scholarly journals Closing the gap: the potential of Christian Health Associations in expanding access to family planning

2017 ◽  
Vol 4 (2) ◽  
pp. 53-65 ◽  
Author(s):  
Lauren VanEnk ◽  
Ronald Kasyaba ◽  
Prince Bosco Kanani ◽  
Tonny Tumwesigye ◽  
Jeannette Cachan
Keyword(s):  
Family Planning ◽  
Service Delivery ◽  
Systems Approach ◽  
Family Planning Service ◽  
Planning Service ◽  
Community Based ◽  
Fertility Awareness ◽  
Faith Based ◽  
National Family ◽  
National Family Planning

Recognizing the health impact of timing and spacing of pregnancies, the Sustainable Development Goals call for increased access to family planning globally. While faith-based organizations in Africa provide a significant proportion of health services, family planning service delivery has been limited. This evaluation sought to assess the effectiveness of implementing a systems approach in strengthening the capacity of Christian Health Associations to provide family planning and increase uptake in their communities. From January 2014 to September 2015, the capacity of three Christian Health Associations in East Africa—Caritas Rwanda, Uganda Catholic Medical Bureau, and Uganda Protestant Medical Bureau—was strengthened in key components of a systems approach to family planning—training, supervision, commodity availability, family planning promotion, data collection, and creating a supportive environment—with the aim of improving access to women with unmet need and harmonizing faith-based service delivery contributions with the national family planning program. Community-based provision of family planning, including fertility awareness methods, was introduced across intervention sites for the first time.  547 facility- and community-based providers were trained in family planning, and 393,964 people were reached with family planning information. 32,176 clients took up a method, and 43% of clients received this service at the community level.  According to a provider competency checklist, facility- and community-based providers were able to adequately counsel clients on new fertility awareness methods. Integration of Christian Health Associations into the national family planning strategy improved through participation in routine technical working group meetings, and the Ministries of Health in Rwanda and Uganda recognized them as credible family planning partners. Findings suggest that by strengthening capacity using a systems approach, Christian Health Associations can meaningfully contribute to national and international family planning goals. Increased attention to mainstreaming family planning service delivery across Christian Health Associations is recommended.

Family planning programmes in ten developing countries: cost effectiveness by mode of service delivery

1989 ◽  
Vol 21 (3) ◽  
pp. 267-277 ◽  
Author(s):  
Sallie Craig Huber ◽  
Philip D. Harvey
Keyword(s):  
Developing Countries ◽  
Latin America ◽  
Cost Effectiveness ◽  
Family Planning ◽  
Service Delivery ◽  
Family Planning Service ◽  
Planning Service ◽  
Community Based ◽  
Distribution Services ◽  
The Cost

SummaryThe cost effectiveness of various modes of family planning service delivery based on the cost per couple-year of protection (CYP) is assessed using 1984 data for 63 projects in ten countries (three each in Africa and Asia, and four in Latin America). More than 4·8 million CYPs were provided through these projects during the year studied. Programmes with the highest volume of services delivered corresponded to lowest average costs: social marketing (2·8 million CYPs) and sterilization projects (960,000 CYPs) cost about $2 per CYP, on average; highest costs were for full service clinics and community-based distribution projects ($13–14 per CYP). Costs of clinics combined with community-based distribution services fell approximately midway between these two extremes.

scholarly journals Men’s involvement in family planning service utilization among married men in Kondala district, western Ethiopia: a community-based comparative cross-sectional study

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Lemessa Assefa ◽  
Zemenu Shasho ◽  
Habtamu Kebebe Kasaye ◽  
Edao Tesa ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Family Planning ◽  
Service Utilization ◽  
Family Planning Service ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Planning Service ◽  
Community Based ◽  
Cross Sectional ◽  
Western Ethiopia ◽  
Men’S Involvement

Abstract Background Men involvement is one of the important factors in family planning (FP) service utilization. Their limitation in the family planning program causes a decrease in service utilization as well as the discontinuation of the method which eventually leads to failure of the program. Family planning uptake is low but there is no enough study conducted on the parameters of husband involvement in Ethiopia. Hence, this study focused to assess men’s involvement in family planning service utilization in Kondala district, western Ethiopia. Methods Community based comparative cross-sectional study design was employed in urban and rural kebeles of kondala district using quantitative and qualitative data collection tools. The multi-stage sampling method was employed to select 370 participants from each of the four urban and eight rural kebeles. Logistic regression analysis was used to identify variables that affect husbands’ involvement in FP service utilization. Statistical significance was declared at p-value of < 0.05 with 95% confidence interval (CI) and strength of association was reported by odds ratio (OR). Results The study showed that 203(55.6%) men from urban and 178(48.8%) from rural were involved in FP service utilization. The median age of the respondents was 36+ 8.5 years (IQR: 27.5–44.5) in urban and 35 years (IQR: 25–45) in rural parts. Respondents who had four and above current children (AOR = 3.25, 95%CI = 1.51–7.02) in urban and (AOR = 4.20, 95%CI = 1.80–9.79) in rural were positively associated with men’s involvement in FP service utilization. In the urban setting, being government employee (AOR = 2.58, 95%CI = 1.25–5.33), wishing less than two children (AOR = 3.08, 95%CI = 1.80–5.24) and having a better attitude towards FP methods (AOR = 1.86, 95%CI = 1.16–2.99) were positively associated with FP service utilization. While good educational background (AOR = 2.13, 95%CI = 1.02–4.44), short distance from home to health facility (AOR = 2.29, 95%CI = 1.24–4.19) and having better knowledge (AOR = 4.49, 95%CI = 2.72–7.38) were positively associated with men involvement in FP service utilization in the rural area. Conclusion Low involvement of men in family planning service utilization was reported in both settings. Factors associated with husbands’ involvement were varied between the two setups, except for the current number of children. Future FP program should incorporate infrastructure associated with the health facility, knowledge, and attitudinal factors.

COSTS OF FAMILY PLANNING PROGRAMMES IN FOURTEEN DEVELOPING COUNTRIES BY METHOD OF SERVICE DELIVERY

1997 ◽  
Vol 29 (2) ◽  
pp. 219-233 ◽  
Author(s):  
M. BARBERIS ◽  
P. D. HARVEY
Keyword(s):  
Developing Countries ◽  
Family Planning ◽  
Middle East ◽  
Service Delivery ◽  
Weighted Average ◽  
Planning Service ◽  
Community Based ◽  
Family Planning Services ◽  
Project Data ◽  
The Cost

The cost effectiveness of several modes of family planning service delivery based on the cost per couple-year of protection (CYP), including commodity costs, is assessed for 1991–92 using programme and project data from fourteen developing countries (five in Africa, four in Asia, three in Latin America and two in the Middle East). More than 100 million CYP were provided through these family planning services during the 12 months studied. Sterilisation services provided both the highest volume (over 60% of total) and the lowest cost per CYP ($1.85). Social marketing programmes (CSM), delivering almost 9 million CYPs, had the next lowest cost per CYP on average ($2.14). Clinic-based services excluding sterilisation had an average cost of $6.10. The highest costs were for community-based distribution projects (0·7 million CYPs), which averaged $9.93, and clinic-based services with a community-based distribution component (almost 6 million CYPs), at a cost of $14.00 per CYP. Based on a weighted average, costs were lowest in the Middle East ($3.37 per CYP for all modes of delivery combined) and highest in Africa ($11.20).

Assessing Family Planning Service-delivery Skills in Kenya

1997 ◽  
Vol 28 (2) ◽  
pp. 143 ◽  
Author(s):  
Joseph J. Valadez ◽  
Rikka Transgrud ◽  
Margaret Mbugua ◽  
Tamara Smith
Keyword(s):  
Family Planning ◽  
Service Delivery ◽  
Family Planning Service ◽  
Planning Service

scholarly journals “…the availability of contraceptives is everywhere.”: Coordinated Family Planning Service Delivery in Rwanda Facilitates Integration of Family Planning into Other Health Services

2020 ◽  
Author(s):  
Adriana Scanteianu ◽  
HILARY MEGAN SCHWANDT ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Service Delivery ◽  
Health Workers ◽  
Family Planning Service ◽  
Local Level ◽  
Child Health Services ◽  
High Fertility ◽  
Planning Service ◽  
Contraceptive Usage

Abstract BackgroundHigh fertility rates pose health risks to both mothers and children and impede economic growth; therefore, family planning use is vital to achieving sustainable population growth and to help build thriving communities. Contraceptive use in Rwanda has tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this unparalleled success in Rwanda. MethodsThis qualitative study in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with experienced family planning users.ResultsResults indicate a well-coordinated family planning service delivery system with community health workers and nurses filling different and complementary roles in meeting family planning client needs at the local level. In addition, integration of family planning into other maternal and child health services is the norm. ConclusionsThe coordination and integration of family planning across both providers and services may help explain the extraordinary increase in Rwanda’s contraceptive usage, and has potential applications for enhancing family planning service delivery in other settings as well.

scholarly journals “…the availability of contraceptives is everywhere.”: Coordinated Family Planning Service Delivery in Rwanda Facilitates Integration into Other Health Services

2019 ◽  
Author(s):  
Adriana Scanteianu ◽  
Hilary M Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Service Delivery ◽  
Health Workers ◽  
Family Planning Service ◽  
Local Level ◽  
Child Health Services ◽  
High Fertility ◽  
Planning Service ◽  
Contraceptive Usage

Abstract Background High fertility rates pose health risks to both mothers and children and impede economic growth; therefore, family planning use is vital to achieving sustainable population growth and to help build thriving communities. Contraceptive use in Rwanda has tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this unparalleled success in Rwanda. Methods This qualitative study in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with experienced family planning users. Results Results indicate a well-coordinated family planning service delivery system with community health workers and nurses filling different and complementary roles in meeting family planning client needs at the local level. In addition, integration of family planning into other maternal and child health services is the norm. Conclusions The coordination and integration of family planning across both providers and services may help explain the extraordinary increase in Rwanda’s contraceptive usage, and has potential applications for enhancing family planning service delivery in other settings as well.

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