Family planning counseling sessions at primary health care facilities in Sadat city, Egypt

Author(s):  
Nora Khalil ◽  
Hewaida Elshazly ◽  
Eman Tolba
2020 ◽  
Author(s):  
Mengistu Asnake ◽  
Bekele Belayihun Tefera ◽  
Yeowndwossen Tilahun ◽  
Habtamu Zerihun ◽  
Fisseha Moges ◽  
...  

Abstract Background: Maternity waiting home (MWH) within primary health care facilities is an ideal platform to reach women with family planning education and counseling. MWH users interact with health care providers on a regular basis throughout their waiting period and can prepare to initiate family planning method of their choice immediately after childbirth. However, to date, there has been no clear evidence about the use of MWHs to increase uptakes of immediate postpartum family planning (IPPFP). Therefore, the aim of this study is to assess the contribution of MWHs to increase IPPFP uptake among women who deliver in health facilities in Ethiopia.Methods: A comparative cross-sectional study design was conducted to collect quantitative data from women who gave birth in the past 12 months. Multi-stage random sampling procedures were employed to select 884 women. Descriptive summary and logistic regression with 95% confidence intervals were conducted in Stata 14 to analyze the data.Result: The prevalence of IPPFP use among women who used MWHs was 44% and 36% among those who did not use MWHs. The use of MWHs significantly contributed to increase immediate postpartum family planning uptake (OR = 1.48, 95% CI = 1.08- 2.04, p=.016).Conclusions: This study showed that, MWHs significantly contributed for improving IPPFP uptake by an average of 8%-point difference for beneficiaries within 48 hours after delivery. Developing a comprehensive package of service for maternal care has the potential to improve family planning uptake of postpartum women. Women’s who have used maternity waiting home more likely utilized postpartum family planning than women who have not used maternity waiting home. Providing a comprehensive package of services, including family planning information and counseling, in maternity waiting homes can have a positive impact on improving postpartum family planning use.


2015 ◽  
Vol 31 (2) ◽  
pp. 250-258 ◽  
Author(s):  
Mary-Anne Ahiabu ◽  
Britt P Tersbøl ◽  
Richard Biritwum ◽  
Ib C Bygbjerg ◽  
Pascal Magnussen

Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.


PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.


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