scholarly journals Evaluating a longitudinal cohort of clinics engaging in a contraceptive access initiative in Utah: the Family Planning Elevated Contraceptive Access Program (FPE CAP) study protocol (Preprint)

2020 ◽  
Author(s):  
Rebecca Simmons ◽  
Kyl Myers ◽  
Alexandra Gero ◽  
Jessica N Sanders ◽  
Caitlin Quade ◽  
...  

BACKGROUND Access to high quality, comprehensive contraceptive care is an inherent component of reproductive human rights. Yet hindrances to specific aspects of contraceptive provision, including availability, accessibility, acceptability and quality continue to perpetuate unmet need. The state of Utah has recently passed a series of contraceptive policies intended to improve contraceptive access. Despite these positive changes to theoretical access, fiscal appropriations to support implementation of these policies have been minimal and many individuals still struggle to access contraception. The Family Planning Elevated Contraceptive Access program (FPE CAP), part of a larger statewide contraceptive initiative, specifically aims to improve contraceptive access within health clinics. OBJECTIVE This paper describes the study protocol for evaluating the success of FPE CAP. METHODS Health clinics apply for membership in the FPE CAP. Upon acceptance in the program, they receive: 1) a cash grant for clinical supplies, equipment, and personnel expenses; 2) reimbursement for contraceptive services and methods for eligible clients; 3) technical support, training, and proctoring on counseling and providing all methods of contraception; 4) method stocking of intrauterine devices and implants; 5) demand generation activities, including local media campaigns, to inform community members about the FPE CAP program and possible eligibility. FPE collects monthly service delivery reports from participating clinics for evaluation purposes. The primary outcomes of FPE CAP are: 1) level and trend changes in contraceptive service delivery among individuals earning ≤138% FPL following membership in FPE CAP compared to historical data and control clinics; and 2) level and trend changes in contraceptive service delivery among FPE CAP clients earning between 139-250% FPL (including those ineligible for Medicaid) compared to historical data and control clinics. To assess this, we will conduct comparative interrupted time series analyses assessing level and trend changes in intervention and control clinics 12-months prior to the intervention, for the 2-year duration of the intervention, and for the subsequent 12-months following the intervention. RESULTS We found that the study is adequately powered (>80% power) with our planned number of clinics and the number of months of data available in the study. To date, we have successfully completed recruitment and enrollment of 8 of the expected 9 health organizations and four of the expected 9 control clinics. Completed health organization enrollment for both intervention and control organizations is expected finish in December of 2020. CONCLUSIONS The study aims to provide insight into a new approach to contraceptive initiatives, through addressing comprehensive aspects of contraceptive care at the health system level. Ongoing state policy changes and implementation components may affect evaluation outcomes. CLINICALTRIAL ClinicalTrials.gov Protocol Record 117213 Open Science Framework: DOI 10.17605/OSF.IO/QJC9K

2019 ◽  
Vol 3 (1) ◽  
pp. 22-29
Author(s):  
Rendy Pribadi ◽  
Zainal Rafli ◽  
Ninuk Lustyantie

Abstract: The object of this research is to describe and comprehensively understand cognition in second language acquisition in children aged 1; 5 years: a formal approach to the type of Krashen monitor theory. The method in this study uses a qualitative approach. Qualitative because based on taking a historical data in the form of observation and recording using electronic media as a recorder of speech forms.Data is collected through data collection by recording and then recording one word and two words from the child's speech then describing it syntactically the words that the child uttered. The method used is observation and conversation by asking a few questions. The object in this study was a child named Raffasya Wirayudha who was 1; 5 years old.. The findings in this study were to test the development of second language acquisition with the type of monitor theory. The model theory is applied in children aged 1, 5 years who have a first language (Sundanese) and a second language (Indonesian). So that we can know the level of mastery of each language with the type of monitor model. The findings are: 1. Language acquisition and learning can be carried out in the family sphere, 2. The development of B2 language learning is more interactive if using media, and 3. Language problems can be solved if it gives the child the opportunity to talk and control unstable emotions in the speakers when speaking.


Author(s):  
Saumya RamaRao ◽  
John Townsend

This chapter discusses how potential conflicts between individual rights and public health goals can be managed in the context of contraceptive service delivery and research. It applies three ethical principles—respect for persons, beneficence, and justice—to illustrate how those tensions play out in a variety of challenging situations prevalent in the fields of family planning and reproductive health. That analysis is followed by a discussion of the consequences of those conflicts for health systems, family planning providers, and users of health systems. The chapter focuses on developing countries and makes relevant parallels for global policymaking and service delivery.


2018 ◽  
Vol 7 (1) ◽  
pp. 87 ◽  
Author(s):  
MilaNu Nu Htay ◽  
NanNitra Than ◽  
AdinegaraLutfi Abas ◽  
Htay Lwin ◽  
Soe Moe

2021 ◽  
Vol 27 (1) ◽  
pp. 141-151
Author(s):  
Mohamad Hasnan Ahmad ◽  
◽  
Nor Azian Mohd Zaki ◽  
Fatimah Othman ◽  
Azli Baharudin ◽  
...  

Introduction: Prevalence of malnourished children in Putrajaya was unexpectedly high in 2016. This paper describes the study protocol for a case-control study conducted to identify the associated factors of malnutrition among children under 5 years old in Putrajaya. Methods: This study involved two phases. Phase I was ‘screening’ where all children aged 6-59 months in 118 preschools and four government health clinics were measured for their weight and height. The World Health Organization Anthro software was used to determine the nutritional status of these children. Phase II was the ‘interview’ where children from screening were sampled into four pairs of case and control. The optimum sample size for the case of stunted, wasted, underweight, and overweight were 380, 335, 318, and 308, respectively. The same number of controls were recruited. Parents/caregivers of selected children were approached to obtain data on parental factors, children factors, food intake factors, and environmental factors that contributed to malnutrition. Data analysis was performed by multiple logistic regression in SPSS version 26. Results: Screening phase successfully measured 8,261 (50.1%) children from an estimated 16,500 children under 5 years old in Putrajaya. The number of children who were stunted, wasted, underweight, and overweight were 2,105 (25.5%), 512 (6.2%), 1,516 (18.4%), and 248 (3.0%), respectively. As overweight was undersampled, the number of controls for overweight was doubled to increase the power of the study. Parents/caregivers of selected cases and controls were interviewed in their household or any other venues at their convenience. Conclusion: This protocol promises beneficial outputs to stakeholders and policy makers that can be used for combating malnutrition in children.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


1964 ◽  
Vol 4 (2) ◽  
pp. 332-355 ◽  
Author(s):  
Khurshid Haroon ◽  
Yasmin Azra Jan

Very little of the intense interest and activity in the field of family planning in Pakistan has come up in the form of publications. Since the formation of the Family Planning Association of Pakistan in 1953 and the initiative of the government in promoting a national family-planning programme in its Second Five-Year Plan, relatively few reports have been printed. Most of what has been written in Pakistan about family planning has either been reported at conferences abroad or published in foreign journals, or submitted as graduate dissertations at universities within the country and abroad1. While numerous papers presented at conferences in Pakistan have been given limited circulation in mimeographed form2, much of the preliminary data, emanating from most of the action-research projects in progress, are held up till substantive demographic changes are measured and approaches evaluated accordingly.


Author(s):  
Asha Bajpai

Custody refers to the physical care and control of a minor whereas guardianship is a wider term and includes rights and duties with respect to the care and control of minor’s person and property, and includes the right to make decisions relating to the minor. The present legal regime relating to guardianship and custody of children is discussed, including the Guardians and Wards Act, 1890, the Hindu Minority and Guardianship Act, 1956, the personal and matrimonial laws, and relevant provisions in the Family Courts Act and Protection of Women against Domestic Violence Act, 2005. The emerging concepts of shared parenting, joint custody, and the interparental child removal or abduction of child is included. There is review and analysis of some major reported judicial decisions. A comparative survey of international laws and trends has been done. Suggestions for law reform in the best interest of the child have been given.


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