scholarly journals Family planning in Pacific Island Countries and Territories (PICTs): A scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255080
Author(s):  
Relmah Baritama Harrington ◽  
Nichole Harvey ◽  
Sarah Larkins ◽  
Michelle Redman-MacLaren
Keyword(s):  
Family Planning ◽  
Scoping Review ◽  
Service Provision ◽  
Family Planning Service ◽  
Grey Literature ◽  
Pacific Island ◽  
Planning Service ◽  
Family Planning Services ◽  
The Pacific ◽  
Pacific Island Countries

The use of contraceptives for family planning improves women’s lives and may prevent maternal deaths. However, many women in low and middle-income countries, including the Pacific region, still die from pregnancy-related complications. While most health centres offer family planning services with some basic contraceptive methods, many people do not access these services. More than 60% of women who would like to avoid or delay their pregnancies are unable to do so. This scoping review identifies and analyses evidence about family planning service provision in Pacific Island Countries and Territories (PICTs), with the aim of better informing family planning services for improved maternal health outcomes in the Pacific. We used Arksey and O’Malley’s scoping review guidelines, supported by Levac, Colquhoun and O’Brien to identify gaps in family planning service provision. Selected studies included peer-reviewed publications and grey literature that provided information about family planning services from 1994 to 2019. Publication data was charted in MS Excel. Data were thematically analysed and key issues and themes identified. A total of 45 papers (15 peer-reviewed and 30 grey literature publications) were critically reviewed. Five themes were identified: i) family planning services in the Pacific; ii) education, knowledge and attitudes; iii) geographical isolation and access; iv) socio-cultural beliefs, practices and influences; and v) potential enabling factors for improved family planning, such as appropriate family planning awareness by health care providers and services tailored to meet individual needs. While culture and religion were considered as the main barriers to accessing family planning services, evidence showed health services were also responsible for limiting access. Family planning services do not reach everyone. Making relevant and sustainable improvements in service delivery requires generation of local evidence. Further research is needed to understand availability, accessibility and acceptability of current family planning services for different age groups, genders, social and marital status to better inform family planning services in the Pacific.

scholarly journals Evaluating the Feasibility of the Community Score Card and Subsequent Contraceptive Behavior in Kisumu, Kenya

2021 ◽  
Author(s):  
Dickens Onyango ◽  
Katherine Tumlinson ◽  
Stephanie Chung ◽  
Brooke Bullington ◽  
Catherine Gakii ◽  
...  
Keyword(s):  
Family Planning ◽  
Public Sector ◽  
Service Provision ◽  
Family Planning Service ◽  
Social Accountability ◽  
Planning Service ◽  
Family Planning Services ◽  
Convenience Sample ◽  
Score Card ◽  
The Impact

Abstract Background: Women seeking family planning services from public-sector facilities in low- and middle-income countries sometimes face provider-imposed barriers to care. Social accountability is an approach that could address provider-imposed barriers by empowering communities to hold their service providers to account for service quality. Yet little is known about the feasibility and potential impact of such efforts in the context of contraceptive care. We piloted a social accountability intervention - the Community Score Card (CSC) - in three public healthcare facilities in western Kenya and use a mix of quantitative and qualitative methodologies to describe the feasibility and impact on family planning service provision. Methods: We implemented and evaluated the CSC in a convenience sample of three public-sector facility-community dyads in Kisumu County, Kenya. Within each dyad, communities met to identify and prioritize needs, develop corresponding indicators, and used a score card to rate the quality of family planning service provision and monitor improvement. To ensure young, unmarried people had a voice in identifying the unique challenges they face, youth working groups (YWG) led all CSC activities. The feasibility and impact of CSC activities were evaluated using mystery client visits, unannounced visits, focus group discussions with YWG members and providers, repeated assessment of score card indicators, and service delivery statistics. Results: The involvement of community health volunteers and supportive community members – as well as the willingness of some providers to consider changes to their own behaviors - were key score card facilitators. Conversely, community bias against family planning was a barrier to wider participation in score card activities and the intractability of some provider behaviors led to only small shifts in quality improvement. Service statistics did not reveal an increase in the percent of women receiving family planning services. Conclusion: Successful and impactful implementation of the CSC in the Kenyan context requires intensive community and provider sensitization, and pandemic conditions may have muted the impact on contraceptive uptake in this small pilot effort. Further investigation is needed to understand whether the CSC – or other social accountability efforts – can result in improved contraceptive access.

scholarly journals Respectful family planning service provision in Sidama zone, Southern Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0238653
Author(s):  
Melese Siyoum ◽  
Ayalew Astatkie ◽  
Zelalem Tenaw ◽  
Abebaw Abeje ◽  
Teshome Melese
Keyword(s):  
Family Planning ◽  
Service Provision ◽  
Family Planning Service ◽  
Southern Ethiopia ◽  
Planning Service

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.

scholarly journals Designing of KB (Family Planning) Service Information System in Pratama Clinic Salatiga

SISFORMA ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 8
Author(s):  
Penidas Fiodinggo Tanaem ◽  
Agustinus Fritz Wijaya ◽  
Fransiska Wahyuning Kurniawati ◽  
Resa Saputri
Keyword(s):  
Information System ◽  
Family Planning ◽  
Family Planning Service ◽  
Planning Service ◽  
Family Planning Services ◽  
Service Information ◽  
The Government ◽  
Special Information ◽  
Short Time ◽  
Number Of Births

The writing of this Journal aims to explain the design of the KB service information system that is available at the Pratama Clinic Salatiga. As for the background of making this journal because Indonesia is one of the countries that has the largest population in the world and this happens because the number of births in Indonesia that cannot be controlled. Although the government has launched a KB that is applied by using contraceptives, it has not been able to overcome the problems that occur. The number of uncontrolled births is due to the large number of families who complain about the use of contraceptives. Expensive, difficult to obtain and uncomfortable when used is an excuse for those who do not want to use contraception so that the number of births cannot be controlled, besides that along with the development of existing KB services it is increasingly ignored because people prefer things that are practical and do not like to follow complicated programs or services such as family planning services so that it causes more and more people who are lazy to attend family planning and have an impact on increasing numbers birth. Seeing from the phenomena above, the thought is formed that service information systems are really needed in the current era of development, especially to facilitate all the work that cannot be done in a short time. So from this the special information system design was made in the field of family planning services in the Pratama Clinic in the form of a journal. In this journal, it explains about how a family planning service can be accessed easily without wasting too much time so that the public wants to participate in the family planning service. One way that can be done is to establish an information system that can be used for family planning services with a system that is easily understood and accessed by the general public.

scholarly journals SISTEM INFORMASI PELAYANAN KELUARGA BERENCANA KAMPUNG KB BERBASIS WEB PADA DINAS PENGENDALIAN PENDUDUK DAN KB KABUPATEN ALOR

2021 ◽  
Vol 11 (2) ◽  
pp. 67-72
Author(s):  
Hans Julianus Maleimakuni ◽  
Yohanes Payong
Keyword(s):  
Information System ◽  
Family Planning ◽  
General Public ◽  
Family Planning Service ◽  
Service Users ◽  
Planning Service ◽  
Family Planning Services ◽  
Web Based ◽  
Service Information ◽  
The Web

In the success of the KKBPK program, competent program managers are needed, and can utilize technology properly to support the implementation of the program, especially in managing a complete, structured, and transparent information system to service officers and also the community so that the need for information is needed by every party involved. interested parties can be fulfilled properly, completely, quickly. The purpose of this research is to build a Web-Based Information System for Family Planning Services at the Alor District Family Planning and Family Planning Service to make it easier for family planning field officers (PLKB) to convey all information and activities for family planning services. The method used for designing this system is the waterfall method. The results to be achieved through the Web-Based Kampung KB Family Planning Service Information System are to make it easier for family planning field officers to convey all information and family planning service activities carried out to all service users, both service officers and the general public.

scholarly journals Factors associated with long-acting family planning service utilization in Ethiopia: a systematic review and meta-analysis

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Tamirat Tesfaye Dasa ◽  
Teshager Worku Kassie ◽  
Aklilu Abrham Roba ◽  
Elias Bekele Wakwoya ◽  
Henna Umer Kelel
Keyword(s):  
Systematic Review ◽  
Family Planning ◽  
Observational Studies ◽  
Family Planning Service ◽  
Planning Service ◽  
Family Planning Services ◽  
Employed Women ◽  
Planning Methods ◽  
Long Acting ◽  
Family Planning Methods

Abstract Background Even though the modern contraceptive use was improved in Ethiopia, the utilization of long-acting family planning services is still low because of numerous factors. The aim of this systematic review was to synthesize logical evidence about factors associated with long acting family planning service utilization in Ethiopia. Methods The participants of the study were married women of reproductive age in Ethiopia. This search included all published and unpublished observational studies written in the English language conducted before April 30, 2018, in Ethiopia. Electronic and non-electronic sources were used. PubMed, MEDLINE (EBSCO), CINHAL (EBSCO), Embase (EBSCO), POPLINE and the search engines like Google, Google Scholar Mednar and world cat log were used. The overall selected search results were 15 studies. Each study was evaluated using the Joanna Briggs Institute Quality Assessment Tool for Observational Studies. Data synthesis and statistical analysis were conducted using ReviewManagerVersion5.3.5. Results Women’s inadequate knowledge level [OR, 0.29; 95% CI: 0.10, 0.83, P = 0.02], women’s age between 15 and 34 [OR, 0.82; 95% CI: 0.53, 0.93, P = 0.01], not having electronic media [OR, 0.65; 95% CI: 0.53, 0.79, P < 0.0001] and women from rural area [OR = 0.65;95% CI:0.50, 0.81, P = 0.0009] were less likely associated in the use of long-acting family planning services. The odds of utilizing long acting family planning methods were high among non-government- employed women and husband [OR, 1.77; 95% CI: 1.29, 2.43, P = 0.0004], [OR, 1.69; 95% CI: 1.33, 2.15, P < 0.0001] respectively. Having no previous exposure to any modern family planning method [OR = 2.29; 95%CI: 1.83, 2.86, P < 0.00001] and women having no discussion with husband [OR = 1.92 (95%CI: 1.50, 2.45) P < 0.00001] were more likely associated in the utilization of long-acting family planning services. Conclusion Lack of information and knowledge, having discussion with husband, being women of younger age, having less than five living children, being government-employed women and husband, not having electronic media, and being residents in rural area were significant barriers for underutilization of long acting family planning methods in Ethiopia. Hence, the investigators suggest that key stakeholders should design interventions strategies to avert attitudinal, cultural and informational barriers towards long-acting family planning methods. Systematic review registration PROSPERO: 2018: CRD42018096373.

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