The Impact of a Regional Family Planning Service Promotion Initiative in Sub-Saharan Africa: Evidence from Cameroon

2001 ◽  
Vol 27 (4) ◽  
pp. 186 ◽  
Author(s):  
Stella Babalola ◽  
Claudia Vondrasek ◽  
Jane Brown ◽  
Regina Traore
Keyword(s):  
Family Planning ◽  
Family Planning Service ◽  
Sub Saharan Africa ◽  
Planning Service ◽  
Sub Saharan ◽  
The Impact

EFFECTS OF COUPLES' CHARACTERISTICS ON CONTRACEPTIVE USE IN SUB-SAHARAN AFRICA: THE GHANAIAN EXAMPLE

1997 ◽  
Vol 29 (1) ◽  
pp. 33-49 ◽  
Author(s):  
YAW OHENEBA-SAKYI ◽  
BAFFOUR K. TAKYI
Keyword(s):  
Family Planning ◽  
Health Survey ◽  
Contraceptive Use ◽  
Sub Saharan Africa ◽  
Men And Women ◽  
Socioeconomic Characteristics ◽  
Sub Saharan ◽  
Using Data ◽  
The Impact

Using data from the 1988 Ghana Demographic and Health Survey, this study examines couples' demographic and socioeconomic characteristics in the context of their attitudes towards family planning, and the impact of these factors on the use of contraceptives. The characteristics of the husbands and their influence on wives' behaviour illustrate the role of intra-household relations between men and women and their effect on fertility-related behaviour in patriarchal African societies.

scholarly journals Mapping the impact of the expanded Mexico City Policy for HIV/ family planning service integration in PEPFAR-supported countries: a risk index

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Jennifer Sherwood ◽  
Alana Sharp ◽  
Brian Honermann ◽  
Caitlin Horrigan ◽  
Meghna Chatterjee ◽  
...  
Keyword(s):  
Family Planning ◽  
Mexico City ◽  
Family Planning Service ◽  
Risk Index ◽  
Service Integration ◽  
Planning Service ◽  
City Policy ◽  
The Impact

The Potential for Social Marketing a Knowledge-Based Family Planning Method

2012 ◽  
Vol 18 (2) ◽  
pp. 152-166 ◽  
Author(s):  
Justine Kavle ◽  
Maxine Eber ◽  
Rebecka Lundgren
Keyword(s):  
Family Planning ◽  
Social Marketing ◽  
Contraceptive Use ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Developed Country ◽  
Health Related ◽  
Sub Saharan ◽  
Marketing Information ◽  
The Impact

Social marketing is a proven private sector strategy to provide health-related products, including contraceptives. Pharmacies offer affordable, convenient, and rapid delivery of over-the-counter contraceptives directly to the consumer, providing wider availability and accessibility to family planning (FP) in sub-Saharan Africa. Pilot projects tested the feasibility of including CycleBeads®, the visual tool that supports the use of the Standard Days Method®, into Population Services International (PSI) social marketing programs. The purpose of this article is to review evidence to provide guidance for social marketing CycleBeads in pharmacies in sub-Saharan Africa. Literature on contraceptive provision through pharmacies in comparison to clinics was summarized from developing and developed country contexts, highlighting salient and relevant lessons for the African context in regard to pharmacists’ knowledge and perceptions of FP, clients’ perceptions of pharmacists’ FP knowledge and FP service delivery in pharmacies, and the impact of pharmacy access on contraceptive use. Descriptive data from PSI social marketing initiatives in several African countries, and commercial marketing information were reviewed. Evidence from CycleBeads sales suggests that there is demand for the product and it is affordable in comparison to oral contraceptives. In addition, there were high levels of correct use by women who purchased CycleBeads in pharmacies, suggesting that CycleBeads are an appropriate product for social marketing. Until awareness of and demand for the method increases, social marketing of CycleBeads requires continued subsidy to maintain viability. Training to update pharmacists’ knowledge and increase capacity to provide basic information, positioning of the method, and low profit margins for pharmacies present challenges.

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.

Change and Continuity in Kassena Men's Perceptions of Family Planning in Northern Ghana

2018 ◽  
Vol 77 (2) ◽  
pp. 135-145 ◽  
Author(s):  
Lauren Wallace ◽  
Philip Baba Adongo
Keyword(s):  
Family Planning ◽  
Family Formation ◽  
Sub Saharan Africa ◽  
Northern Ghana ◽  
Family Planning Programs ◽  
Upper East Region ◽  
Intergenerational Change ◽  
Sub Saharan ◽  
Companionate Marriage ◽  
The Impact

Studies suggest that men's perceptions of family planning in sub-Saharan Africa would be improved if they were included more extensively in family planning programs. However, few studies capture how men's views change over time and what processes are responsible for these shifts. Examining the processes that underpin men's shifting family formation strategies is essential in order to understand the impact of family planning programs. This research, framed by a political economy of fertility approach that draws on life history data, highlights intergenerational change and continuity in men's perceptions of family planning in Kassena-Nankana West District of the Upper East Region of Ghana, where a family planning program involving men was implemented in the 1990s. Eight months of ethnographic fieldwork was conducted in rural village and clinic settings in 2013 and 2014. We find that men's sense of responsibility for the cost of schooling, against a changing economic backdrop, as well as shifts toward “companionate marriage” are among the most salient factors contributing to their growing approval of family planning. This study highlights the importance of paying attention to changes in the larger socioeconomic context that encourage men's acceptance of family planning. We argue that programs incorporating men should move beyond health education to consider broader social and economic drivers of attitudinal change.

scholarly journals Using family planning service statistics to inform model-based estimates of modern contraceptive prevalence

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258304
Author(s):  
Niamh Cahill ◽  
Emily Sonneveldt ◽  
Priya Emmart ◽  
Jessica Williamson ◽  
Robinson Mbu ◽  
...  
Keyword(s):  
Family Planning ◽  
Data Model ◽  
Measurement Errors ◽  
Family Planning Service ◽  
Modern Contraceptive ◽  
Planning Service ◽  
Percentage Points ◽  
Data Gaps ◽  
Contraceptive Prevalence ◽  
The Impact

The annual assessment of Family Planning (FP) indicators, such as the modern contraceptive prevalence rate (mCPR), is a key component of monitoring and evaluating goals of global FP programs and initiatives. To that end, the Family Planning Estimation Model (FPEM) was developed with the aim of producing survey-informed estimates and projections of mCPR and other key FP indictors over time. With large-scale surveys being carried out on average every 3–5 years, data gaps since the most recent survey often exceed one year. As a result, survey-based estimates for the current year from FPEM are often based on projections that carry a larger uncertainty than data informed estimates. In order to bridge recent data gaps we consider the use of a measure, termed Estimated Modern Use (EMU), which has been derived from routinely collected family planning service statistics. However, EMU data come with known limitations, namely measurement errors which result in biases and additional variation with respect to survey-based estimates of mCPR. Here we present a data model for the incorporation of EMU data into FPEM, which accounts for these limitations. Based on known biases, we assume that only changes in EMU can inform FPEM estimates, while also taking inherent variation into account. The addition of this EMU data model to FPEM allows us to provide a secondary data source for informing and reducing uncertainty in current estimates of mCPR. We present model validations using a survey-only model as a baseline comparison and we illustrate the impact of including the EMU data model in FPEM. Results show that the inclusion of EMU data can change point-estimates of mCPR by up to 6.7 percentage points compared to using surveys only. Observed reductions in uncertainty were modest, with the width of uncertainty intervals being reduced by up to 2.7 percentage points.

Conflicts in Biafra, Katanga and Cabinda as a result of the geopolitical legacy of colonialism

2020 ◽  
Vol 2020 (10-3) ◽  
pp. 238-246
Author(s):  
Olga Dzhenchakova
Keyword(s):  
Democratic Republic ◽  
Economic Factor ◽  
Colonial Period ◽  
Sub Saharan Africa ◽  
Negative Consequences ◽  
Post Colonial ◽  
Republic Of The Congo ◽  
Sub Saharan ◽  
The Republic ◽  
The Impact

The article considers the impact of the colonial past of some countries in sub-Saharan Africa and its effect on their development during the post-colonial period. The negative consequences of the geopolitical legacy of colonialism are shown on the example of three countries: Nigeria, the Democratic Republic of the Congo and the Republic of Angola, expressed in the emergence of conflicts in these countries based on ethno-cultural, religious and socio-economic contradictions. At the same time, the focus is made on the economic factor and the consequences of the consumer policy of the former metropolises pursuing their mercantile interests were mixed.

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