scholarly journals A client-centered approach to reproductive health: A trainer's manual

2005 ◽  
Author(s):  
Keyword(s):  
Quality Of Care ◽  
Reproductive Health ◽  
Health Services ◽  
Health Workers ◽  
Child Health Services ◽  
Training Manual ◽  
Reproductive Health Services ◽  
Community Based ◽  
Asking Questions

This training manual grew out of a project to improve the quality of care rendered by public-sector providers of reproductive health services. Implemented by the Population Council in collaboration with the Ministries of Population, Welfare, and Health, in Pakistan, the project extended beyond improving the quality of care provided by family planning workers and incorporated health workers who provided maternal and child health services. The success of all efforts made by the service delivery system in attracting and keeping clients depends upon the content and quality of interaction when the client comes in contact with the provider—whether the client is visiting a clinic or being visited by a community-based worker at home. To offer good quality of care, the provider should treat the client with dignity and respect, assess her reproductive health needs by asking questions rather than making assumptions based on her profile, and help her negotiate a solution appropriate to her circumstances. This training manual is oriented toward improving providers’ interpersonal skills. Emphasis is placed on the client and helping her meet her own needs rather than on meeting artificial goals or targets.

scholarly journals Self-care and remote care during pregnancy: a new paradigm?

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
A. Metin Gülmezoglu ◽  
Anne Ammerdorffer ◽  
Manjulaa Narasimhan ◽  
Alyce N. Wilson ◽  
Joshua P. Vogel ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Healthcare Providers ◽  
Self Care ◽  
Reproductive Health Services ◽  
New Paradigm ◽  
Remote Care

Abstract Self-care interventions and remote care offer innovative and equitable ways to strengthen access to sexual and reproductive health services. Self-isolation during COVID-19 provided the opportunity for obstetric facilities and healthcare providers to integrate and increase the usage of interventions for self-care and remote care for pregnant women and to improve the quality of care overall.

Poor Quality of Care for All Women? Equity in Quality of Reproductive Health Services in Ethiopia

2019 ◽  
Author(s):  
Girmaye Dinsa ◽  
Ermias Dessie ◽  
Sarah D. Hurlburt ◽  
Yoseph G. Abraha ◽  
Catherine Arsenault ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Reproductive Health ◽  
Health Services ◽  
Poor Quality ◽  
Reproductive Health Services

scholarly journals Implementation of a performance-based financing scheme in Malawi and resulting externalities on the quality of care of non-incentivized services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephan Brenner ◽  
Caterina Favaretti ◽  
Julia Lohmann ◽  
Jobiba Chinkhumba ◽  
Adamson S. Muula ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Services ◽  
Antenatal Care ◽  
Service Provision ◽  
Child Health Services ◽  
Negative Externalities ◽  
Positive Externalities ◽  
Performance Based Financing ◽  
A Performance

Abstract Background Countries in Africa progressively implement performance-based financing schemes to improve the quality of care provided by maternal, newborn and child health services. Beyond its direct effects on service provision, evidence suggests that performance-based financing can also generate positive externalities on service utilization, such as increased use of those services that reached higher quality standards after effective scheme implementation. Little, however, is known about externalities generated within non-incentivized health services, such as positive or negative effects on the quality of services within the continuum of maternal care. Methods We explored whether a performance-based financing scheme in Malawi designed to improve the quality of childbirth service provision resulted positive or negative externalities on the quality of non-targeted antenatal care provision. This non-randomized controlled pre-post-test study followed the phased enrolment of facilities into a performance-based financing scheme across four districts over a two-year period. Effects of the scheme were assessed by various composite scores measuring facilities’ readiness to provide quality antenatal care, as well as the quality of screening, prevention, and education processes offered during observed antenatal care consultations. Results Our study did not identify any statistically significant effects on the quality of ANC provision attributable to the implemented performance-based financing scheme. Our findings therefore suggest not only the absence of positive externalities, but also the absence of any negative externalities generated within antenatal care service provision as a result of the scheme implementation in Malawi. Conclusions Prior research has shown that the Malawian performance-based financing scheme was sufficiently effective to improve the quality of incentivized childbirth service provision. Our findings further indicate that scheme implementation did not affect the quality of non-incentivized but clinically related antenatal care services. While no positive externalities could be identified, we also did not observe any negative externalities attributable to the scheme’s implementation. While performance-based incentives might be successful in improving targeted health care processes, they have limited potential in producing externalities – neither positive nor negative – on the provision quality of related non-incentivized services.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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