Seminar-Workshop on the Role of FPA Clinics in Relation to Community-Based Family Planning Services.

1976 ◽  
Vol 7 (12) ◽  
pp. 358
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lucy Nyundo ◽  
Maxine Whittaker ◽  
Lynne Eagle ◽  
David R. Low

Abstract Background The significant contribution of community-based distribution (CBD) of family planning services and contraceptives to the uptake of contraceptives in hard-to-reach communities has resulted in the scaling-up of this approach in many Sub-Saharan countries. However, contextual factors need to be taken into consideration. For example, social network influence (e.g. spouse/partner, in-laws, and parents) on fertility decisions in many African and Asian societies is inevitable because of the social organisational structures. Hence the need to adapt CBD strategies to the social network context of a given society. Methods Data collection involved structured interviews from August 2018 to March 2019. Randomly selected respondents (n = 149) were recruited from four purposively selected health facilities in Lusaka district, Zambia. Respondents were screened for age (> 15 yrs.) and marital status. A mix of categorical and qualitative data was generated. The Statistical Package for Social Sciences (SPSS®24) was used to carry out descriptive analysis and tests of association (Fisher’s exact) while Nvivo®12 was used to analyse the qualitative data using a deductive thematic approach. Results The results indicate that pre-marriage counselling (pre-MC) influences key elements of the husband-wife relationship (p > 0.005), namely; sexual relationship, inter-personal communication, assignation of roles and responsibilities, leadership and authority. These elements of the husband-wife relationship also affect how spouses/partners interact when making fertility decisions. More importantly, the majority (86%) of the respondents indicated having a continuing relationship with their marriage counsellors because of the need to consult them on marital issues. Conclusion Marriage counsellors, though hardly reported in fertility studies, are important ‘constituents’ of the social network in the Zambian society. This is because marriage counsellors are trusted sources of information about marital issues and often consulted about family planning but perceived not to have the correct information about modern contraceptives. In this context, pre-MC offers a readily available, sustainable and culturally appropriate platform for disseminating accurate information about modern contraceptives provided in a private and personal manner. Therefore, the CBD strategy in Zambia can harness marriage counsellors by recruiting and training them as community agents.


1987 ◽  
Vol 81 (sup1) ◽  
pp. 135-143 ◽  
Author(s):  
Dan C. O. Kaseje ◽  
Esther K. N. Sempebwa ◽  
Harrison C. Spencer

1997 ◽  
Vol 29 (2) ◽  
pp. 219-233 ◽  
Author(s):  
M. BARBERIS ◽  
P. D. HARVEY

The cost effectiveness of several modes of family planning service delivery based on the cost per couple-year of protection (CYP), including commodity costs, is assessed for 1991–92 using programme and project data from fourteen developing countries (five in Africa, four in Asia, three in Latin America and two in the Middle East). More than 100 million CYP were provided through these family planning services during the 12 months studied. Sterilisation services provided both the highest volume (over 60% of total) and the lowest cost per CYP ($1.85). Social marketing programmes (CSM), delivering almost 9 million CYPs, had the next lowest cost per CYP on average ($2.14). Clinic-based services excluding sterilisation had an average cost of $6.10. The highest costs were for community-based distribution projects (0·7 million CYPs), which averaged $9.93, and clinic-based services with a community-based distribution component (almost 6 million CYPs), at a cost of $14.00 per CYP. Based on a weighted average, costs were lowest in the Middle East ($3.37 per CYP for all modes of delivery combined) and highest in Africa ($11.20).


1996 ◽  
Vol 27 (4) ◽  
pp. 204 ◽  
Author(s):  
James F. Phillips ◽  
Mian Bazle Hossain ◽  
Mary Arends-Kuenning

1987 ◽  
Vol 8 (3) ◽  
pp. 223-247 ◽  
Author(s):  
Miriam H. Labbok ◽  
Robert J. Chassell

Graphically presented algorithms are presently used in many settings worldwide for the diagnosis, management, and teaching of curative health services. There is potential as well for using such algorithms for teaching and counseling in the preventive services, especially in family planning services. The employment of paramedical or lesser trained workers in family planning or management requires careful attention to skill development in all phases of training. The use of graphically presented algorithms may simplify this process of skill development. In addition, the algorithms provide guidelines for use in the field by those providing family planning services, and for program management and supervision. Examples of algorithms used in paramedical services are presented. The development of two algorithms are discussed in detail, 1) an algorithm for introduction of contraceptives during lactation, and 2) an algorithm for supervision of data collection.


2021 ◽  
Vol 9 (G) ◽  
pp. 8-13
Author(s):  
Sumiaty Sumiaty ◽  
Muhammad Nur Ali ◽  
Hasan Muhamad ◽  
Fahmi Hafid

Background: Stunting is caused by multi-dimensional factors and the most decisive intervention should be carried out in the first 1,000 days of life. Poor parenting practices, lack of knowledge about health and nutrition before and during pregnancy are some of the contributing factors and 60% of children aged 0-6 months do not receive exclusive breastfeeding. Aim: To assess the role of midwives and the Indonesian Midwives Association Professional Organization in reducing the risk of stunting in Indonesia.   Method: This type of descriptive research uses an exploratory study approach by assessing the role of midwives and the professional organization of the Indonesian Midwives Association (IBI) in reducing the risk of stunting in Central Sulawesi. The data of 288 midwives were collected using google form from 22 July 2020 to 22 August 2020. Data were analyzed by SPSS. Result: In general, midwives have provided maternal and child health books to pregnant women, recorded complete maternal and child health records, conducted antenatal care for pregnant women, provided nutritional food counseling for pregnant women, gave Fe 90 tablets to pregnant women, provided calcium tablets to pregnant women, conducting classes for pregnant women, delaying umbilical cord cutting (>30 minutes), providing vitamin A to postpartum mothers, conducting exclusive breastfeeding counseling, providing family planning services, providing IYCF counseling. However, for the activities of Implementing a special stunting prevention program, implementing postnatal care and initiating early breastfeeding still need improvement. Conclusion: The role of midwives in efforts to prevent stunting in Indonesia with midwives have provided maternal and child health books to pregnant women. Delaying umbilical cord cutting to 30 minutes, giving vitamin A to postpartum mothers, breastfeeding counseling, providing family planning services, providing IYCF counseling


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