Transferring Health and Family Planning Service Innovations to the Public Sector: An Experiment in Organization Development in Bangladesh

1984 ◽  
Vol 15 (2) ◽  
pp. 62 ◽  
Author(s):  
James F. Phillips ◽  
Ruth Simmons ◽  
George B. Simmons ◽  
Md. Yunus
Keyword(s):  
Family Planning ◽  
Public Sector ◽  
Organization Development ◽  
Family Planning Service ◽  
Planning Service ◽  
The Public

scholarly journals Evaluating the Feasibility of the Community Score Card and Subsequent Contraceptive Behavior in Kisumu, Kenya

2021 ◽  
Author(s):  
Dickens Onyango ◽  
Katherine Tumlinson ◽  
Stephanie Chung ◽  
Brooke Bullington ◽  
Catherine Gakii ◽  
...  
Keyword(s):  
Family Planning ◽  
Public Sector ◽  
Service Provision ◽  
Family Planning Service ◽  
Social Accountability ◽  
Planning Service ◽  
Family Planning Services ◽  
Convenience Sample ◽  
Score Card ◽  
The Impact

Abstract Background: Women seeking family planning services from public-sector facilities in low- and middle-income countries sometimes face provider-imposed barriers to care. Social accountability is an approach that could address provider-imposed barriers by empowering communities to hold their service providers to account for service quality. Yet little is known about the feasibility and potential impact of such efforts in the context of contraceptive care. We piloted a social accountability intervention - the Community Score Card (CSC) - in three public healthcare facilities in western Kenya and use a mix of quantitative and qualitative methodologies to describe the feasibility and impact on family planning service provision. Methods: We implemented and evaluated the CSC in a convenience sample of three public-sector facility-community dyads in Kisumu County, Kenya. Within each dyad, communities met to identify and prioritize needs, develop corresponding indicators, and used a score card to rate the quality of family planning service provision and monitor improvement. To ensure young, unmarried people had a voice in identifying the unique challenges they face, youth working groups (YWG) led all CSC activities. The feasibility and impact of CSC activities were evaluated using mystery client visits, unannounced visits, focus group discussions with YWG members and providers, repeated assessment of score card indicators, and service delivery statistics. Results: The involvement of community health volunteers and supportive community members – as well as the willingness of some providers to consider changes to their own behaviors - were key score card facilitators. Conversely, community bias against family planning was a barrier to wider participation in score card activities and the intractability of some provider behaviors led to only small shifts in quality improvement. Service statistics did not reveal an increase in the percent of women receiving family planning services. Conclusion: Successful and impactful implementation of the CSC in the Kenyan context requires intensive community and provider sensitization, and pandemic conditions may have muted the impact on contraceptive uptake in this small pilot effort. Further investigation is needed to understand whether the CSC – or other social accountability efforts – can result in improved contraceptive access.

scholarly journals The Validity of Women's Reports of Family Planning Service Quality in Cambodia and Kenya

2021 ◽  
Author(s):  
Ann K. Blanc ◽  
Katharine J. McCarthy ◽  
Charlotte Warren ◽  
Ashish Bajracharya ◽  
Benjamin Bellows
Keyword(s):  
Family Planning ◽  
Service Quality ◽  
Family Planning Service ◽  
Planning Service

scholarly journals Men’s involvement in family planning service utilization among married men in Kondala district, western Ethiopia: a community-based comparative cross-sectional study

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Lemessa Assefa ◽  
Zemenu Shasho ◽  
Habtamu Kebebe Kasaye ◽  
Edao Tesa ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Family Planning ◽  
Service Utilization ◽  
Family Planning Service ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Planning Service ◽  
Community Based ◽  
Cross Sectional ◽  
Western Ethiopia ◽  
Men’S Involvement

Abstract Background Men involvement is one of the important factors in family planning (FP) service utilization. Their limitation in the family planning program causes a decrease in service utilization as well as the discontinuation of the method which eventually leads to failure of the program. Family planning uptake is low but there is no enough study conducted on the parameters of husband involvement in Ethiopia. Hence, this study focused to assess men’s involvement in family planning service utilization in Kondala district, western Ethiopia. Methods Community based comparative cross-sectional study design was employed in urban and rural kebeles of kondala district using quantitative and qualitative data collection tools. The multi-stage sampling method was employed to select 370 participants from each of the four urban and eight rural kebeles. Logistic regression analysis was used to identify variables that affect husbands’ involvement in FP service utilization. Statistical significance was declared at p-value of < 0.05 with 95% confidence interval (CI) and strength of association was reported by odds ratio (OR). Results The study showed that 203(55.6%) men from urban and 178(48.8%) from rural were involved in FP service utilization. The median age of the respondents was 36+ 8.5 years (IQR: 27.5–44.5) in urban and 35 years (IQR: 25–45) in rural parts. Respondents who had four and above current children (AOR = 3.25, 95%CI = 1.51–7.02) in urban and (AOR = 4.20, 95%CI = 1.80–9.79) in rural were positively associated with men’s involvement in FP service utilization. In the urban setting, being government employee (AOR = 2.58, 95%CI = 1.25–5.33), wishing less than two children (AOR = 3.08, 95%CI = 1.80–5.24) and having a better attitude towards FP methods (AOR = 1.86, 95%CI = 1.16–2.99) were positively associated with FP service utilization. While good educational background (AOR = 2.13, 95%CI = 1.02–4.44), short distance from home to health facility (AOR = 2.29, 95%CI = 1.24–4.19) and having better knowledge (AOR = 4.49, 95%CI = 2.72–7.38) were positively associated with men involvement in FP service utilization in the rural area. Conclusion Low involvement of men in family planning service utilization was reported in both settings. Factors associated with husbands’ involvement were varied between the two setups, except for the current number of children. Future FP program should incorporate infrastructure associated with the health facility, knowledge, and attitudinal factors.

scholarly journals Structural Determinants in Family Planning Service Utilization in Ethiopia: EDHS 2011 Analysis

2015 ◽  
Vol 2015 ◽  
pp. 1-17 ◽  
Author(s):  
Jembere Gizachew Balew ◽  
Yongtae Cho ◽  
Clara Tammy Kim ◽  
Woorim Ko
Keyword(s):  
Family Planning ◽  
Family Planning Service ◽  
Behavioral Changes ◽  
Media Access ◽  
Planning Service ◽  
Structural Determinants ◽  
Fertility Reduction ◽  
The Individual ◽  
Cluster Level ◽  
Significant Factors

Family planning coverage has improved in Ethiopia in the last decade, though fertility is still about 5.8 in the rural setup. In this paper, the major structural determinants of family planning service were analyzed using a multilevel model from 8906 individual women observation in the 2011 EDHS data. The results show that there is a big variation in family planning use both at the individual and between group levels. More than 39% of the variation in FP use is explained by contextual cluster level differences. Most of the socioeconomic predictors; respondent’s education, ethnicity, and partners’ education as well as employment status and urbanization were found to be significant factors that affect FP use. Similarly health extension visit and media access were found to be strong factors that affect FP service at both individual and cluster levels. This evidence concludes that addressing these contextual factors is very crucial to strengthen FP use and fertility reduction in the nation, beyond individual behavioral changes.

scholarly journals PREVENTIVE MEDICINE DEPARTMENT;

2012 ◽  
Vol 19 (02) ◽  
pp. 162-167
Author(s):  
MUHAMMAD AYAZ BHATTI ◽  
MAHMOOD UR RAHMAN
Keyword(s):  
Family Planning ◽  
Public Sector ◽  
Sampling Technique ◽  
Poor Performance ◽  
Cross Sectional Study ◽  
Annual Reports ◽  
Current Status ◽  
Growth Monitoring ◽  
Cross Sectional ◽  
The Public

Objectives: To measure the current status of preventive activities in civil and military hospitals. To compare the quantum ofpreventive and curative activities in the hospitals. To make recommendations for promotion of preventive activities to reduce the curative burdenfrom the hospitals. Study Design: This was a cross-sectional study. Sampling Technique: Universal sampling. All the major military and publicsector hospitals having bed strength more than 400 in Rawalpindi were included in the study. All the preventive and curative work was taken intoaccount. Methodology: A structured questionnaire was developed and data regarding the quantum of work was collected from all the fourmajor Military and civil hospitals having bed strength more than 400 beds through registers and annual reports of the hospital and was analyzedin the form of frequencies, tabulation, cross tabulation, percentages and was displayed in tables and graphs using SPSS (10.5), Microsoft Exceland calculus. Results: Only seven percent work is preventive and ninety three percent is curative. In the preventive activity MH is marginallyhigher than the rest of the hospitals. In all the hospitals among the preventive activities 31% are antenatal visits, 20 % tetanus toxoid injection,19% BCG, Growth monitoring 13%, Measles injection 11% and family planning 6% in all the hospitals. Ante natal activities in the army sectorhospitals are more prominent 39-44% and also in the public sector 17-26%. Next to the antenatal are tetanus toxoids to pregnant ladies whichrange from 16-35% in military and 16-20 % in the public sector hospitals. Growth monitoring is more efficiently carried out in the RawalpindiGeneral Hospital i.e. 17% while in others 7-12%. Family Planning services are delivered very poorly only 9% in RGH and 6% in DHQ, zero % inCMH and 5% in MH. Measles vaccination is carried out efficiently in DHQ 27%, 11% in RGH and 8% in MH and again poorly 3% in CMH. BCG is27% in DHQ, 20% in MH, 17% in RGH and 10% in CMH. Conclusions: The study show that hospitals are showing very poor performance inpreventive aspect and this is the reason that countries like Pakistan are facing economic burden on the national exchequer and this burden willkeep on increasing if no appropriate action is taken.

Personal Psychologic Pecularities of Aborted Women

2001 ◽  
Vol 82 (3) ◽  
pp. 215-218
Author(s):  
A. N. Yusupova ◽  
O. N. Kamysheva
Keyword(s):  
Family Planning ◽  
Family Planning Service ◽  
Risk Group ◽  
Reproductive Function ◽  
Reproductive Behaviour ◽  
Significant Part ◽  
Planning Service ◽  
Psychic Reactions

It is established that the significant part of aborted women is susceptable to pronounced negative psychic reactions (personal alarm, psychotism, neurotism) which have stable nature. Women with such personal psychologic characteristics present a group of highW risk of abortion propagation, various disorders of reproductive function and reproductive behaviour. In women dispensaries and in family planning service institutions it is necessary to introduce the psychologic testing to reveal persons of this risk group and to perform the corresponding psychologic correction for prevention of undesirable pregnancy.

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