Changes in British men's use of family planning services between 1991 and 2000: secondary analysis of a national survey

Background Available evidence suggests that provision of quality of care in family planning services is crucial to increasing uptake and continuation of use of contraception. Kenya achieved a modern contraceptive prevalence rate of 60% in 2018, surpassing its 2020 target of 58%. With the high prevalence, focus is geared towards improved quality of family planning services. The objective of this study is to examine the quality of family planning counseling and its associated factors in health facilities in Kenya. Methods We conducted a secondary analysis of the 2019 Kenya Performance Monitoring and Action, client exit data of women who had received family planning services. Quality of counseling was assessed using the Method Information Index Plus. We conducted a multivariable ordinal logistic regression analysis of data from 3,731 women to establish determinants of receiving quality family planning services. Results The Method Information Index Plus score for higher-quality counseling was 56.7%, lower-quality counseling 32.4%, and no counseling 10.9%. Women aged 15–24 years (aOR = 0.69, 95% CI = 0.56–0.86, p = 0.001) had lower odds of receiving better counseling compared to women aged 35 years and above. Those with no education (aOR = 0.52, 95% CI = 0.33–0.82, p = 0.005), primary (aOR = 0.56, 95% CI = 0.44–0.71, p<0.001) and secondary (aOR = 0.79, 95% CI = 0.65–0.98, p = 0.028) were less likely to receive better counseling compared to those with tertiary education. Women who received long acting and reversible contraception methods (aOR = 1.75, 95% CI = 1.42–2.17, p<0.001), and those who were method switchers (aOR = 1.24, 95% CI = 1.03–1.50, p = 0.027), had a higher likelihood of receiving better quality of counseling as compared to those on short-term methods and those who were continuers, respectively. Conclusion The quality of family planning counseling in Kenya is still sub-optimal considering that some women receive no form of counseling at service delivery point. There is need to review the existing FP guidelines and training packages to increase focus on the quality of counseling services offered by health providers. Social accountability strategies that empower women to demand quality services should be included in community-level family planning interventions.

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Family planning services at school-based health centers: findings from a national survey

Journal of Adolescent Health ◽

10.1016/s1054-139x(00)00122-1 ◽

2000 ◽

Vol 27 (3) ◽

pp. 166-169 ◽

Cited By ~ 19

Author(s):

Kate Fothergill ◽

Ammie Feijoo

Keyword(s):

Family Planning ◽

National Survey ◽

Health Centers ◽

Family Planning Services ◽

School Based ◽

School Based Health Centers

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Availability of integrated family planning services in HIV care and support sites in sub-Saharan Africa: a secondary analysis of national health facility surveys

Reproductive Health ◽

10.1186/s12978-019-0713-x ◽

2019 ◽

Vol 16 (S1) ◽

Cited By ~ 4

Author(s):

Mufaro Kanyangarara ◽

Kwame Sakyi ◽

Amos Laar

Keyword(s):

Family Planning ◽

Health Facility ◽

National Health ◽

Secondary Analysis ◽

Sub Saharan Africa ◽

Hiv Care ◽

Family Planning Services ◽

Care And Support ◽

Sub Saharan

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Do provider behaviors influence client satisfaction of family planning services in Togo? Evidence from a cross-sectional facility survey

10.21203/rs.3.rs-126972/v1 ◽

2020 ◽

Author(s):

Leanne Dougherty ◽

Kathryn Spielman ◽

Martha Silva

Keyword(s):

Quality Of Care ◽

Family Planning ◽

Client Satisfaction ◽

Secondary Analysis ◽

Reproductive Age ◽

Visual Aids ◽

Family Planning Services ◽

Cross Sectional ◽

Process Factors

Abstract BackgroundStrengthening quality of family planning care is a key objective in Togo to improve maternal and reproductive health. Structural attributes or inputs to care, and process attributes or content of care, including providers’ interaction with clients, are key factors determining quality of care. Client satisfaction with family planning services is linked to contraceptive uptake and continuation, yet the relationship between quality of care elements and client satisfaction of family planning services has not been assessed in Togo, particularly process factors related to client-provider interactions. MethodsWe conduct a secondary analysis using data from a facility-based survey. The survey was conducted in August 2016 in six health districts of Lomé Togo, including a facility audit (N=16), client observations (N=1096) and client exit interviews with women of reproductive age (N=1089). We used multi-variable logistic regression to assess the association between factors related with service structure and process, including provider-client interaction and client perception of provider treatment as a proxy for client satisfaction.ResultsWe did not find a relationship between structural attributes of quality and client perception of provider treatment. Among process attributes, we found that several behaviors related to interpersonal skills, including encouraging clients to ask questions and asking clients to describe any concerns they have with their method, and providers use of visual aids were significantly associated with client perception of provider treatment. ConclusionThe quality of care a woman receives when seeking to adopt or continue family planning methods is essential to improving use of family planning service. Family planning programs must address provider related behaviors that may inhibit the uptake and continuation of contraceptive use, and strengthen inter-personal skills, which may improve client perception of provider treatment with services and facilitate their continued use.

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