Issues in Integrated Family Planning and Health Programs

Author(s):  
Duff G. Gillespie
2019 ◽  
Vol 8 (1) ◽  
pp. 127
Author(s):  
Laurent Cleenewerck ◽  
Devender Bhalla ◽  
Kabiru Abubakar Gulma

<p>This research aimed to evaluate the performance of six ongoing public health programs through core performance indicators in Katsina State, Nigeria. The healthcare delivery in Africa is mostly program-based. This requires that such programs need to be evaluated which may in turn help to identify any existing gaps towards the improvement of patients' access and coverage to their given service. We identified all active health facilities where our programs on malaria, Routine Immunization (RI), Family Planning (FP), Tuberculosis and Leprosy (TBL), HIV/AIDS, and Free Medicare (FMC) were being carried out. After that, a representative sample was derived to obtain data regarding five key performance indicators by using a Logistics Indicators Assessment Tool. Of 1,718 facilities, a total of 983 (57.22%) were visited, In other words, by assuming a normal distribution; each facility expectedly covers only 3,371 individuals. All programs provided different and diverse results on each indicator; however, the most obvious challenge was in the stock-out and demand vs. receipt of required medications. These are particularly for malaria, FMC, FP, and HIV. For instance, the stock-out lasted 222 days for malaria and 135 days for FP. Despite this, none of the programs had a lower than gold-standard near-term availability of required products. Program-based healthcare delivery is inadequate and ineffective unless the local system gets simultaneously developed. If required medications are not becoming available, optimal access, coverage, and benefits cannot be expected to be obtained. Clearly, Nigeria experiences a push system of meeting term supplies. Nigeria needs to strengthen its pharmaceutical system.</p>


Author(s):  
Teungku Nih Farisni ◽  
Yarmaliza Yarmaliza ◽  
Fitriani Fitriani ◽  
Fitrah Reynaldi

The Family health is one of the efforts in health development to encourage overall human development which needs to be considered early on. Ministry of Health 2013, households in Indonesia with PHBS reached 55.6%. Bale Village has health problems that are not paying attention to the cleanliness of the surrounding environment, such as littering, food waste that causes flies and can cause various diseases such as diarrhea. This survey research was conducted in July 2018 which aims to see how behavioral evaluations will affect family health. The research population of all communities in PT. Mifa Brothers in West Aceh Regency as many as 261 houses with a sample using total sampling, which is 261 houses with the target interview (Indep Interview) is the head of the family and mother. Data were analyzed univariately and by measurement of a healthy family index. The results of the study found that the low healthy living behavior of the community by not using family planning was 143 households (54.8%), while for smokers' families were 245 households (93.9%). It can be concluded that the number of unhealthy families is 178 households (68.2%), the number of healthy families is 83 households (31.8%), the total number of healthy families index is 31.8% of all unhealthy families. It is expected that the community will be able to increase knowledge of healthy behaviors that will affect family health by coordinating with relevant agencies in various health programs.


2021 ◽  

The Evidence Project conducted an intervention to raise awareness about family planning and reproductive health (FP/RH) topics with factory workers in Port Said, Egypt. This policy brief describes lessons from its implementation over three years and offers recommendations for designing FP/RH worker health programs. These lessons and recommendations are based on insights from factory worker program beneficiaries, their peer educators, factory managers, and project staff. Key lessons learned from the intervention were: (1) worker health programs offered a unique venue for raising young people's awareness of FP/RH issues and available services; (2) factory workers played an important role in sharing FP/RH information with their co-workers, and factory nurses could expand their role to include FP/RH counseling for workers as well as referrals for FP/RH services; (3) factories with large numbers of female workers could consider on-site women's health clinics to address workers' FP/RH needs, and factory health committees for worker health program management may help enhance their sustainability.


2019 ◽  
Vol 10 (01) ◽  
pp. 087-095
Author(s):  
Susan Matney ◽  
Bret Heale ◽  
Steve Hasley ◽  
Emily Decker ◽  
Brittni Frederiksen ◽  
...  

Objective This article describes lessons learned from the collaborative creation of logical models and standard Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) profiles for family planning and reproductive health. The National Health Service delivery program will use the FHIR profiles to improve federal reporting, program monitoring, and quality improvement efforts. Materials and Methods Organizational frameworks, work processes, and artifact testing to create FHIR profiles are described. Results Logical models and FHIR profiles for the Family Planning Annual Report 2.0 dataset have been created and validated. Discussion Using clinical element models and FHIR to meet the needs of a real-world use case has been accomplished but has also demonstrated the need for additional tooling, terminology services, and application sandbox development. Conclusion FHIR profiles may reduce the administrative burden for the reporting of federally mandated program data.


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