Impact of Family Planning and Business Trainings on Private-Sector Health Care Providers in Nigeria

2017 ◽  
Vol 43 (2) ◽  
pp. 51 ◽  
Author(s):  
Ugaz ◽  
Leegwater ◽  
Chatterji ◽  
Johnson ◽  
Baruwa ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Private Sector ◽  
Health Care Providers ◽  
Care Providers

scholarly journals A Survey of Family Planning Training, Knowledge, and Practices Among Health Care Providers Within the Military Health System at Joint Base Lewis–McChord

2018 ◽  
Vol 184 (5-6) ◽  
pp. e394-e399 ◽  
Author(s):  
Elizabeth I Deans ◽  
Alison L Batig ◽  
Sarah Cordes ◽  
Alicia N Scribner ◽  
Peter E Nielsen ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health System ◽  
Health Care Providers ◽  
Care Providers ◽  
Military Health System ◽  
Military Health ◽  
The Military

scholarly journals Who are CHWs? An ethnographic study of the multiple identities of community health workers in three rural Districts in Tanzania

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mohamed Yunus Rafiq ◽  
Hannah Wheatley ◽  
Hildegalda P. Mushi ◽  
Colin Baynes
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health Services ◽  
Health Care Providers ◽  
Rural Areas ◽  
Health Workers ◽  
Multiple Roles ◽  
Care Providers ◽  
Professional Identities ◽  
Community Members

Abstract Background Numerous studies have examined the role of community health workers (CHWs) in improving the delivery of health services and accelerating progress towards national and international development goals. A limited but growing body of studies have also explored the interactions between CHWs’ personal, communal and professional identities and the implications of these for their profession. CHWs possess multiple, overlapping roles and identities, which makes them effective primary health care providers when properly supported with adequate resources, but it also limits their ability to implement interventions that only target certain members of their community, follow standard business working days and hours. In some situations, it even prevents them from performing certain duties when it comes to sensitive topics such as family planning. Methods To understand the multiple identities of CHWs, a mixture of qualitative and ethnographic methods was utilized, such as participant observation, open-ended and semi-structured interviews, and focus group discussions with CHWs, their supervisors, and their clients. The observation period began in October 2013 and ended in June 2014. This study was based on implementation research conducted by the Connect Project in Rufiji, Ulanga and Kilombero Districts in Tanzania and aimed to understand the role of CHWs in the provision of maternal and child health services in rural areas. Results To our knowledge, this was the first study that employed an ethnographic approach to examine the relationship between personal, communal and professional identities, and its implications for CHWs’ work in Tanzania. Our findings suggest that it is difficult to distinguish between personal and professional identities among CHWs in rural areas. Important aspects of CHW services such as personalization, access, and equity of health services were influenced by CHWs’ position as local agents. However, the study also found that their personal identity sometimes inhibited CHWs in speaking about issues related to family planning and sexual health. Being local, CHWs were viewed according to the social norms of the area that consider the gender and age of each worker, which tended to constrain their work in family planning and other areas. Furthermore, the communities welcomed and valued CHWs when they had curative medicines; however, when medical stocks were delayed, the community viewed the CHWs with suspicion and disinterest. Community members who received curative services from CHWs also tended to become more receptive to their preventative health care work. Conclusion Although CHWs’ multiple roles constrained certain aspects of their work in line with prevalent social norms, overall, the multiple roles they fulfilled had a positive effect by keeping CHWs embedded in their community and earned them trust from community members, which enhanced their ability to provide personalized, equitable and relevant services. However, CHWs needed a support system that included functional supply chains, supervision, and community support to help them retain their role as health care providers and enabled them to provide curative, preventative, and referral services.

Family planning clinic patients: their usual health care providers, insurance status, and implications for managed care

2000 ◽  
Vol 27 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Susan Sugerman ◽  
Neal Halfon ◽  
Arleen Fink ◽  
Martin Anderson ◽  
Laurie Valle ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Managed Care ◽  
Health Care Providers ◽  
Insurance Status ◽  
Care Providers ◽  
Family Planning Clinic

Family Planning Knowledge, Attitudes, and Practices Among Bariatric Health Care Providers [205]

2015 ◽  
Vol 125 ◽  
pp. 67S-68S
Author(s):  
Tara C. Jatlaoui ◽  
Sarah Cordes ◽  
Carrie Cwiak ◽  
Peggy Goedken ◽  
Denise J. Jamieson
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health Care Providers ◽  
Care Providers ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices ◽  
Planning Knowledge

scholarly journals Health Care Providers as Agents of Change: Integrating PrEP With Other Sexual and Reproductive Health Services for Adolescent Girls and Young Women

2021 ◽  
Vol 3 ◽  
Author(s):  
Gabrielle O'Malley ◽  
Kristin M. Beima-Sofie ◽  
Stephanie D. Roche ◽  
Elzette Rousseau ◽  
Danielle Travill ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Young Women ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Worker

Background: Successful integration of pre-exposure prophylaxis (PrEP) with existing reproductive health services will require iterative learning and adaptation. The interaction between the problem-solving required to implement new interventions and health worker motivation has been well-described in the public health literature. This study describes structural and motivational challenges faced by health care providers delivering PrEP to adolescent girls and young women (AGYW) alongside other SRH services, and the strategies used to overcome them.Methods: We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with HCWs from two demonstration projects delivering PrEP to AGYW alongside other SRH services. The Prevention Options for the Women Evaluation Research (POWER) is an open label PrEP study with a focus on learning about PrEP delivery in Kenyan and South African family planning, youth mobile services, and public clinics at six facilities. PrIYA focused on PrEP delivery to AGYW via maternal and child health (MCH) and family planning (FP) clinics in Kenya across 37 facilities. IDIs and FGDs were transcribed verbatim and analyzed using a combination of inductive and deductive methods.Results: We conducted IDIs with 36 participants and 8 FGDs with 50 participants. HCW described a dynamic process of operationalizing PrEP delivery to better respond to patient needs, including modifying patient flow, pill packaging, and counseling. HCWs believed the biggest challenge to sustained integration and scaling of PrEP for AGYW would be lack of health care worker motivation, primarily due to a misalignment of personal and professional values and expectations. HCWs frequently described concerns of PrEP provision being seen as condoning or promoting unprotected sex among young unmarried, sexually active women. Persuasive techniques used to overcome these reservations included emphasizing the social realities of HIV risk, health care worker professional identities, and vocational commitments to keeping young women healthy.Conclusion: Sustained scale-up of PrEP will require HCWs to value and prioritize its incorporation into daily practice. As with the provision of other SRH services, HCWs may have moral reservations about providing PrEP to AGYW. Strategies that strengthen alignment of HCW personal values with professional goals will be important for strengthening motivation to overcome delivery challenges.

Recommendations of the Workshop on Immunization and Preventive Care

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1067-1067
Keyword(s):  
Health Care ◽  
Information System ◽  
Private Sector ◽  
Health Care Providers ◽  
Birth Certificate ◽  
Preventive Health Care ◽  
The United States ◽  
Preventive Health ◽  
Surveillance Program ◽  
Care Providers

1. Information and outreach systems should be improved so that high levels of immunization in preschool children will be reached in the United States. Because of a vastly improved ability to set up systems and to transfer data, a modern information system should function far better than the previous Infant Immunization Surveillance Program of about 20 years ago, which had no outreach element at all. 2. No matter how care is delivered, and several configurations of public vs private sector were discussed, responsibility should be placed on an individual or an agency to ensure that each child needing immunization and other preventive health services is identified and contacted. The information system should be keyed to the birth certificate. Reminders—mailed, phoned or, better still, delivered in person—should be provided for all children. 3. In both the public sector and the private sector, vaccines should be provided free of charge. (Methods of financing were not addressed directly, but most participants believed that the federal government would take financial responsibility.) 4. Health care providers should be taught the importance of assessing immunization status and administering needed immunizations at every appropriate contact with a child. 5. Immunization should be provided not as a solitary service, but as a part of a package of comprehensive preventive services. 6. A comprehensive school health education program should be established. 7. Consideration should be given to the use of incentives, either positive or negative, to improve the priority assigned to immunization and other preventive health care services.

How do young, Black women view birth control and talk to their health care providers about family planning?

Contraception ◽  
2012 ◽  
Vol 85 (3) ◽  
pp. 320-321
Author(s):  
M. D'Amore ◽  
L. McCloskey ◽  
B. Bokhour ◽  
M. Paasche-Orlow ◽  
B. Jack ◽  
...  
Keyword(s):  
Health Care ◽  
Black Women ◽  
Family Planning ◽  
Birth Control ◽  
Health Care Providers ◽  
Care Providers ◽  
Young Black Women
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