scholarly journals Peru: Tell clients how to use their chosen method

2000 ◽  
Author(s):  

In 1998, the Peruvian Ministry of Health (MOH) issued quality of care norms to ensure that family planning providers respond to clients’ reproductive health care needs and goals. In mid-1999, the Population Council collaborated with the MOH on a study to determine whether length of counseling sessions affects amount of information provided. The study focused on 19 health centers in 10 urban areas. Six simulated clients (women posing as clients) made a total of 114 visits to the health centers during June–July 1999. Each client was trained to say that she wanted to switch from the rhythm method to a more effective method. After counseling, she chose the injectable Depo-Provera but stated that she wished to consult her husband before beginning use. To assess the quality of counseling, simulated clients completed a checklist after each visit, indicating what information had been given. This brief concludes that family planning providers in Peru need to focus more closely on giving clients relevant information on their chosen method and asking key questions to make the most effective use of the time available for client counseling.

Author(s):  
Kleopatra Alamantariotou

Recent statistics show that the World Wide Web has now grown to over 100 million sites: a phenomenal expansion in only 15 years (Mulligan 2007). It has been estimated that there are 100,000 sites offering health related information (Wilson 2002). As the amount of health information increases, the public find it increasingly difficult to decide what to accept and what to reject (Burgess 2007). Searching for information on the internet is both deceptively easy and the same time frustratingly difficult (Kiley 2002). The challenge for consumers is to find high quality, relevant information as quickly as possible. There has been ongoing debate about the quality of information aimed at patients and the general public and opinions differ on how it can be improved (Stepperd 1999). The purpose of this chapter is to provide a brief overview of the different perspectives on information quality and to review the main criteria for assessing the quality of health information on the internet. Pointers are provided to enable both clinicians and patients find high quality information sources. An understanding of these issues should help health professionals and patients to make effective use of the internet.


2018 ◽  
Vol 3 (2) ◽  
pp. 88
Author(s):  
Samiha Hamdi Sayed ◽  
Wafaa Taha Ibrahim Elgzar ◽  
Heba Abdel-Fatah Ibrahim

Background: Quality of family planning services is an ever-increasing worldwide issue which is basically deserted in the developing nations. Provision of high quality family planning services that satisfy clients’ needs can ensure continued services utilization and increase contraceptive prevalence rate, lowered fertility rate, and improved women and children’s health.Aim: this study intended to assess the quality of family planning services in maternal and child health care centers in Damanhour city.Design: this was a descriptive study that utilized Dounabedian model to assess quality of family planning services structure and process and clients’ satisfaction was used as an outcome indicator.Setting: the three available maternal and child health centers in Damanhour city.Participants: all health care providers and a convenience sample of 300 non pregnant women who utilized the family planning clinics at the selected maternal and child health centers.Tools of data collection: three tools were utilized; basic data structured interview schedule for clients and health care providers, structural quality is assessed through facility audit while the process of family planning services provision was measured by using an observational checklist. After the observation of the family planning care process, an exit interview was done with the clients to measure their satisfaction with the provided family planning services.Results: The study findings revealed that none of the studied family planning clinics had high total quality of care level (structure & process) where 66.7% of them had low level of the total quality of care. However, 74.3% of the studied family planning clients were moderately satisfied with the total quality of care level (structure & process) in the studied maternal and child health centers. Finally, a significant positive correlation was confirmed between the overall family planning clients’ satisfaction level and the total quality of family planning care level; total structure and total process quality of family planning services delivery.Conclusion and recommendations: it can be concluded that family planning services in maternal and child health centers at Damanhur had low total quality of care level with moderate clients’ satisfaction. This shed the light on the urgent need for numerous quality enhancement measures to promote all quality elements in the studied maternal and child health centers. In addition to, emphasizing clients' satisfaction as a high priority output of care.


2011 ◽  
pp. 204-217 ◽  
Author(s):  
Kleopatra Alamantariotou

Recent statistics show that the World Wide Web has now grown to over 100 million sites: a phenomenal expansion in only 15 years (Mulligan 2007). It has been estimated that there are 100,000 sites offering health related information (Wilson 2002). As the amount of health information increases, the public find it increasingly difficult to decide what to accept and what to reject (Burgess 2007). Searching for information on the internet is both deceptively easy and the same time frustratingly difficult (Kiley 2002). The challenge for consumers is to find high quality, relevant information as quickly as possible. There has been ongoing debate about the quality of information aimed at patients and the general public and opinions differ on how it can be improved (Stepperd 1999). The purpose of this chapter is to provide a brief overview of the different perspectives on information quality and to review the main criteria for assessing the quality of health information on the internet. Pointers are provided to enable both clinicians and patients find high quality information sources. An understanding of these issues should help health professionals and patients to make effective use of the internet.


Contraception ◽  
2016 ◽  
Vol 94 (4) ◽  
pp. 340-347 ◽  
Author(s):  
Marion W. Carter ◽  
Loretta Gavin ◽  
Lauren B. Zapata ◽  
Marta Bornstein ◽  
Nancy Mautone-Smith ◽  
...  

2019 ◽  
Vol 7 (2) ◽  
pp. 120-127
Author(s):  
Luh Seri Ani ◽  
I Made Merdana ◽  
Nyoman Sumiati

One of the goals of urban development is to improve the quality of life of the people, especially in the aspect of health, as found in Denpasar, Bali, which wants to create a healthy city. Denpasar City Development is expected to create and improve health services for the entire community. Improved health infrastructure services are expected to support other government health programs, including the Family Planning Program (KB) as an effort to inhibit the rate of population growth that negatively impacts the economy and environment of a rural and urban area. Through family planning programs people can set the number of children and the desired pregnancy distance, especially for people who live in urban areas. This study aimed to determine contraceptive services in Fertile Age Women (WRA) in urban areas. A cross-sectional descriptive survey was conducted on 1,777 women of childbearing age in Denpasar City. Data on family planning users were obtained from the BKKBN family data collection in 2018. The survey data were processed through univariate and bivariate analysis to determine trends in the use of contraceptives in Denpasar. 55.7% of family planning services in Denpasar are in a bad category. Fertile Age Women (WUS) in the city of Denpasar do not have health insurance (41.6%), do not receive family planning information through the media (41.1%), do not get information from health workers (73.5%), do not get field visit from the health workers ( 96.5%) and do not receive counseling services (59.8%). The low utilization of family planning services will affect the quality of life of the community in Denpasar, especially the WUS, and become a barrier to achieve a healthy city.


2007 ◽  
Vol 33 (4) ◽  
pp. 253-263
Author(s):  
David MacFarlane

There is a growing need for society to use resources efficiently, including effective use of dead and dying trees in urban areas. Harvesting saw timber from urban trees is a high-end use, but currently, much urban wood ends up in landfills or is used for wood chips or biomass fuel. To assess the general feasibility of harvesting urban wood, a regional estimate of urban saw timber quantity, quality, and availability was developed for a 13-county area in southeastern lower Michigan, U.S. Conservatively, over 16,000 m 3(560,000 ft 3) of urban saw timber is estimated to become available each year in the study area from dead and dying trees, enough to supply the minimum annual needs of five small sawmills. The quality of wood in urban softwoods was generally low but comprised only a relatively small portion (10%) of urban wood. Wood quality of urban-grown hardwoods was comparable to that found in forests in the region, although the absolute volume was nine times less. Although there are potential concerns with harvesting urban trees for saw timber such as low availability and poor wood quality, the results of this study suggest that many of them may be unfounded.


2011 ◽  
Vol 6 (3) ◽  
pp. 140 ◽  
Author(s):  
Mugia Bayu Rahardja

Keberhasilan program Keluarga Berencana Nasioanal tidak hanya diukur dari peningkatan peserta program, tetapi juga efektivitas dan durasi pemakaian kontrasepsi. Penelitian ini bertujuan menilai pengaruh kualitas pelayanan KB terhadap perilaku penggantian alat kontrasepsi di Indonesia. Penelitian sumber data sekunder histori pemakaian metode kontrasepsidalam kalender data SDKI tahun 2007 dengan metode analisis regresi logistik dengan efek random. Wanita tanpa informed choice dan tanpa kunjungan petugas KB serta pengguna susuk KB berhenti karena ingin metode lebih efektif yang dapat membuat terlihat lebih muda, dan menghasilkan anak sedikit. Pada pasangan yang masa perkawinannya kurang dari 10tahun, status pendidikan dan sosial ekonomi tinggi, serta bermukim di perkotaan memperlihatkan proporsi penggantian alat kontrasepsi yang tinggi. Hasil analisis multivariat menunjukkan bahwa informed choice dan kunjungan petugas KB berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. Selain itu, sejumlah faktor sosial ekonomi dan demografi juga berpengaruh secara signifikan terhadap penggantian alat kontrasepsi.Kata kunci: Keluarga berencana, kualitas pelayanan, penggantian alat kontrasepsiAbctractThe success of family planning (FP) program is measured not only by the improvement of contraceptive prevalence but also by the effectiveness. This research uses the data of the 2007 Indonesia Demographic and Health Survey calendar data by employing a random-effect logistic regression model. The objective is to study the influence of FP services quality andother socioeconomic and demographic factors on switching contraceptive behavior in Indonesia. The results of descriptive analysis show that the percentage of contraceptive switching is higher on women who are younger, have less children, less than 10 years of marital age, have high education, have high economic status, who did not get informed choice and get visitfrom FP officers in last 6 months, who use implants, stop using contraceptive in order to get others method which more effective and living in urban areas. The multivariate analysis results show that the quality of FP services which consists of informed choice and FP officer’s visit significantly influencethe possibility of FP acceptor to switch their contraceptive method. The result of this research also supports the previous researches that socioeconomic and demography factors significantly influence the possibility of FP acceptor to switch their contraceptive method.Key words: Family planning, quality of services, contraceptive switching


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