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

2019 ◽  
Author(s):  
Melese Siyoum ◽  
Ayalew Astatkie ◽  
Teshome Melese ◽  
Zelalem Tenaw ◽  
Abebaw Abeje ◽  
...  
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Service Providers ◽  
Health Workers ◽  
Family Planning Service ◽  
Health Facilities ◽  
Prior Training ◽  
Planning Service ◽  
Short Acting ◽  
Respectful Care

Abstract Introduction Disrespect and abusive care is a violation of women’s basic human rights and it is serious global problem that needs urgent intervention. In Ethiopia disrespect and abusive care is very common (21-78%) across health facilities. Objective To assess the status of respectful family planning service in Sidama zone, south Ethiopia. Methodology Health facility-based cross-sectional study was conducted from June to August 2018. Data were collected from 920 family planning clients’ recruited from 40 randomly selected health facilities. The Mother on Respect index (MORi) questionnaire was used to collect the data through client exit interview. Partial proportional odds ordinal regression was employed to identify determinants of respectful family planning service. Result The level of respectful family planning service was found to be: Zero (0%) in the very low respect category, 75(18.5%) low respect, 382(41.52%) moderate respect and 463(50.33%) high respect. Being a short acting method client (AOR=0.3, 95%CI [0.12, 0.72]), participants’ level of education (uneducated (AOR=0.39, 95%CI [0.25, 0.61), elementary (AOR=0.41, 95%CI [0.23, 0.73]), low income(AOR=0.75, 95%CI [0.56, 0.99]), long waiting time (AOR=0.46, 95%CI [0.30, 0.69]), were negatively associated with moderate and high respect compared to low respect. Preference of male service providers (AOR=2, 95%CI [1.1, 3.8]), service providers’ work satisfaction (AOR=1.55, 95%CI [1.13, 2.14]) and health workers’ prior training on respectful care (AOR=8.75, 95%CI [4.61, 16.61]) were positively associated. Being a client of short acting contraceptives (AOR=2.1, 95%CI [1.42, 3.12]), preference of male service providers (AOR=0.55, 95%CI [0.4, 0.76]) and health workers’ prior training on respectful care (AOR=3.03, 95%CI [2.24, 4.1]) had significant association with high respect compared to low and moderate respect. Conclusion Considering the current strategy of zero tolerance for disrespect in Ethiopia, the level of respectful care in this study is sub-optimal. We recommend community awareness and short term training for service providers.

A Situation Analysis of Public Family Planning Service Delivery in Pakistan

1993 ◽  
Vol 14 (1) ◽  
pp. 21-52 ◽  
Author(s):  
George P. Cernada ◽  
A. K. Ubaidur Rob ◽  
Sara I. Ameen ◽  
Muhammad Shafiq Ahmad
Keyword(s):  
Family Planning ◽  
Service Providers ◽  
Family Planning Service ◽  
Family Welfare ◽  
Situation Analysis ◽  
Planning Service ◽  
Record Keeping ◽  
Contraceptive Usage ◽  
Service Training ◽  
The Government

A nationally representative sample of 8 percent of the Government of Pakistan's primary family planning service facilities, the Family Welfare Centres (FWC), was carried out at the request of the Ministry of Population Welfare in mid-1992. The “situation analysis” approach used involved: 1) observation and inventory of services, facilities, supplies and record keeping reviews; 2) observation of interaction between service providers and FP clients at FWC's; 3) interviews with service providers; and 4) exit interviews with FP clients after service provision. This one-day on-site observation by teams of three interviewers provided a unique overview and baseline assessment of the availability of services, the staff functioning and the quality of service. Significant findings include a low caseload, inadequacies of facilities, some stockouts, lack of educational materials, insufficient outreach, unnecessary medical and social barriers to providing contraception as well as in some cases insufficient information to clients about contraindications to contraceptive usage and possible side-effects. The need to bolster in-service training and supervision is emphasized.

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 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 “…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.

scholarly journals Profil persalinan pada era JKN-BPJS di RSUP Prof Dr. R. D. Kandou Manado periode 1 Januari – 30 Juni 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Arya P. Astoguno ◽  
Joice J. Kaeng ◽  
Maya Mewengkang
Keyword(s):  
Family Planning ◽  
Caesarean Section ◽  
Health Service ◽  
Health Professional ◽  
Family Planning Service ◽  
Descriptive Study ◽  
Health Facilities ◽  
Planning Service

Abstract: JKN-BPJS stand for financing health service include childbirth is covering to examine the pregnancy, birth aid, the parturition, including family planning service post delivery and newborn service performed by health professional in health facilities. The purpose of this study was to know description of childbirth in JKN-BPJS program at Prof. Dr. R. D. Kandou. This was a retrospective descriptive study. Samples in this study were all of the mothers who used JKN-BPJS at Prof. Dr. R. D. Kandou Hospital Manado from January 1st to June 30th 2016. The results showed that of 570 total labours, there were 422 delivery cases using JKN-BPJS program. Most mothers that used JKN-BPJS program were multigravida (58%) at the age of 20 to 35 years (68.25%). Most of them came directly to the hospital (44.5%) and treated in the hospital for 4-6 days (55.7%). Most labours handled by the JKN-BPJS program were caesarean section (50.2%). Conclusion: Related to labours handled by the JKN-BPJS program at Prof. Dr. R. D. Kandou Hospital, most motherswere multigravida, at the age 20-35 years, came directly to the hospital, stayed in the hospital for 4-6 days, and treated with caesarean section.Keywords: JKN-BPJS, Childbirth Abstrak: JKN-BPJS merupakan jaminan pembiayaan pelayanan kesehatan termasuk biaya persalinan yang meliputi pemeriksaan kehamilan, pertolongan persalinan, pelayan nifas termasuk pelayanan Keluarga Berencana (KB) paska persalinan dan pelayanan bayi baru lahir yang dilakukan oleh tenaga kesehatan di fasilitas kesehatan. Penelitian ini bertujuan untuk mengetahui profil persalinan pada era JKN-BPJS di RSUP Prof Dr. R. D. Kandou. Jenis penelitian ialah retrospektif deskriptif. Sampel penelitian yaitu semua ibu bersalin dengan program JKN-BPJS di RSUP Prof Dr. R. D. Kandou periode 1 Januari – 30 Juni 2016. Hasil penelitian menunjukkan bahwa terdapat 422 kasus persalinan menggunakan program JKN-BPJS dari total 570 persalinan. Kebanyakan persalinan dengan program JKN-BPJS diikuti oleh ibu yang multigravida (58%) dengan usia 20-35 tahun (68,2%). Ibu yang bersalin paling banyak langsung datang sendiri ke rumah sakit (44,5%) dan kebanyakan dirawat di rumah sakit selama 4-6 hari (55,7%). Persalinan dengan program JKN-BPJS paling banyak ditolong dengan cara seksio sesarea (50,2%). Simpulan: Profil Persalinan pada era JKN-BPJS di Rsup Prof Dr. R. D. Kandou kebanyakan diikuti oleh ibu multigravida, usia 20-35 tahun, langsung datang sendiri ke rumah sakit, dirawat selama 4-6 hari, dan ditolong dengan cara seksio sesarea. Kata kunci: JKN-BPJS, persalinan.

scholarly journals GAMBARAN PERSALINAN PADA PROGRAM JAMPERSAL DI RSU PROF. DR. R. D KANDOU MANADO

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Priscillia Tondolambung ◽  
Hermie Tendean ◽  
Juneke J. Kaeng
Keyword(s):  
Family Planning ◽  
General Hospital ◽  
Health Professionals ◽  
Family Planning Service ◽  
Health Facilities ◽  
Planning Service

Abstract: Jampersal stand for financing service childbirth is covering to examine the pregnancy, birth aid, the parturition, including family planning service post delivery and newborn service performed by health professionals in health facilities. The purpose of this study was to know description of childbirth on Jampersal program at Prof. Dr. R. D Kandou. This research used retrospective descriptive methods. The sample in this study were all of the birthing mother who used Jampersal at Prof. Dr. R. D Kandou general hospital Manado from April to December 2011. This study has shown indicate that there are 2800 delivery cases was found using the Jampersal program from 3561 total of childbirth. Most childbirth which used Jampersal program is followed by multigravida (55,18%) at the age of 20 to 25 years (29,00%). Most woman came directly to the hospital (71,82%) and treated in hospital for more than 3 days (39,11%). Most labors using the Jampersal program were commonly aided spontaneously (66,93%). Conclusion: Description of childbirth on Jampersal program at Prof. Dr. R. D Kandou General Hospital most was followed by multigravida, at the age of 20-25 years, came directly to the hospital, treated for more than 3 days, and aided spontaneously. Keywords: Jampersal, Childbirth.     Abstrak: Jampersal adalah jaminan pembiayaan pelayanan persalinan yang meliputi pemeriksaan kehamilan, pertolongan persalinan, pelayanan nifas termasuk pelayanan Keluarga Berencana (KB) paska persalinan dan pelayanan bayi baru lahir yang dilakukan oleh tenaga kesehatan di fasilitas kesehatan.Tujuan penelitian ini untuk mengetahui gambaran persalinan pada program Jampersal di RSU Prof. Dr. R. D Kandou. Penelitian ini menggunakan metode retrospektif deskriptif. Sampel penelitian yaitu semua ibu bersalin dengan program Jampersal di RSU Prof. Dr. R. D Kandou periode April - Desember 2011. Hasil penelitian menunjukkan bahwa terdapat 2800 kasus persalinan menggunakan program Jampersal dari 3561 total persalinan. Kebanyakan persalinan dengan menggunakan program Jampersal diikuti oleh ibu yang multigravida (55,18%) dengan usia 20-25 tahun (29,00%). Ibu yang bersalin paling banyak langsung datang sendiri ke rumah sakit (71,82%) dan kebanyakan dirawat di rumah sakit selama lebih dari 3 hari (39,11%). Persalinan menggunakan program Jampersal paling sering ditolong secara spontan (66,93%). Simpulan: Gambaran persalinan pada program Jampersal di RSU Prof. Dr. R. D Kandou kebanyakan diikuti oleh ibu yang multigravida, usia 20-25 tahun, langsung datang sendiri ke rumah sakit, dirawat selama lebih dari 3 hari dan ditolong secara spontan. Kata kunci: Jampersal, Persalinan.

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