scholarly journals Patterns of access to reproductive health services in Ghana and Nigeria: results of a cluster analysis

2020 ◽  
Author(s):  
Oluwasegun Jko Ogundele ◽  
Milena Pavlova ◽  
Wim Groot
Keyword(s):  
Cluster Analysis ◽  
Family Planning ◽  
Maternal Health ◽  
Reproductive Health ◽  
Health Services ◽  
Multinomial Logistic Regression ◽  
Maternal Health Services ◽  
Household Wealth ◽  
Reproductive Health Services ◽  
Poor Access

Abstract Background To understand differences in access to reproductive healthcare services, the use of family planning and maternal care by women in Ghana and Nigeria is examined.Methods We used population-level data from the Ghana and Nigeria Demographic Health Surveys of 2014 and 2013 in two-step cluster analysis followed by multinomial logistic regression analysis.Results The initial two-step cluster analyses on family planning identify three groups of women in Ghana and Nigeria: women with high, medium and poor access to family planning services. The subsequent two-step cluster analyses identify five distinct groups: higher, high, medium, low and poor access to maternal health services in Ghana and Nigeria. The multinomial logistic regression shows that education and occupation are associated with access to family planning and maternal health services. Women without education often have poor access to reproductive health services in both countries. In Nigeria, household wealth is strongly associated with access to maternal health services but household wealth does not explain access in Ghana. Not having insurance in Ghana is associated with low access to family planning service, while this is not the case in Nigeria.Conclusions These differences confirm the importance of a focused context-specific approach towards reproductive health services, particularly to reduce inequality in access resulting from socioeconomic status.

scholarly journals Patterns of access to reproductive health services in Ghana and Nigeria: results of a cluster analysis

2019 ◽  
Author(s):  
Oluwasegun Jko Ogundele ◽  
Milena Pavlova ◽  
Wim Groot
Keyword(s):  
Cluster Analysis ◽  
Family Planning ◽  
Maternal Health ◽  
Reproductive Health ◽  
Health Services ◽  
Multinomial Logistic Regression ◽  
Maternal Health Services ◽  
Household Wealth ◽  
Reproductive Health Services ◽  
Poor Access

Abstract Background To understand differences in access to reproductive healthcare services, the use of family planning and maternal care by women in Ghana and Nigeria is examined.Methods We used population-level data from the Ghana and Nigeria Demographic Health Surveys of 2014 and 2013 in two-step cluster analysis followed by multinomial logistic regression analysis.Results The initial two-step cluster analyses on family planning identify three groups of women in Ghana and Nigeria: women with high, medium and poor access to family planning services. The subsequent two-step cluster analyses identify five distinct groups: higher, high, medium, low and poor access to maternal health services in Ghana and Nigeria. The multinomial logistic regression shows that education and occupation are associated with access to family planning and maternal health services. Women without education often have poor access to reproductive health services in both countries. In Nigeria, household wealth is strongly associated with access to maternal health services but household wealth does not explain access in Ghana. Not having insurance in Ghana is associated with low access to family planning service, while this is not the case in Nigeria.Conclusions These differences confirm the importance of a focused context-specific approach towards reproductive health services, particularly to reduce inequality in access resulting from socioeconomic status.

scholarly journals Patterns of access to reproductive health services in Ghana and Nigeria: results of a cluster analysis

2020 ◽  
Author(s):  
Oluwasegun Jko Ogundele ◽  
Milena Pavlova ◽  
Wim Groot
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Maternal Health ◽  
Reproductive Health ◽  
Health Services ◽  
Multinomial Logistic Regression ◽  
Maternal Health Services ◽  
Reproductive Health Services ◽  
Family Planning Services ◽  
Poor Access

Abstract Background Inequalities in access to health care result in systematic health differences between social groups. Interventions to improve health do not always consider these inequalities. To examine access to reproductive health care services in Ghana and Nigeria, the patterns of use of family planning and maternal care by women in these countries are explored. Methods We used population-level data from the Ghana and Nigeria Demographic Health Surveys of 2014 and 2013 respectively. We applied a two-step cluster analysis followed by multinomial logistic regression analysis. Results The initial two-step cluster analyses related to family planning identified three clusters of women in Ghana and Nigeria: women with high, medium and poor access to family planning services. The subsequent two-step cluster analyses related to maternal care identified five distinct clusters: higher, high, medium, low and poor access to maternal health services in Ghana and Nigeria. Multinomial logistic regression showed that compared to women with secondary/higher education, women without education have higher odds of poor access to family planning services in Nigeria (OR=2.54, 95% CI: 1.90−3.39) and in Ghana (OR=1.257, 95% CI: 0.77−2.03). Compared to white-collar workers, women who are not working have increased odds of poor access to maternal health services in Nigeria (OR= 1.579, 95% CI: 1.081−2.307, p ≤0.01). This association is not observed for Ghana. Household wealth is strongly associated with access to family planning services and maternal health care services in Nigeria. Not having insurance in Ghana is associated with low access to family planning services, while this is not the case in Nigeria. In both countries, the absence of insurance is associated with poor access to maternal health services. Conclusions These differences confirm the importance of a focused context-specific approach towards reproductive health services, particularly to reduce inequality in access resulting from socio-economic status. Interventions should be focused on the categorization of services and population groups into priority classes based on needs assessment. In this way, they can help expand coverage of quality services bottom up to improve access among these vulnerable groups.

Conclusion

2018 ◽  
Author(s):  
Yana van der Meulen Rodgers
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Health Outcomes ◽  
Cost Effective ◽  
Reproductive Health Services ◽  
Cost Effective Approach ◽  
Restrictive Legislation

Chapter 7 concludes by highlighting the three biggest messages from the analysis presented in this book: (1) the global gag rule has failed to achieve its goal of reducing abortions; (2) restrictive legislation is associated with more unsafe abortions; and (3) the expanded global gag rule is likely to have negative repercussions across a range of health outcomes for women, children, and men. They are simple but powerful messages that should be heard by policymakers over the voices calling for an ideologically based policy that fails to achieve its desired outcome. The chapter closes with a more constructive and cost-effective approach for US family-planning assistance that targets integrated reproductive health services.

scholarly journals Challenges for Transforming Family Planning Rights into Practices in Nepal

2014 ◽  
Vol 12 (2) ◽  
pp. 42-46
Author(s):  
Khadga Bahadur Shrestha
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Reproductive Health Services ◽  
Family Planning Services ◽  
Developing Nation ◽  
Active Involvement ◽  
Self Reliance ◽  
High Level

Transforming family planning rights into practices is not an easy task especially in a developing nation like Nepal where society is patriarchal and literacy is low. Besides, coverage and quality of reproductive health services and active involvement of the community is crucial in the transformation. For properly addressing these challenges, all the sectors that provide family planning services need to act on advocacy, creating demand, reshaping service delivery, sustainability (financial and self-reliance) and high level political and financial commitments are necessary.DOI: http://dx.doi.org/10.3126/hprospect.v12i2.9874 Health Prospect Vol.12(2) 2013: 42-46

Knowledge, attitude and practices regarding implants among women of childbearing age

2021 ◽  
pp. 1-9
Author(s):  
Irshad Begum Shaikh ◽  
Syed Imtiaz Ahmed Jafry ◽  
Syed Muhammad Zulfiqar Hyder Naqvi ◽  
Syeda Nadia Firdous ◽  
Admin
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Contraceptive Method ◽  
Women Of Childbearing Age ◽  
Reproductive Health Services ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Child Bearing

Abstract A cross-sectional survey was conducted from February 2016 to September 2016 to assess knowledge, attitude and practices regarding implants among women of childbearing age visiting Reproductive Health Services Center, Civil Hospital,Karachi. A total of 396 adult non-pregnant married females of child bearing age, from 18 to 49 years old, were interviewed using a structured questionnaire.Only153 (38.6%) of therespondentshad knowledge about implants whereas out of them 122 (79.7%) acquired it from family planning clinics. Almost two third of them (n=267, 67.4%) were in favor of using implants as a contraceptive method. Moreover, 244 (61.6%) of them were of the opinion that if given the choice, they will use implanon though out of total 316 (79.8%) respondents who ever used contraceptives, only 3 (0.9%) used implants.Despiteafavorable attitude, limited knowledge and poor practices of the respondents highlighted the study findings. Keywords: Knowledge, Attitude, Contraception, Progestins, Continuous...

scholarly journals “The Financial Is the Main Issue, It’s Not Even the Child”: Exploring the Role of Finances in Men’s Concepts of Fatherhood and Fertility Intention

2018 ◽  
Vol 12 (4) ◽  
pp. 1074-1083 ◽  
Author(s):  
Megan Hamm ◽  
Elizabeth Miller ◽  
Lovie Jackson Foster ◽  
Mario Browne ◽  
Sonya Borrero
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Low Income ◽  
Financial Stability ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Fertility Intention ◽  
Reproductive Health Services ◽  
Family Planning Services

Despite demonstrable need, men’s utilization of sexual and reproductive health services remains low. This low utilization may particularly affect low-income men, given the disproportionate prevalence of unintended pregnancy in low-income populations. Bolstering men’s utilization of sexual and reproductive health services requires understanding the services that are most relevant to them. Semistructured interviews about fatherhood, fertility intention, and contraceptive use were conducted with 58 low-income Black and White men in Pittsburgh, Pennsylvania. The interviews were analyzed using content analysis to determine common themes that were most relevant to the men interviewed. The primacy of financial stability emerged as a dominant theme in men’s perceptions of fatherhood readiness, successful fathering, and fertility intentions. However, men had children despite feeling financially unprepared, and their contraceptive use was not always congruent with their stated fertility intentions. Some men described financial services as a feature of family planning services that they would find useful. Because of the salience of financial stability in preparation for fatherhood, integrating financial counseling and job skills training into the context of sexual and reproductive health services could be a useful structural intervention to increase men’s use of family planning services and to provide them with the support they say they need as fathers.

Sign in / Sign up

Export Citation Format

Share Document