scholarly journals Facilitating community participation in family planning and contraceptives service provision and uptake: community and health provider perspectives.

2020 ◽  
Author(s):  
Adam Silumbwe ◽  
Theresa Nkole ◽  
Margarate N Munakampe ◽  
Joanna Paula Cordero ◽  
Cecilia Milford ◽  
...  

Abstract Background: Although community participation has been identified as important for improved and sustained health outcomes in primary healthcare services provision, challenges still remain on how to design and successfully implement it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision. Zambian participants in a multi-country project (the UPTAKE project) provided input in the development of an intervention involving community and health provider participation in FP/C services provision and uptake. This study reports on some of the thematic areas identified by the study participants as critical to facilitating community participation in this project. Methods: This was an exploratory qualitative research study, conducted in Central Province, Kabwe district, in 2017. Twelve focus group discussions were conducted with community members (n=114) and two with healthcare providers (n=19). Ten in-depth interviews were held with key community and health sector stakeholders. Data were analyzed using thematic analysis approach. Results: Four thematic categories were identified from the data as critical to facilitating community participation in FP/C services. Firstly, accountability in recruitment of community representatives and incorporation of community feedback in FP/C services programming. Secondly, engagement and learning best approaches to involve both local and NGO structures in FP/C services provision. Thirdly, building trust through credible community-based distributors and dissemination of appropriate FP/C services information. Fourthly, promoting facilitative strategies that look to address some structural failures such as defeminisation of FP/C services and motivation of community members. Conclusions: Understanding and considering community members’ and healthcare providers’ views regarding contextualized and locally relevant participatory approaches, facilitators to and challenges to participation, can greatly aid the design, implementation and success of community participation public health programmes. Key words: Community, participation, family planning, contraceptives, programs, accountability, trust, strategies, motivation

2020 ◽  
Author(s):  
Adam Silumbwe ◽  
Theresa Nkole ◽  
Margarate N Munakampe ◽  
Joanna Paula Cordero ◽  
Cecilia Milford ◽  
...  

Abstract Background: Although community participation has been identified as being important for improved and sustained health outcomes, the challenge of designing and successfully implementing it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision remains. Zambian participants in a multi-country project (the UPTAKE project) took part in the development of an intervention involving community and healthcare provider participation in FP/C services provision and uptake. This study reports key thematic areas identified by the study participants as critical to facilitating community participation in this intervention. Methods: This was an exploratory qualitative research study, conducted in Kabwe District, Central Province, in 2017. Twelve focus group discussions were conducted with community members (n=114), two with healthcare providers (n=19), and ten in-depth interviews with key community and health sector stakeholders. Data were analyzed using thematic analysis approach. Results: Four thematic categories were identified by the participants as critical to facilitating community participation in FP/C services. Firstly, accountability in the recruitment of community participants and incorporation of community feedback in FP/C programming. Secondly, engagement of existing community resources and structures in FP/C services provision. Thirdly, building trust in FP/C methods/services through credible community-based distributors and promotion of appropriate FP/C methods/services. Fourthly, promoting facilitative strategies that address structural failures such as feminisation of FP/C services and the lack of FP/C services responsive to adolescent needs. Conclusions: Understanding and considering community members’ and healthcare providers’ views regarding contextualized and locally relevant participatory approaches, facilitators and challenges to participation, could improve the design, implementation and success of participatory public health programmes, including FP/C.


2020 ◽  
Author(s):  
Adam Silumbwe ◽  
Theresa Nkole ◽  
Margarate N Munakampe ◽  
Joanna Paula Cordero ◽  
Cecilia Milford ◽  
...  

Abstract Background: Although community participation has been identified as being important for improved and sustained health outcomes, the challenge of designing and successfully implementing it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision remains. Zambian participants in a multi-country project (the UPTAKE project) took part in the development of an intervention involving community and healthcare provider participation in FP/C services provision and uptake. This study reports key thematic areas identified by the study participants as critical to facilitating community participation in this intervention. Methods: This was an exploratory qualitative research study, conducted in Kabwe District, Central Province, in 2017. Twelve focus group discussions were conducted with community members (n=114), two with healthcare providers (n=19), and ten in-depth interviews with key community and health sector stakeholders. Data were analyzed using thematic analysis approach. Results: Four thematic categories were identified by the participants as critical to facilitating community participation in FP/C services. Firstly, accountability in the recruitment of community participants and incorporation of community feedback in FP/C programming. Secondly, engagement of existing community resources and structures in FP/C services provision. Thirdly, building trust in FP/C methods/services through credible community-based distributors and promotion of appropriate FP/C methods/services. Fourthly, promoting facilitative strategies that address structural failures such as feminisation of FP/C services and the lack of FP/C services responsive to adolescent needs. Conclusions: Understanding and considering community members’ and healthcare providers’ views regarding contextualized and locally relevant participatory approaches, facilitators and challenges to participation, could improve the design, implementation and success of participatory public health programmes, including FP/C.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Adam Silumbwe ◽  
Theresa Nkole ◽  
Margarate N. Munakampe ◽  
Joanna Paula Cordero ◽  
Cecilia Milford ◽  
...  

2015 ◽  
Vol 11 (2) ◽  
pp. 68-79
Author(s):  
OO Odefadehan ◽  
AB Ale ◽  
AB Ale ◽  
OO Odefadehan ◽  
OO Odefadehan

This study identified various health information sources at the disposal of the rural farming households in nine selected Local Government Areas (LGA) of Ondo state, Nigeria. The perceived characteristics of the identified health information sources was also examined. The study determined how these perceived health information characteristics influenced the adoption of three selected public health programmes (Family planning, Immunization and Roll Back Malaria). Data from 272 households were analysed using both descriptive and inferential statistics. The result of the analysis showed that majority of the respondents indicated radio as the first source of information about the three health programmes. For example, radio was the first source of information about Family Planning (71.0% of the respondents). There was no significant relationship between adoption of (Family planning, Immunization and Roll Back Malaria) and the first source of information about these public health programmes. It was recommended that stakeholders in the development of rural public health programmes should take advantage of radio as a means of health information dissemination and ensure it is strengthened for sustained use.Keywords: Health-information, rural household, immunization, malaria, family planning, radio, and public health


2006 ◽  
Vol 15 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Eugene S. Paykel

AbstractThe aim of this Editorial is to discuss depression as an important disorder for public health. The literature regarding epidemiology, consequences, adequacy of service delivery and prevention of depression is reviewed. Depression is a common disorder with high lifetime rates, particularly in women, and those experiencing social adversity. It is a major cause of disability, and causes death both by suicide and due to raised rates of physical disorders. Many cases are undiagnosed and treatment is often inadequate. Primary prevention is not yet easily feasible but secondary prevention by earlier recognition, public and professional education, can produce benefits. There is a need for public health programmes aimed at improving recognition, treatment, and reducing consequences.


BMJ ◽  
2009 ◽  
Vol 339 (jul13 2) ◽  
pp. b2819-b2819
Author(s):  
R. Watson

2020 ◽  
Vol 40 (3) ◽  
pp. 225-236 ◽  
Author(s):  
Elaine de Gruyter ◽  
Dennis Petrie ◽  
Nicole Black ◽  
Philip Gharghori

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