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 ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Community Participation ◽  
Service Provision ◽  
Large Scale ◽  
Healthcare Providers ◽  
Community Members ◽  
Provider Perspectives ◽  
Public Health Programmes ◽  
Health Programmes

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.

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 ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Community Participation ◽  
Service Provision ◽  
Large Scale ◽  
Healthcare Providers ◽  
Community Members ◽  
Provider Perspectives ◽  
Public Health Programmes ◽  
Health Programmes

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.

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 ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Community Participation ◽  
Service Provision ◽  
Healthcare Providers ◽  
Health Provider ◽  
Community Members ◽  
Provider Perspectives ◽  
Public Health Programmes ◽  
Health Programmes

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

scholarly journals Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: protocol for a quasi-experimental mixed-methods evaluation

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025774 ◽  
Author(s):  
Sneha Nimmagadda ◽  
Lakshmi Gopalakrishnan ◽  
Rasmi Avula ◽  
Diva Dhar ◽  
Nadia Diamond-Smith ◽  
...  
Keyword(s):  
Public Health ◽  
Service Delivery ◽  
Pregnant Women ◽  
Large Scale ◽  
Health Workers ◽  
Matched Pair ◽  
Mhealth Intervention ◽  
Health And Nutrition ◽  
Public Health Programmes ◽  
Health Programmes

IntroductionMillions of children in India still suffer from poor health and under-nutrition, despite substantial improvement over decades of public health programmes. The Anganwadi centres under the Integrated Child Development Scheme (ICDS) provide a range of health and nutrition services to pregnant women, children <6 years and their mothers. However, major gaps exist in ICDS service delivery. The government is currently strengthening ICDS through an mHealth intervention called Common Application Software (ICDS-CAS) installed on smart phones, with accompanying multilevel data dashboards. This system is intended to be a job aid for frontline workers, supervisors and managers, aims to ensure better service delivery and supervision, and enable real-time monitoring and data-based decision-making. However, there is little to no evidence on the effectiveness of such large-scale mHealth interventions integrated with public health programmes in resource-constrained settings on the service delivery and subsequent health and nutrition outcomes.Methods and analysisThis study uses a village-matched controlled design with repeated cross-sectional surveys to evaluate whether ICDS-CAS can enable more timely and appropriate services to pregnant women, children <12 months and their mothers, compared with the standard ICDS programme. The study will recruit approximately 1500 Anganwadi workers and 6000+ mother-child dyads from 400+ matched-pair villages in Bihar and Madhya Pradesh. The primary outcomes are the proportion of beneficiaries receiving (a) adequate number of home visits and (b) appropriate level of counselling by the Anganwadi workers. Secondary outcomes are related to improvements in other ICDS services, and knowledge and practices of the Anganwadi workers and beneficiaries.Ethics and disseminationEthical oversight is provided by the Committee for the Protection of Human Subjects at the University of California at Berkeley, and the Suraksha Independent Ethics Committee in India. The results will be published in peer-reviewed journals and analysis data will be made public.Trial registration numberISRCTN83902145

Analysis of health information sources available to rural farming households in Ondo state, Nigeria.

2015 ◽  
Vol 11 (2) ◽  
pp. 68-79
Author(s):  
OO Odefadehan ◽  
AB Ale ◽  
AB Ale ◽  
OO Odefadehan ◽  
OO Odefadehan
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Health Information ◽  
Information Sources ◽  
Roll Back Malaria ◽  
Ondo State ◽  
Health Information Sources ◽  
Source Of Information ◽  
Public Health Programmes ◽  
Health Programmes

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

scholarly journals Depression: major problem for public health

2006 ◽  
Vol 15 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Eugene S. Paykel
Keyword(s):  
Public Health ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Service Delivery ◽  
Professional Education ◽  
Common Disorder ◽  
Social Adversity ◽  
Physical Disorders ◽  
Public Health Programmes ◽  
Health Programmes

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.

European auditors question the value of EU funded public health programmes

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

scholarly journals Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Adam Silumbwe ◽  
Theresa Nkole ◽  
Margarate N. Munakampe ◽  
Joanna Paula Cordero ◽  
Cecilia Milford ◽  
...  
Keyword(s):  
Family Planning ◽  
Community Participation ◽  
Health Provider ◽  
Provider Perspectives ◽  
Contraceptive Services
Sign in / Sign up

Export Citation Format

Share Document