scholarly journals Family Planning Providers and Contraceptive users in Rwanda Employ Strategies to Prevent Discontinuation

2021 ◽  
Author(s):  
Hilary Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Planning Program ◽  
Group Discussions ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation ◽  
Desired Family Size ◽  
Long Acting ◽  
The Right

Abstract Background: Contraceptive discontinuation is a common event. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users is imperative for long-term family planning program success.Methods: This qualitative study in Rwanda in 2018 included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with contraceptive users. The data were collected in the two districts with the highest and lowest rates of contraceptive use, Musanze and Nyamasheke, respectively. The aim of this study is to better understand how providers and contraceptive users in Rwanda navigate one of the greatest challenges to family planning programs: contraceptive discontinuation.Results: Family planning providers and current users in Rwanda do not consider method discontinuation an option. Providers give support and medicine for side effects for continuers and counseling for those opting to switch. Current users are willing to try many methods until they find the right one for them – and once they find the right method, they plan to, or use the method, for long durations.Conclusions: The Rwandan family planning program is primed to meet the needs of users in their sustained use of contraceptives through empathetic and responsive counseling. Concurrently, family planning users are determined to use family planning to meet their desired family size goals. The matching goals of both providers and clients indicates that contraceptive use will likely continue to increase in Rwanda. Due to long periods of pregnancy prevention desired by users the increased use of long acting methods should be encouraged.

scholarly journals “Due to the side effects she has when using the method it will be difficult for nurses to convince her to continue with that method. That’s why I said she will leave with another method.”: Family planning providers and contraceptive users in Rwanda do not consider discontinuation an option

2019 ◽  
Author(s):  
Hilary M. Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Planning Program ◽  
Program Success ◽  
Contraceptive Discontinuation ◽  
Desired Family Size ◽  
Long Acting ◽  
The Right

Abstract Background Contraceptive discontinuation is a common event. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users is imperative for long-term family planning program success. Methods This qualitative study in Rwanda in 2018 included eight focus group discussions with family planning providers and 32 in-depth interviews with contraceptive users. The data were collected in the two districts with the highest and lowest rates of contraceptive use, Musanze and Nyamasheke, respectively. The aim of this study is to better understand contraceptive use dynamics in Rwanda. Results Family planning providers and current users in Rwanda do not consider method discontinuation an option. Providers give support and medicine for side effects for continuers and counseling for those opting to switch. Current users are willing to try many methods until they find the right one for them – and once they find the right method, they plan to, or use the method, for long durations. Conclusions The Rwandan family planning program is primed to meet the needs of users in their sustained use of contraceptives through empathetic and responsive counseling. Concurrently, family planning users are determined to use family planning to meet their desired family size goals. The matching goals of both providers and clients indicates that contraceptive use will likely continue to increase in the future in Rwanda; however, due to long periods of pregnancy prevention desired – increased use of long acting methods should be encouraged.

scholarly journals Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilary Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
First Year ◽  
Modern Contraceptive ◽  
Group Discussions ◽  
Program Success ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background In Rwanda, nearly a third of contraceptive users discontinue within the first year of use. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users and minimizing discontinuation is imperative for long-term family planning program success. This study explores the efforts providers and contraceptive users in Rwanda employ to prevent one of the greatest challenges to family planning programs: contraceptive discontinuation. Methods This was a qualitative study conducted in Rwanda between February and July 2018. It included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with experienced modern contraceptive users. Data were collected in two districts with the highest (Musanze) and lowest (Nyamasheke) rates of contraceptive use. Data were analyzed using thematic content approach. Results Family planning providers in this study used the following strategies to prevent discontinuation: counseling new users on the potential for side effects and switching, reminding clients about appointments for resupply, as well as supporting dissatisfied users by providing counseling, medicine for side effects, and discussing options for switching methods. Users, on the other hand, employed the following strategies to prevent discontinuation: having an understanding that experiences of side effects vary by individuals, supporting peers to sustain use, persisting with use despite experiences of side effects, and switching methods. Conclusions The strategies used by family planning providers and users in Rwanda to prevent discontinuation suggest the possibility of long-term sustained use of contraception in the country. Harnessing and supporting such strategies could contribute to sustaining or improving further contraceptive use in the country.

scholarly journals Implementation of Program to Increase Men's Participation in the Use of Vasectomy Contraception

2020 ◽  
Vol 10 (1) ◽  
pp. 92-101
Author(s):  
Ilham Syahputra ◽  
Hidayat Hidayat ◽  
Ratih Baiduri
Keyword(s):  
Family Planning ◽  
Child Protection ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Population Control ◽  
Sampling Technique ◽  
Planning Program ◽  
Family Planning Programs ◽  
The Government ◽  
And Function

This study aims to find out how to implement a program to increase the use of vasectomy contraception, to identify the implementation of vasectomy contraceptive services and to know the role and function of stakeholders in the implementation of vasectomy contraceptive use policies. This research was conducted through a qualitative research with a descriptive approach conducted in Tanjung Morawa Sub-District, Deli Serdang Regency. The research informants were determined by purposive sampling technique by involving the Department of Family Planning program manager in Deli Serdang District, family planning counselors, family planning cadres and acceptors (users) of vasectomy contraception. Research data collection were done through interviews, observation and documentation studies. The results indicates that the management of family planning programs was based on the mandate of Law No. 52/2009 where the government through the National Population and Family Planning Agency (BKKBN) carries out the function of controlling population and organizing family planning (KB) programs. In managing the vasectomy family planning program in Tanjung Morawa Sub-district, Deli Serdang Regency, there were several parties that have an important role in disseminating information and facilitating vasectomy services such as the Population Control Office, Family Planning and Women's Empowerment, Deli Serdang Regency Child Protection, Family Planning Extension, Family Planning Motivators and Family Planning Cadres. Strategy of vasectomy service for free, mobile services as well as the provision of incentives for vasectomy acceptors were able to attract men’s interest  to be involved in family planning programs as users of vasectomy contraception.

scholarly journals A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Susan Ontiri ◽  
Lilian Mutea ◽  
Violet Naanyu ◽  
Mark Kabue ◽  
Regien Biesma ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Peer Influence ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Modern Contraceptive ◽  
Modern Contraception ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background Addressing the unmet need for modern contraception underpins the goal of all family planning and contraception programs. Contraceptive discontinuation among those in need of a method hinders the attainment of the fertility desires of women, which may result in unintended pregnancies. This paper presents experiences of contraceptive use, reasons for discontinuation, and future intentions to use modern contraceptives. Methods Qualitative data were collected in two rural counties in Kenya in 2019 from women with unmet need for contraception who were former modern contraceptive users. Additional data was collected from male partners of some of the women interviewed. In-depth interviews and focus group discussions explored previous experience with contraceptive use, reasons for discontinuation, and future intentionality to use. Following data collection, digitally recorded data were transcribed verbatim, translated, and coded using thematic analysis through an inductive approach. Results Use of modern contraception to prevent pregnancy and plan for family size was a strong motivator for uptake of contraceptives. The contraceptive methods used were mainly sourced from public health facilities though adolescents got them from the private sector. Reasons for discontinued use included side effects, method failure, peer influence, gender-based violence due to covert use of contraceptives, and failure within the health system. Five reasons were provided for those not willing to use in the future: fear of side effects, cost of contraceptive services, family conflicts over the use of modern contraceptives, reduced need, and a shift to traditional methods. Conclusion This study expands the literature by examining reasons for contraceptive discontinuation and future intentionality to use among women in need of contraception. The results underscore the need for family planning interventions that incorporate quality of care in service provision to address contraceptive discontinuation. Engaging men and other social influencers in family planning programs and services will help garner support for contraception, rather than focusing exclusively on women. The results of this study can inform implementation of family planning programs in Kenya and beyond to ensure they address the concerns of former modern contraception users.

Indian Subcontinent

1973 ◽  
Vol 3 (4) ◽  
pp. 769-771
Author(s):  
Carl E. Taylor
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Population Policy ◽  
Indian Subcontinent ◽  
Population Pressure ◽  
Planning Program ◽  
Indian States ◽  
Family Planning Programs ◽  
National Family ◽  
National Family Planning

The countries of the Indian subcontinent provide some of the world's most evident case studies of the deleterious effects of population pressure. They also have undertaken some of the world's most massive family planning programs. India was the first country to declare a national population policy and to mount a nationwide family planning program. Pakistan and present day Bangladesh had a prolonged period during which the national family planning program had a separate organization with extremely high priority and official support. Continuing famines and two major wars in 25 years have contributed to high mortality. Nonetheless, population growth in these countries continues its inexorable upward curve. On the other hand, these programs must also be credited with some real successes and the birth rates in several Indian states are falling.

scholarly journals SEJARAH PELAKSANAAN PROGRAM KB DI KECAMATAN TINANGGEA KABUPATEN KONAWE SELATAN 2004-2016

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Agastya Azwar Azwar Arimbawa AT ◽  
La Batia
Keyword(s):  
Family Planning ◽  
Local Community ◽  
Family Income ◽  
Family Planning Program ◽  
Research Literature ◽  
Planning Program ◽  
Contraceptive Devices ◽  
Family Planning Programs ◽  
The Family ◽  
Local Residents

ABSTRAK: Fokus masalah yang dikaji dalam penelitian ini adalah: 1) Bagaimana latar belakang pelaksanaan program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan? 2) Bagaimana proses perkembangan pelaksanaan program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan 2004-2016? 3) Faktor-faktor yang mendukung pelaksanaan program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan? 4) Faktor-faktor yang menghambat program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan? Metode yang digunakan dalam penelitian ini adalah metode sejarah dengan tahapan-tahapan sebagai berikut: Heuristik (pengumpulan sumber), Kritik sumber (eksternal dan internal), Historiografi (penulisan sejarah) yang terdiri yakni 1) penafsiran (interprestasi), 2) penjelasan (eksplanasi), 3) penyajian (ekspose). Dalam kajian pustaka penelitian ini teori sejarah, konsep kebijakan pemerintahan, konsep pelaksanaan kebijakan publik, konsep program KB. Hasil penelitian ini menunjukan bahwa 1) Pelaksanaan program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan dilatar belakangi oleh: a) Pada tahun 1980 program KB masuk di Kabupaten Konawe Selatan Kecamatan Tinanggea. Walaupun mendapat sedikit pertentangan dari masyarakat b) Pada tahun 1980-1990 program KB masih dalam pengenalan kepada masyarakat setempat tentang KB dan alat kontrasepsi. c) Hingga memasuki tahun 2000 program KB ini sudah memasuki era kemandirian hingga sampai sekarang karena program KB sudah dianggap menjadi kebutuhan warga setempat. 2) Perkembangan pelaksanaan program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan 2004-2016: a) Masuknya program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan banyak masyarakat yang tidak setuju dengan program KB. b) Para PLKB/PKB berusaha meyakinkan warga sekitar dengan cara sosialisasi door to door tentang program KB. c) Hingga tahun 2004-2016 peningkatan terjadi karena masyarakat sudah mengetahui manfaat dari program KB. dari era kemandirian ini sesuai peraturan Pemerintah alat-alat kontrasepsi yang secara gratis hanya disediakan untuk warga prasejahtra di tandai dengan tanda Lingkaran Biru (LIBI), sedangkan warga yang non prasejahtra alat-alat kontrasepsi ini harus di perjual belikan dengan adanya tanda Lingkaran Mas (LIMAS). 3) Faktor-faktor yang mendukung pelaksanaan program KB di Kecamatan Tinanggea Kabupaten Konawe Selatan: a) Kelancaran komunikasi kepada warga setempat. b) Sumber daya. c) Disposisi/sikap pelaksana. d) Struktur Biroksasi. 4) Faktor faktor yang menghambat pelaksanaan program KB di Kecamatan Tinanggea: a) Sosial-Budaya. b) Pengetahuan c) Sikap d) Pendapatan Keluarga e) Efek Samping Penggunaan alat kontrasepsi. Kata Kunci: Sejarah, Pelaksanaan, KB  ABSTRACT: The focus of the problems examined in this study are: 1) What is the background of the implementation of the family planning program in Tinanggea District, Konawe Selatan Regency? 2) What is the process of developing the implementation of family planning programs in Tinanggea Subdistrict, Konawe Selatan District 2004-2016? 3) What factors support the implementation of family planning programs in Tinanggea Subdistrict, Konawe Selatan District? 4) What factors hinder the family planning program in Tinanggea Subdistrict, Konawe Selatan District? The method used in this research is the historical method with the following stages: Heuristic (gathering of sources), Criticism of sources (external and internal), Historiography (history writing) consisting of 1) interpretation (interpretation), 2) explanation (explanation) ), 3) presentation. In this research literature review historical theory, the concept of government policy, the concept of implementing public policy, the concept of family planning programs. The results of this study indicate that 1) The implementation of family planning programs in Tinanggea Subdistrict, Konawe Selatan District is motivated by: a) In 1980, the KB program was entered in Konawe Selatan District Tinanggea Subdistrict. Although there was little opposition from the community b) In 1980-1990 the family planning program was still in the introduction to the local community about family planning and contraception. c) Until entering the year 2000 the family planning program has entered the era of independence until now because the family planning program has been considered to be the needs of local residents. 2) Development of the implementation of family planning programs in Tinanggea Subdistrict, Konawe Selatan District 2004-2016: a) The inclusion of family planning programs in Tinanggea Subdistrict, Konawe Selatan District many people disagreed with the family planning program. b) PLKB / PKB tries to convince local residents by way of door-to-door socialization about family planning programs. c) Until 2004-2016 the increase occurred because the community already knew the benefits of the family planning program. from this era of independence in accordance with Government regulations contraception which is free only provided for prehistoric citizens marked with the Blue Circle (LIBI), while residents who are non-prehistoric contraceptive devices must be sold with the presence of the Circle of Mas (LIMAS) ). 3) Factors that support the implementation of family planning programs in Tinanggea District, Konawe Selatan District: a) Smooth communication with local residents. b) Resources. c) Disposition / attitude of implementers. d) Bureau structure. 4) Factors that hinder the implementation of family planning programs in Tinanggea District: a) Socio-Culture. b) Knowledge c) Attitudes d) Family Income e) Side Effects of the use of contraceptives. Keywords: History, Implementation, KB

scholarly journals Partisipasi laki-laki dalam program Keluarga Berencana di era masyarakat postmodern

2017 ◽  
Vol 30 (3) ◽  
pp. 290
Author(s):  
Sutinah Sutinah
Keyword(s):  
Family Planning ◽  
Rural Communities ◽  
Family Planning Program ◽  
Social Constraints ◽  
Planning Program ◽  
Structured Interviews ◽  
Media Campaigns ◽  
Family Planning Programs ◽  
The Family ◽  
City District

This study is motivated by the low number of men who become KB acceptor, although family planning programs have been promoted in Indonesia since the 1970s. Therefore, this study aims to examine: (1) men’s participation in the implementation of Family Planning Program in East Java Province; (2) obstacles that impede the participation of men in the implementation of the Family Planning Program; And (3) Strategies that need to be developed to increase men’s participation in the implementation of family planning programs in the postmodern society. This study was conducted in Surabaya which was choosen for representing the urban and Madiun for representing the character of rural communities. Samples was choosen in each city/district consists of 75 people or a total of 150 men. Data was collected through structured interviews with 15 informants are underwent indepth interview. This study found that (1) male participation in family planning in particular the use of vasectomy methods is still very low in both Surabaya and Madiun, most EFAs place family planning programs as women’s responsibilities; (2) obstacles that impede the participation of men in family planning are psychological constraints such as concern in decreasement in masculinity, impotence, social constraints; and the constraints that come from the wife such as possibility of wife’s affair; and (3) strategies for increasing men’s participation in family planning include more intensive socialization, and mass media campaigns, which feature popular ad stars, so the participation of men in the Family Planning Program is no longer considered something which is taboo or embarrassing.

Implementation of the family planning programs in villages: Needs, prospects and possible solutions

Stanovnistvo ◽  
1999 ◽  
Vol 37 (1-4) ◽  
pp. 163-184
Author(s):  
Mirjana Rasevic
Keyword(s):  
Family Planning ◽  
Rural Population ◽  
Family Planning Program ◽  
Point Of View ◽  
High Fertility ◽  
Planning Program ◽  
Family Planning Programs ◽  
The Family ◽  
Research Findings ◽  
The Government

This paper is made up of three parts. The first part provides an analysis of the family planning program adopted by the Government of Serbia in early 1998. In addition to the targets, measures and the institutional basis of the activities envisaged by the program, attention is also given to the evaluation of the document itself. It is highlighted that formulation of the elements of the family planning program and their adoption constitute only the first step and that the success of the program shall largely depend on the manner of its operationalization, and particularly, on the implementation of the proposed measures and activities. In the first part of the paper, the author also asserts that the document adopted neither included the points of particular interest nor the specific conditions for implementing the program-related activities in the context of rural population. Hence, the second and the third parts discuss the research findings regarding rural population of Serbia and the pragmatic experience acquired by other countries in carrying out similar activities. The information gathered in the 1990s by means of questionnaires conducted in low and high-fertility regions was analyzed to highlight the need for implementing the program in rural population and to assess the prospects of the program-related efforts pertaining to a change in reproductive behavior. The summary experience gained in implementing family planning programs in other countries, and concretization of different elements of the activities undertaken was observed from the point of view of the need to operationalize family planning programs in Serbia.

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