Design, adaptation, and diffusion of an innovative tool to promote shared contraceptive decision-making: Balanced Counseling Strategy Plus

Contraceptive decision-making is highly complex, and family planning (FP) clients choose methods according to a host of personal, interpersonal, and context-specific considerations. These include concerns about side effects, confidence in their ability to adhere to daily or monthly use, efficacy of methods, partner support, and HIV vulnerability. FP decision support tools can support FP clients and providers to engage in a joint decision-making process to ensure clients make informed choices about contraception. For more than two decades, the Balanced Counseling Strategy (BCS) and Balanced Counseling Strategy Plus (BCS+) decision support tools have been used in lower- and middle-income countries, informed by implementation science research and iterative updates and refinements to reflect new developments in contraceptive technology and HIV prevention strategies. To inform the development and scale-up of future FP decision support tools, as well as share lessons from translating implementation science results to practice, this article describes the development, evaluation, and proliferation of BCS and BCS+.

EFFECT OF BALANCE COUNSELING STRATEGY TOWARDS KNOWLEDGE AND ATTITUDE IN CONTRACEPTION AMONG PREGNANT WOMEN

Background: The use of postpartum contraception is ideally used after delivery under 42 days. Data obtained from the BKKBN of East Java Province, the achievement of unmet need in Surabaya is 13.31% of the unmet need target of 10.44%. The Balanced Counseling Strategy is a family planning counseling method that is practical, interactive, client-friendly, and encourages the client’s active participation. The purpose of this research is to know the effect of using BCS on improving the knowledge and attitudes of pregnant women about family planning. Method: In this quasy experimental research, pre-post with control group designed was implemented. Quota sampling is used to choose responden. Questionaire is used for research instrument. Data analysis used Paired t-test, Wilcoxon Signed Rank Test and Mann-Whitney Test. Results: Thirty nine of pregnant women are studied. The intervention group has increased knowledge scored 16,64 (p-value = 0,003) though the control group score 5.11 (p-value = 0,030) that is showed that there is significant different between two grups with p-value 0,045. The intervention group has increased attitudes scored 1,95 (p-value = 0,003) though the control group 0,11 (p-value = 0,650) that is showed that there is significant different between two grups with p-value 0,015. Conclusion: Counseling using Balanced Counseling Strategy can increase knowledge and attitude of pregnant women about family planning and more effective than pregnancy-class methods at Tanah Kalikedinding of Public Health 2019.

Integrating Politeness Principles and Strategies in Counselling Technique: A Phenomenological Study

Politeness is an important academic topic. An action must be taken to prevent rudeness. As a result, this study investigates how counseling techniques can modify students' behavior to be more courteous by implementing politeness tactics and concepts. Furthermore, the purpose of this study is to determine why counseling strategies may alter students' perspectives. The research was conducted using a phenomenological study using an observation checklist and interview guideline. The instruments were triangulated for validity. Data collection, data condensation, data display, and conclusion were all used in the data analysis. The findings revealed that Counselling Technique could have an impact on the outcome. The findings revealed that Counselling Technique had the ability to change students' conduct to become more polite. The students used negative politeness methods to consult with the instructors during its execution. Furthermore, students used all of the politeness standards, including the tact principle, generosity principle, modesty principle, approval principle, compassion principle, and agreement principle. In summary, the counseling strategy could be employed to help pupils with their behavioral issuesKeywords: Politeness principles, strategies; counselling technique, Phenomenological study

Development Of Strategic Methods For Family Balanced Counseling (SKB KB) On The Selection Of Potential Acceptance Contraception Tools In Makassar

Family planning is a strategy to reduce maternal mortality, especially mothers with 4T conditions. Counseling plays an important role in achieving quality family planning services. A balanced counseling strategy (SKB) began to be developed and adapted for use in 2016, to strengthen postpartum family planning counseling services (KBPP). The purpose of this study was to determine the effect of the Family Planning Balanced Counseling Strategy (SKB-KB) on the choice of contraceptives at Kassi-Kassi Community Health Center Makassar City. The type of research used is Quasi Experimental (quasi-experimental). This study conducted an intervention in both groups by assessing before and after treatment / counseling. One group intervened with the SKB-KB method, while the other group intervened with the ABPK method. Data were analyzed using the chi square test with a significance level of p <0.05. The results showed that the SKB-KB method had an influence on the choice of contraceptives between the intervention group and the control group (p: 0.0008; α 0.05).