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 “…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 “…the availability of contraceptives is everywhere.”: Coordinated and Integrated Family Planning Service Delivery in Rwanda

2020 ◽  
Author(s):  
Adriana Scanteianu ◽  
Hilary M. Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
...  
Keyword(s):  
Family Planning ◽  
Service Delivery ◽  
Contraceptive Use ◽  
Health Workers ◽  
Family Planning Service ◽  
Local Level ◽  
Child Health Services ◽  
Planning Service ◽  
Group Discussions ◽  
Potential Applications

Abstract BackgroundContraceptive use in Rwanda tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this increase in contraceptive use 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 rapid increase in Rwanda’s contraceptive use and has potential applications for enhancing family planning service delivery in other settings.

scholarly journals “…the availability of contraceptives is everywhere.”: Coordinated and Integrated Family Planning Service Delivery in Rwanda

2021 ◽  
Author(s):  
Adriana Scanteianu ◽  
Hilary M. Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
...  
Keyword(s):  
Family Planning ◽  
Service Delivery ◽  
Contraceptive Use ◽  
Health Workers ◽  
Family Planning Service ◽  
Local Level ◽  
Child Health Services ◽  
Planning Service ◽  
Group Discussions ◽  
Potential Applications

Abstract Background Contraceptive use in Rwanda tripled since 2005. This study aims to understand the role of coordinated and integrated family planning service delivery in achieving this increase in contraceptive use 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 rapid increase in Rwanda’s contraceptive use and has potential applications for enhancing family planning service delivery in other settings.

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.

Assessing Family Planning Service-delivery Skills in Kenya

1997 ◽  
Vol 28 (2) ◽  
pp. 143 ◽  
Author(s):  
Joseph J. Valadez ◽  
Rikka Transgrud ◽  
Margaret Mbugua ◽  
Tamara Smith
Keyword(s):  
Family Planning ◽  
Service Delivery ◽  
Family Planning Service ◽  
Planning Service

scholarly journals Closing the gap: the potential of Christian Health Associations in expanding access to family planning

2017 ◽  
Vol 4 (2) ◽  
pp. 53-65 ◽  
Author(s):  
Lauren VanEnk ◽  
Ronald Kasyaba ◽  
Prince Bosco Kanani ◽  
Tonny Tumwesigye ◽  
Jeannette Cachan
Keyword(s):  
Family Planning ◽  
Service Delivery ◽  
Systems Approach ◽  
Family Planning Service ◽  
Planning Service ◽  
Community Based ◽  
Fertility Awareness ◽  
Faith Based ◽  
National Family ◽  
National Family Planning

Recognizing the health impact of timing and spacing of pregnancies, the Sustainable Development Goals call for increased access to family planning globally. While faith-based organizations in Africa provide a significant proportion of health services, family planning service delivery has been limited. This evaluation sought to assess the effectiveness of implementing a systems approach in strengthening the capacity of Christian Health Associations to provide family planning and increase uptake in their communities. From January 2014 to September 2015, the capacity of three Christian Health Associations in East Africa—Caritas Rwanda, Uganda Catholic Medical Bureau, and Uganda Protestant Medical Bureau—was strengthened in key components of a systems approach to family planning—training, supervision, commodity availability, family planning promotion, data collection, and creating a supportive environment—with the aim of improving access to women with unmet need and harmonizing faith-based service delivery contributions with the national family planning program. Community-based provision of family planning, including fertility awareness methods, was introduced across intervention sites for the first time.  547 facility- and community-based providers were trained in family planning, and 393,964 people were reached with family planning information. 32,176 clients took up a method, and 43% of clients received this service at the community level.  According to a provider competency checklist, facility- and community-based providers were able to adequately counsel clients on new fertility awareness methods. Integration of Christian Health Associations into the national family planning strategy improved through participation in routine technical working group meetings, and the Ministries of Health in Rwanda and Uganda recognized them as credible family planning partners. Findings suggest that by strengthening capacity using a systems approach, Christian Health Associations can meaningfully contribute to national and international family planning goals. Increased attention to mainstreaming family planning service delivery across Christian Health Associations is recommended.

Sign in / Sign up

Export Citation Format

Share Document