promoting the implementation and scale-up of task sharing programmes in SSA countries by WHO. Methodology and findings We employed a rapid programme review (RPR) methodology to generate evidence on task sharing for family planning programmes from five SSA countries namely, Burkina Faso, Cote d’Ivoire, Ethiopia, Ghana, and Nigeria. This involved a desk review of country task sharing policy documents, implementation plans and guidelines, annual sexual and reproductive health programme reports, WHO regional meeting reports on task sharing for family planning; and information from key informants on country background, intervention packages, impact, enablers, challenges and ways forward on task sharing for family planning. The findings indicate mainly the involvement of community health workers, midwives and nurses in the task sharing programmes with training in provision of contraceptive pills and long-acting reversible contraceptives (LARC). Results indicate an increase in family planning indicators during the task shifting implementation period. For instance, injectable contraceptive use increased more than threefold within six months in Burkina Faso; contraceptive prevalence rate doubled with declines in total fertility and unmet need for contraception in Ethiopia; and uptake of LARC increased in Ghana and Nigeria. Some barriers to successful implementation include poor retention of lower cadre providers, inadequate documentation, and poor data systems. Conclusions Task sharing plays a role in increasing contraceptive uptake and holds promise in promoting universal access to family planning in the SSA region. Evidence from this RPR is helpful in elaborating country policies and scale-up of task sharing for family planning programmes.

scholarly journals Postabortion family planning operations research study in Perm, Russia

2003 ◽  
Author(s):  
Irina Savelieva ◽  
John Plie ◽  
Inna Sacci ◽  
Ratha Loganathan
Keyword(s):  
Family Planning ◽  
Operations Research ◽  
Research Study

scholarly journals IDENTIFYING FACTORS ASSOCIATED WITH THE USE OF A SCALED-UP POSTPARTUM FAMILY PLANNING PROJECT IMPLEMENTED IN PUNJAB, PAKISTAN

2021 ◽  
Vol 21 (2) ◽  
pp. 466-474
Author(s):  
Aniza Ismail ◽  
Mariam Ashraf ◽  
Idayu Badilla Idris ◽  
Inayat Thaver ◽  
Ahsan Maqbool Ahmad ◽  
...  
Keyword(s):  
Family Planning ◽  
Scale Up ◽  
Unmet Need ◽  
Pilot Project ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Factors Associated ◽  
Postpartum Family Planning

Pakistan has one of the highest unmet needs for family planning among low and middle-income countries. Postpartum family planning (PPFP) is considered to have the potential of significantly improving the contraceptive prevalence rate and reducing the unmet need for family planning. Jhpiego (John Hopkins Affiliate) implemented a PPFP pilot project in the district headquarter hospital of Mandi Bahauddin.  The key interventions of the Jhpiego pilot were to improve services pertinent to PPFP. Based on the successes of the pilot, the interventions were scaled up to other health facilities. The present study aims to identify the factors associated with the utilization of the postpartum family planning health project implemented in the health facilities once the scale-up activities ended and comparing it with the pilot facility. A cross-sectional survey with a sample of 410 women using postpartum care services in the facilities was conducted using a structured questionnaire. The findings indicated that the complete set of interventions were not present in the facilities.  Postpartum family planning method uptake was low (26%) along with the shortage of contraceptives supplies. Multivariate logistic regression was conducted to identify the predictors for the current use of postpartum family planning. The predictors identified that women with the age of 25 years and above with 3 or more children, who attended antenatal care visits and were counselled on PPFP were more likely to adopt/use PPFP in the postpartum period. The findings indicated scale-up was limited and the interventions were not sustained once the donor support ended. 

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