scholarly journals Integrated Family Planning and Immunization Service Delivery at Health Facility and Community Sites in Dowa and Ntchisi Districts of Malawi: A Mixed Methods Process Evaluation

2020 ◽  
Vol 17 (12) ◽  
pp. 4530
Author(s):  
Chelsea M. Cooper ◽  
Jacqueline Wille ◽  
Steven Shire ◽  
Sheila Makoko ◽  
Asnakew Tsega ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Family Planning ◽  
Service Providers ◽  
Service Integration ◽  
Secondary Analysis ◽  
Health Sector ◽  
Health Facilities ◽  
Immunization Service ◽  
Mothers And Fathers ◽  
The Government

The Government of Malawi’s Health Sector Strategic Plan II highlights the importance of service integration; however, in practice, this has not been fully realized. We conducted a mixed methods evaluation of efforts to systematically implement integrated family planning and immunization services in all health facilities and associated community sites in Ntchisi and Dowa districts during June 2016–September 2017. Methods included secondary analysis of service statistics (pre- and postintervention), focus group discussions with mothers and fathers of children under age one, and in-depth interviews with service providers, supervisors, and managers. Results indicate statistically significant increases in family planning users and shifts in use of family planning services from health facilities to community sites. The intervention had no effect on immunization doses administered or dropout rates. According to mothers and fathers, benefits of service integration included time savings, convenience, and improved understanding of services. Provision and use of integrated services were affected by availability of human resources and commodities, community linkages, data collection procedures and availability, sociocultural barriers, organization of services, and supervision and commitment of health surveillance assistants. The integration approach was perceived to be feasible and beneficial by clients and providers.

scholarly journals Analisis pelaksanaan kebijakan program keluarga berencana (KB): studi kasus di Kabupaten Malinau

2017 ◽  
Vol 33 (12) ◽  
pp. 615
Author(s):  
Priscilla Bawing ◽  
Retna Siwi Padmawati ◽  
Siswanto Agus Wilopo
Keyword(s):  
Family Planning ◽  
Local Governments ◽  
Contraceptive Use ◽  
Service Providers ◽  
Cultural Beliefs ◽  
Health Facilities ◽  
Government Health ◽  
Program Policy ◽  
The Government ◽  
Medical Indications

Implementation of district level "four children better" family planning policy in MalinauPurposeThis study aimed to analyze the implementation of family planning program policy in Malinau.MethodsA case study was conducted through in-depth interviews with 18 participants.ResultsThe policy of the government in Malinau is ‘four children are better’. Differences in perceptions between stakeholders, providers, and users about family planning affecting social, economic, cultural, beliefs have an impact on contraceptive use in Malinau. The use of contraception is not prohibited for people with medical indications for using contraception, but peo­ple should access the contraception independently in the private sector.ConclusionThe policy of the Ma­linau government to stop the supply of contraceptives to government health facilities since 2012 is an effort by local governments to increase the number of inland and border populations. The unavailability of con­traceptives in government health facilities and the limitations of family planning information, communica­tion and education lead to differences in perceptions between stakeholders, service providers, and users. Therefore, the researcher recommends that the relevant regional apparatus unit does advocacy to legislative and executive boards in Malinau. The local government shall ensure the availability and quality of family planning services for the community on the basis of reproductive health rights.

A Situation Analysis of Public Family Planning Service Delivery in Pakistan

1993 ◽  
Vol 14 (1) ◽  
pp. 21-52 ◽  
Author(s):  
George P. Cernada ◽  
A. K. Ubaidur Rob ◽  
Sara I. Ameen ◽  
Muhammad Shafiq Ahmad
Keyword(s):  
Family Planning ◽  
Service Providers ◽  
Family Planning Service ◽  
Family Welfare ◽  
Situation Analysis ◽  
Planning Service ◽  
Record Keeping ◽  
Contraceptive Usage ◽  
Service Training ◽  
The Government

A nationally representative sample of 8 percent of the Government of Pakistan's primary family planning service facilities, the Family Welfare Centres (FWC), was carried out at the request of the Ministry of Population Welfare in mid-1992. The “situation analysis” approach used involved: 1) observation and inventory of services, facilities, supplies and record keeping reviews; 2) observation of interaction between service providers and FP clients at FWC's; 3) interviews with service providers; and 4) exit interviews with FP clients after service provision. This one-day on-site observation by teams of three interviewers provided a unique overview and baseline assessment of the availability of services, the staff functioning and the quality of service. Significant findings include a low caseload, inadequacies of facilities, some stockouts, lack of educational materials, insufficient outreach, unnecessary medical and social barriers to providing contraception as well as in some cases insufficient information to clients about contraindications to contraceptive usage and possible side-effects. The need to bolster in-service training and supervision is emphasized.

scholarly journals EFEKTIVITAS E-HEALTH DI RUMAH SAKIT UMUM DAERAH DR. M. SOEWANDHIE SURABAYA

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Avinda Avinda ◽  
Rudy Handoko
Keyword(s):  
Health Services ◽  
General Hospital ◽  
Public Service ◽  
Production Efficiency ◽  
Service Providers ◽  
Health Sector ◽  
Service Effectiveness ◽  
Health Service Providers ◽  
Effectiveness Measurement ◽  
The Government

E-Health Effectiveness in General Hospital Region Dr. M. Soewandhie Surabaya. Public Service is the main obligation of the government to organize activities in order to meet the needs of the community. City officials do a service innovations as efforts to improve public services in the health sector by applying the principles of e-Government and one of these innovations is a service of E-Health. E-Health is an application that allows people to shorten queues at the clinic or hospital. The purpose of this study to determine the effectiveness of E-Health at the Regional General Hospital Dr. M. Soewandhie Surabaya. The focus of the study was based on Gibson's five effectiveness measurement indicators, namely Production, Efficiency, Satisfaction, Adaptability and Survival. The research method used is descriptive qualitative. The results of this study indicate that the service E-Health at the Regional General Hospital Dr. M. Soewandhie Surabaya is quite. It can be seen from Satisfaction Indicator, Adaptability and Survival. In satisfaction indicators, showed as many as 6 out of 10 patients stated that E-Healthservices already meet expectations. In adaptation indicators, show that E-Health services make it easier for the performance of the employees, especially employees of the registration window. On the Survival indicator, it shows that Dr. M. Soewandhie Surabaya as E-Health service providers already have plans to develop e-Health services in order to meet the needs of the community. Keywords: Public Service, Effectiveness, E-Health

scholarly journals The Increasing access to family planning services through a non-health sector: Technical Integration Coverage and Access (TICA) in Nepal

2017 ◽  
Vol 4 (2) ◽  
pp. 30-42
Author(s):  
Ghanshyam K Bhatta ◽  
Josue Orellana ◽  
Bidya Mahat ◽  
Ishwar Nath Mishra ◽  
Chandeshwari Tamrakar ◽  
...  
Keyword(s):  
Family Planning ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Health Sector ◽  
Limited Range ◽  
Reproductive Age ◽  
Cross Sectional ◽  
The Government ◽  
Long Acting ◽  
Technical Integration

Background: Family Planning (FP) is a key developmental focus for the government of Nepal. Use of modern contraceptives has stagnated at 43.2% since 2011. Unmet need for family planning (FP) in Nepal remains high at 27%. A factor contributing to this levelling of contraceptive use despite relatively high unmet need is the limited range of methods available to most clients at most sites. To address the FP need among married women of reproductive age (WRA), we tested integration of FP into agricultural programs.   Aim: To assess the effectiveness of a FP program integrated into an agriculture (e.g. non-health) sector program. Methods: A cross-sectional interventional study conducted November 2015 to February 2016 among 525 WRA who were participants in an agriculture program. Results: The contraceptives commonly used by women in the study location were Depo Provera and Minilap.  After Technical Integration Coverage and Access (TICA) interventions, almost all of the respondents (99.6%) had heard about FP of which 67.8% correctly understood FP as a method to prevent unwanted pregnancy. About 50% of the respondents were found currently using FP.  The percentage of WRA aware of long-acting and permanent FP methods increased from 49.0% to 62.0% and 39.0% to 52.0% respectively. Decisions on using a FP method were predominantly made by the husband (68.0%). However, 68.4% women reported that they were motivated by their husband. The proportion of men willing to use FP increased from 5.2% to 15.5% after TICA activities implementation. The main reason identified for not currently using FP devices was that the husband and wife were not living together (88.8%). Most of the women (98.0%) reported that FP utilization improved their quality of life. Conclusion: TICA activities were very successful in both increasing FP knowledge level as well as utilization of FP services among the targeted beneficiaries. The use of FP increased among agriculture program beneficiaries after the integration of TICA activities with a gradual shift from short-acting FP methods to long-acting and permanent FP methods. For easy integration, FP projects should also utilize existing community structures such as cooperatives, women’s groups, men’s groups, and youth clubs.

scholarly journals Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e035183
Author(s):  
Taufique Joarder ◽  
Samiun Nazrin Bente Kamal Tune ◽  
Md Nuruzzaman ◽  
Sabina Alam ◽  
Valeria de Oliveira Cruz ◽  
...  
Keyword(s):  
Health Workforce ◽  
Quantitative Methods ◽  
Service Providers ◽  
Workforce Planning ◽  
Healthcare Services ◽  
Health Facilities ◽  
Time Motion ◽  
High Workload ◽  
The Government ◽  
Staffing Needs

ObjectiveThis study aimed to assess the current workload and staffing need of physicians and nurses for delivering optimum healthcare services at the Upazila Health Complexes (UpHCs) in Bangladesh.DesignMixed-methods, combining qualitative (eg, document reviews, key informant interviews, in-depth interviews, observations) and quantitative methods (time-motion survey).SettingStudy was conducted in 24 health facilities of Bangladesh. However, UpHCs being the nucleus of primary healthcare in Bangladesh, this manuscript limits itself to reporting the findings from the providers at four UpHCs under this project.Participants18 physicians and 51 nurses, males and females.Primary outcome measuresWorkload components were defined based on inputs from five experts, refined by nine service providers. Using WHO Workload Indicator of Staffing Need (WISN) software, standard workload, category allowance factor, individual allowance factor, total required number of staff, WISN difference and WISN ratio were calculated.ResultsPhysicians have very high (WISN ratio 0.43) and nurse high (WISN ratio 0.69) workload pressure. 50% of nurses’ time are occupied with support activities, instead of nursing care. There are different workloads among the same staff category in different health facilities. If only the vacant posts are filled, the workload is reduced. In fact, sanctioned number of physicians and nurses is more than actual need.ConclusionsIt is evident that high workload pressures prevail for physicians and nurses at the UpHCs. This reveals high demand for these health workforces in the respective subdistricts. WISN method can aid the policy-makers in optimising utilisation of existing human resources. Therefore, the government should adopt flexible health workforce planning and recruitment policy to manage the patient load and disease burden. WISN should, thus, be incorporated as a planning tool for health managers. There should be a regular review of health workforce management decisions, and these should be amended based on periodic reviews.

scholarly journals Family planning services in Sri Lanka: Clients’ nonmedical expectations and the health systems responsiveness

2013 ◽  
Vol 2 (1) ◽  
pp. 54-59 ◽  
Author(s):  
WLSP Perera ◽  
Lillian Mwanri ◽  
Rohini De A Seneviratne ◽  
Thushara Fernnando
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Sri Lanka ◽  
Health Systems ◽  
Service Provider ◽  
Healthcare Providers ◽  
Health Sector ◽  
Access To Services ◽  
The Government ◽  
Ease Of Access

Nonmedical expectations of the service seekers is an integral component of care that must be given due respect by the healthcare providers in delivering health services. This paper presents findings of a qualitative study conducted exploring the many dimensions of health systems responsiveness (HSR) in relation to family planning (FP) services provided by the government public health sector of Sri Lanka. Clients visiting the government FP clinics in Colombo district were interviewed using a semi structured moderator guide. Interviews covered three core domains of HSR including (i) clinic environment, (ii) ease of access to services and (iii) clients’ choice. Content analysis was carried out identifying themes around the domains. In relation to domain ‘clinic environment’, three subthemes were identified. These included (i) expectations from a ‘free service’, (ii) disorganization and (iii) sanitary facilities. Similarly, five subthemes emerged under the domain ‘ease of access to services’, namely, (i) outreach clinics, (ii) domiciliary services, (iii) social networking at MCH clinics, (iv) poly clinic/combined clinic setting and (v) working clients. In relation to the domain ‘clients’ choice’ three subthemes emerged including, (i) service provider selecting the method, (ii) selecting the service provider and (iii) selecting the clinic. The findings emphasize that the healthcare providers must be enlightened on nonmedical aspects of service delivery and HSR must be taken into consideration in delivering FP services.South East Asia J Public Health | Jan-June 2012 | Vol 2 Issue 1 | 54-59 DOI: http://dx.doi.org/10.3329/seajph.v2i1.15266

scholarly journals Faktor Yang Mempengaruhi Penggunaan Kontrasepsi Pada Wanita Usia Subur Di Indonesia (Analisis Data Survei Demografi dan Kesehatan Indonesia Tahun 2017 )

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Ayu Aminatussyadiah ◽  
Aris Prastyoningsih
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Population Control ◽  
Health Sector ◽  
P Value ◽  
Planning Program ◽  
Childbearing Age ◽  
Cross Sectional ◽  
The Family ◽  
The Government

AbstrakUpaya penurunan AKI serta peningkatan derajat kesehatan ibu merupakan salah satu prioritas utama dalam penanganan bidang kesehatan.pelayanan KB tidak hanya untuk pengendalian penduduk namun dapat berkontribusi dalam meningkatakan kesehatan ibu dan bayi. Sehingga dikatakan bahwa program keluarga berencana merupakan kunci pencapaian sasaran Pembangunan MDGs. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur, pendidikan dan tempat tinggal dengan penggunaan kontrasepsi pada WUS di Indonesia. Penelitian ini menggunakan pendekatan cross-setional dengan menggunakan teknik total sampling. Jumlah sampel dalam penelitian ini adalah 49.627 WUS di seluruh Indonesia. Hasil penelitian ini  menunjukkan variabel yang mempengaruhi penggunaan kontrasepsi pada WUS adalah, tingkat pendidikan (p = 0,023), daerah tempat tinggal (p = 0,000). Sedangkan faktor yang tidak berhubungan dengan pemilihan kontrasepsi adalah faktor umur (p value = 0,303).Kesimpulan dari penelitian ini adalah, tingkat pendidikan dan daerah tempat tinggal mempengaruhi penggunaan kontrasepsi pada WUS. Karena itu pemerintah melalui Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) tetap memperhatikan program keluarga berencana dan memastikan setiap masyarakat untuk menerapkan program keluarga berencana, serta mendidik dan mempromosikan program keluarga berencana untuk menyelesaikan permasalahan penduduk.Kata Kunci : umur, pendidikan, tempat tinggal, pemilihan kontrasepsi, wanita usia suburFactors That Influence Use of Contraception in Fertile Age Women in Indonesia(Data Analysis of Indonesia Demographic and Health Survey 2017) AbstrackEfforts to reduce MMR and improve maternal health are one of the main priorities in the handling of the health sector. Family planning services are not only for population control but can contribute to improving maternal and infant health. So it is said that the family planning program is the key to achieving the MDGs Development goals. The purpose of this study was to determine the relationship between age, education and residence with the use of contraception in WUS in Indonesia. This study uses a cross-sectional approach using total sampling techniques. The number of samples in this study were 49,627 WUS throughout Indonesia. The results of this study indicate the variables that influence the use of contraception in WUS are, education level (p = 0.023), area of residence (p = 0,000). While the factors that are not related to the choice of contraception are the age factor (p value = 0.303). The conclusion of this study is that the level of education and the area of residence affects the use of contraception in WUS. Therefore, the government through the National Population and Family Planning Agency (BKKBN) keeps paying attention to the family planning program and ensures every community to implement the family planning program, as well as educating and promoting family planning programs to resolve population problems.  Keywords: age, education, residence, contraception selection, women of childbearing age

scholarly journals Investment Analysis of Startups Company PT. Zaps Teknologi Service Application of BPJS

2021 ◽  
Vol 8 (8) ◽  
pp. 504-509
Author(s):  
Zulham Wafiq ◽  
Edi Hamdi ◽  
Tantri Yanuar Rahmat Syah
Keyword(s):  
Real Time ◽  
Financial Analysis ◽  
Health Sector ◽  
Investment Decisions ◽  
Health Facilities ◽  
Investment Analysis ◽  
The Media ◽  
The Government ◽  
Service Application ◽  
A Company

Background – Health facilities and hospitals are government facilities in serving the community in the health sector, BPJS is one of the media used by the government in carrying out these services. PT. Zaps Teknologi is a company engaged in technology and information with the product of Dokter Tunggu (DOKU). This application was created to improve BPJS services in Hospitals and Health Facilities. The application has innovations in BPJS services where this application has features that are able to accommodate BPJS services. Online referrals, real time conditions from the Referral Hospital are some of the features embedded in this application, besides that in the next few years PT. Zaps Teknologi will improve services by adding features to this application. The addition of features requires detailed financial analysis and precise investment calculations Method - Investment analysis using NPV, ROI, PP and IRR. Result – This analysis shows the investment value for investors in making investment decisions. Keywords: Investment, BPJS, Financial Analysis.

scholarly journals Synchronization of Electronic Medical Record Implementation Guidelines in National E-Health Strategies

SOEPRA ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 209
Author(s):  
Rezky Ami Cahyaharnita
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Time Management ◽  
Medical Records ◽  
Service Providers ◽  
Health Sector ◽  
Health Strategy ◽  
Implementation Guidelines ◽  
The Government

Medical records are made in writing, complete and clear or electronically. Medical records are the basis of medical services to patients. Paper medical records increase the amount of paper waste in Indonesia. A national e-health strategy is a comprehensive approach to efforts in the national health sector. Electronic medical records are more effective because of better time management. The formulation of the problem in this article covers the reasons, criteria, and implementation of electronic medical records. The research method used is descriptive qualitative research with a statute approach. The criteria for a good electronic medical record are integrated data from various sources, data collected at the service point, and supporting service providers in decision making. The expected electronic medical record is to be integrated with the health service facility information system program without neglecting the confidentiality aspect. Therefore, the government needs to make regulations on the technical implementation of electronic medical records.

scholarly journals Role of Financial Incentives in Family Planning Services in India: A Qualitative Study

2020 ◽  
Author(s):  
Kamlesh Lalchandani ◽  
Aditi Gupta ◽  
Ashish Srivast ◽  
Gulnoza Usmanova ◽  
Ashwarya Maadam ◽  
...  
Keyword(s):  
Family Planning ◽  
Qualitative Study ◽  
Financial Incentives ◽  
Service Providers ◽  
State Level ◽  
Multiple Stakeholders ◽  
Related Services ◽  
The Government

Abstract Background: In an effort to encourage Family Planning (FP) adoption, since 1952, the Government of India has been implementing various centrally sponsored schemes that offer financial incentives (FIs) to acceptors as well as service providers, for services related to certain FP methods. However, understanding of the role of FIs on uptake of FP services, and the quality of FP services provided, is limited and mixed. Methods: A qualitative study was conducted in Chatra and Palamu districts of Jharkhand state. A total of 64 interviews involving multiple stakeholders were conducted. The stakeholders included recent FP acceptors or clients, FP service providers of public health facilities including community health activists (ASHAs), government health officials managing FP programs at the district and state level, and members of development partners supporting FP programs in Jharkhand. Data analysis included both inductive and deductive strategies. It was done using the software Atlas ti version 8. Results: It emerged that there is a strong felt need for family planning among majority clients, and FIs may be a motivator for uptake of FP methods only among those belonging to the lower socio economic strata. For ASHAs, FI is the primary motivator for providing FP related services. There may be a tendency among them and nurses to promote methods which have more financial incentives linked with them. There are mixed opinions on discontinuing FIs for clients or replacing them with non-financial incentives. Delays in payment of FIs to both clients and the ASHAs is a common issue and adversely effects the program.Conclusion: FIs for clients have limited influence on their decision to take up a FP method while different amounts of FIs for ASHAs and nurses, linked with different FP methods, may be influencing their service provision. More research is needed to determine the effect of discontinuing FP related FIs for clients.

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