scholarly journals Analisis pelaksanaan kebijakan program keluarga berencana (KB): studi kasus di Kabupaten Malinau

2017 ◽  
Vol 33 (12) ◽  
pp. 615
Author(s):  
Priscilla Bawing ◽  
Retna Siwi Padmawati ◽  
Siswanto Agus Wilopo
Keyword(s):  
Family Planning ◽  
Local Governments ◽  
Contraceptive Use ◽  
Service Providers ◽  
Cultural Beliefs ◽  
Health Facilities ◽  
Government Health ◽  
Program Policy ◽  
The Government ◽  
Medical Indications

Implementation of district level "four children better" family planning policy in MalinauPurposeThis study aimed to analyze the implementation of family planning program policy in Malinau.MethodsA case study was conducted through in-depth interviews with 18 participants.ResultsThe policy of the government in Malinau is ‘four children are better’. Differences in perceptions between stakeholders, providers, and users about family planning affecting social, economic, cultural, beliefs have an impact on contraceptive use in Malinau. The use of contraception is not prohibited for people with medical indications for using contraception, but peo­ple should access the contraception independently in the private sector.ConclusionThe policy of the Ma­linau government to stop the supply of contraceptives to government health facilities since 2012 is an effort by local governments to increase the number of inland and border populations. The unavailability of con­traceptives in government health facilities and the limitations of family planning information, communica­tion and education lead to differences in perceptions between stakeholders, service providers, and users. Therefore, the researcher recommends that the relevant regional apparatus unit does advocacy to legislative and executive boards in Malinau. The local government shall ensure the availability and quality of family planning services for the community on the basis of reproductive health rights.

scholarly journals Integrated Family Planning and Immunization Service Delivery at Health Facility and Community Sites in Dowa and Ntchisi Districts of Malawi: A Mixed Methods Process Evaluation

2020 ◽  
Vol 17 (12) ◽  
pp. 4530
Author(s):  
Chelsea M. Cooper ◽  
Jacqueline Wille ◽  
Steven Shire ◽  
Sheila Makoko ◽  
Asnakew Tsega ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Family Planning ◽  
Service Providers ◽  
Service Integration ◽  
Secondary Analysis ◽  
Health Sector ◽  
Health Facilities ◽  
Immunization Service ◽  
Mothers And Fathers ◽  
The Government

The Government of Malawi’s Health Sector Strategic Plan II highlights the importance of service integration; however, in practice, this has not been fully realized. We conducted a mixed methods evaluation of efforts to systematically implement integrated family planning and immunization services in all health facilities and associated community sites in Ntchisi and Dowa districts during June 2016–September 2017. Methods included secondary analysis of service statistics (pre- and postintervention), focus group discussions with mothers and fathers of children under age one, and in-depth interviews with service providers, supervisors, and managers. Results indicate statistically significant increases in family planning users and shifts in use of family planning services from health facilities to community sites. The intervention had no effect on immunization doses administered or dropout rates. According to mothers and fathers, benefits of service integration included time savings, convenience, and improved understanding of services. Provision and use of integrated services were affected by availability of human resources and commodities, community linkages, data collection procedures and availability, sociocultural barriers, organization of services, and supervision and commitment of health surveillance assistants. The integration approach was perceived to be feasible and beneficial by clients and providers.

Fertility, Marriage, and Family Planning in Iran: Implications for Future Policy

2016 ◽  
Vol 13 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Meimanat Hosseini-Chavoshi ◽  
Mohammad Jalal Abbasi-Shavazi ◽  
Peter McDonald
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Family Formation ◽  
Population Policy ◽  
Age Distribution ◽  
Marriage And Family ◽  
Economic Changes ◽  
Policy Goals ◽  
Program Policy ◽  
The Government

Abstract The Islamic Republic of Iran has experienced a remarkable demographic transition over the last three decades. As a result of social, demographic and economic changes, Iran’s fertility declined from 7.0 births per woman in 1980 to around 1.8 to 2.0 in 2011 based on our estimation (McDonald et al. 2015). The initial rise and rapid fall of fertility accompanied by a decline of child mortality led to a post-revolutionary youth bulge in the age distribution that will lead to rapid ageing in the longer-term future. Others have argued that Iran’s fertility has fallen to much lower levels - as low as 1.5 births per woman (eg. Erfani 2013). Such low estimates led to the Government of Iran adopting a pronatalist policy with the aim of increasing fertility, although the components of the policy are still under discussion. Different views have been expressed on the role of family planning and other programs in meeting population policy goals in Iran in the future with some advocating the discontinuation of government assistance to family planning. This paper aims to review the trends and levels of fertility, marriage, and family planning and their implications for policy. Using various datasets and detailed parity-based measures of fertility, the dynamics of fertility regulation practiced by Iranian couples are investigated. Our findings suggest that contraceptive use stabilized before 2000 and postponement of the first child and wide birth intervals are the main contributors to the level of fertility. Therefore, instead of discontinuation of the family planning program, policy to sustain fertility at its present level or a little higher needs to focus upon improving the economic circumstances of young people so that they are able to make less constrained choices about family formation than is the case at present.

An Exploration of the Conditions Required of Social Organizations to be Contracted by Government as Service Providers: A Study Based on Analysis of Local Government Documents

2014 ◽  
Vol 6 (2) ◽  
pp. 197-212
Author(s):  
Qiang Yi ◽  
Xiaohong Zhu ◽  
Xianghui Liu
Keyword(s):  
Public Service ◽  
Service Provider ◽  
Financial Management ◽  
Local Governments ◽  
Public Services ◽  
Service Providers ◽  
Government Procurement ◽  
Governance System ◽  
Eligibility Requirements ◽  
The Government

In the Guidelines of the State Council General Office on Government Procurement of Services from the Private and Non-governmental Sectors, “public service provider for the government” is broadly defined; it is stated that npos, businesses, and industry organizations have equal opportunity to be public service providers. A comparison of local eligibility requirements on npos serving as public service providers shows that the eligibility requirements focus on such aspects as service provider qualifications, time of establishment, organizational management, human resources, financial management, professional qualifications, annual inspection, evaluation, and honors. On the whole, the requirements are not demanding; the quality of public services is also secured through institutional design and innovation. The lax eligibility requirements imposed by local governments on npos as public service providers indicate that the social governance system will feature diversity, and reflect the government’s intention to support and develop npos. However, there are also some problems in local policies, such as 1) too much is at the discretion of the government; 2) the eligibility requirements are not good for the development of grassroots organizations; 3) no standards have been defined on eligibility for public service provider; and 4) related laws and regulations lack authority. Therefore, it is necessary to make government procurement of public services law-based and provide continued theoretical and institutional support for the implementation of the most authoritative policy.

A Situation Analysis of Public Family Planning Service Delivery in Pakistan

1993 ◽  
Vol 14 (1) ◽  
pp. 21-52 ◽  
Author(s):  
George P. Cernada ◽  
A. K. Ubaidur Rob ◽  
Sara I. Ameen ◽  
Muhammad Shafiq Ahmad
Keyword(s):  
Family Planning ◽  
Service Providers ◽  
Family Planning Service ◽  
Family Welfare ◽  
Situation Analysis ◽  
Planning Service ◽  
Record Keeping ◽  
Contraceptive Usage ◽  
Service Training ◽  
The Government

A nationally representative sample of 8 percent of the Government of Pakistan's primary family planning service facilities, the Family Welfare Centres (FWC), was carried out at the request of the Ministry of Population Welfare in mid-1992. The “situation analysis” approach used involved: 1) observation and inventory of services, facilities, supplies and record keeping reviews; 2) observation of interaction between service providers and FP clients at FWC's; 3) interviews with service providers; and 4) exit interviews with FP clients after service provision. This one-day on-site observation by teams of three interviewers provided a unique overview and baseline assessment of the availability of services, the staff functioning and the quality of service. Significant findings include a low caseload, inadequacies of facilities, some stockouts, lack of educational materials, insufficient outreach, unnecessary medical and social barriers to providing contraception as well as in some cases insufficient information to clients about contraindications to contraceptive usage and possible side-effects. The need to bolster in-service training and supervision is emphasized.

scholarly journals SKILLINGEN, BRODEREN OG TABLETTEN: Penge og sundhed i det østlige Uganda

2004 ◽  
Author(s):  
Hanne O. Mogensen
Keyword(s):  
Health Care ◽  
Everyday Life ◽  
Health Care System ◽  
Health Care Providers ◽  
Social Relations ◽  
Health Facilities ◽  
Care Providers ◽  
The Public ◽  
Government Health ◽  
The Government

Complaints about fees at the government health facilities in Uganda are incessant, and so are the more general statements about lack of money and problems of poverty. These complaints, however, cannot be reduced to questions of cost and the availability of resources. We also need to look at the kinds of exchanges money is made part of. Health has long been part of the economic sphere in Uganda, and people compensate healers and practitioners of different kinds for their services. The article explores why, then, people experience it as far more problematic to pay for treatment in the public health care system than to pay other health care providers. To answer this question requires a discussion of money, not as destructive to social relations, but as creative potential for relationships in all spheres of everyday life. In Uganda, as elsewhere, money can be used both to pay somebody and to give somebody something. Money is being made part of different modalities of exchange. In order to understand what takes place in various kinds of clinical interaction we need to look at the complex intersection of social relations, modalities of exchange, and the objects exchanged.

scholarly journals Toward a Smoke-free Generation: The Dutch Strategy

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 140s-140s
Author(s):  
F. van Bladeren ◽  
G. Muller
Keyword(s):  
Tobacco Control ◽  
Local Governments ◽  
Cancer Society ◽  
Sports Clubs ◽  
Control Climate ◽  
Program Policy ◽  
Working Together ◽  
Free Generation ◽  
The Government ◽  
The One

Background and context: In 2013, Dutch society was polarized on the tobacco topic. Sense of urgency was low among most stakeholders. Therefore, the Dutch Cancer Society, Heart and Lung foundations created a coalition with a mutual goal and joined efforts in realizing it. The common strategy resulted in a stepwise roadmap toward a smoke-free generation. According to their capacities and fields of interests, coalition partners were allocated subthemes to focus on as part of the one common overall strategy. In addition new coalition partners were sought and found among stakeholders in sectors with high influence on society and politics with respect to the main priorities following from the roadmap. In this way, the smoke-free movement grows like a rolling snowball. Aim: To realize a smoke-free generation by 2035 by working together. Strategy/Tactics: By striving for a smoke-free generation, we are protecting youth against tobacco. We aim for a society in which parents of children born from now onward will be able to raise them without any exposure to tobacco smoke and the temptation to start smoking. So that they never decide to start smoking. We developed a roadmap toward the smoke-free generation that holds a low threshold for people to start participating and is positively framed. It's consistent with all political colors, takes away polarization and opens conversation. This presentation will discuss the basic principles of the frame, the stepwise roadmap and the instruments we use to achieve our goal: lobby, communication and stakeholders activation, including the results of our approach. And we will show practical examples of how a rapid growing number of parties contribute, such as playgrounds, sports clubs and hospitals that become smoke-free and local governments. Program/Policy process: A roadmap toward a smoke-free generation was created and the efforts of the 3 NGOs were combined to become more effective and efficient in realizing the goal together. Outcomes: More than 100 organization are working together toward a smoke-free generation, environments where children recreate/are are becoming smoke free, the % of smokers is declining, the government is taking its responsibility, the support from society for tobacco control is increasing, and tobacco has been reframed into a positive movement. What was learned: A mutual goal works, positive framing leads to more and more partners that work toward the smoke-free generation and it is possible to turn a negative or neutral tobacco control climate into a climate that is more positive toward effective tobacco control.

scholarly journals Knowledge of Family Planning and Access to Sexual and Reproductive Health Services by Immigrant Youth in Hillbrow, South Africa: A Cross-sectional Study.

2022 ◽  
Author(s):  
Nkechi C. Obisie-Nmehielle ◽  
Ishmael Kalule-Sabiti ◽  
Martin Palamuleni
Keyword(s):  
Family Planning ◽  
Sexual And Reproductive Health ◽  
Universal Access ◽  
Immigrant Youth ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sexually Active ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Government Health

Abstract Background: For countries to achieve the Sustainable Development Goals (SDGs) especially SDG3.7- universal access to Sexual and Reproductive Health (SRH) care services including information and education for family planning, immigrant youth must be ensured access to SRH services. This study examines the determinants of knowledge about family planning (KFP) and access to SRH services by sexually active immigrant youth in Hillbrow, South Africa.Methods: This cross-sectional study of 467 immigrant youth aged 18-34 years used a multistage-sampling technique. Data were collected using interviewer-administered questionnaires on socio-demographic, migration, KFP and access to SRH services from government health facilities. Unadjusted and adjusted logistic regression models were used to determine levels of KFP and access to SRH services among 437 sexually active youth. Results: The main sources of information on SRH issues were radio/television (38.7%) and friends (22.8%). Over half of the respondents have adequate KFP, while two out of five indicated a lack of access to SRH services from government health facilities. In the adjusted models, the determinants of having KFP were being a female (AOR= 3.85, CI: 2.33–6.35, belonging to the age groups 25–29 years (AOR=2.13, CI: 1.12–4.04; and 30–34 years (AOR=3.88, CI: 2.00–7.53); belonging to the middle and rich wealth index (AOR=1.84, CI: 1.05–3.20) and (AOR=2.61 (1.34–5.08) respectively. Not having received information about family planning (AOR=0.16, CI=0.09–0.28) and not using a contraceptive at the time of the survey (AOR=0.36, CI: 0.18–0.70) were associated with reduced odds of KFP. The determinants of having access to government health facility for SRH services were being a female (AOR=2.95, CI: 1.87–4.65), being 30–34 years of age (AOR=1.91, CI: 1.08–3.39), and not having received information about family planning (AOR=0.44, CI=0.27–0.73). Conclusion: Majority of the survey respondents lack access to information about family and SRH services provided by government health facilities, which resulted in them depending on unreliable sources of information about SRH issues. There is a need to advocate for universal access to SRH services, inclusive of immigrant youth in South Africa, to curb negative SRH outcomes and to achieve SDG 3.7.

scholarly journals Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e035183
Author(s):  
Taufique Joarder ◽  
Samiun Nazrin Bente Kamal Tune ◽  
Md Nuruzzaman ◽  
Sabina Alam ◽  
Valeria de Oliveira Cruz ◽  
...  
Keyword(s):  
Health Workforce ◽  
Quantitative Methods ◽  
Service Providers ◽  
Workforce Planning ◽  
Healthcare Services ◽  
Health Facilities ◽  
Time Motion ◽  
High Workload ◽  
The Government ◽  
Staffing Needs

ObjectiveThis study aimed to assess the current workload and staffing need of physicians and nurses for delivering optimum healthcare services at the Upazila Health Complexes (UpHCs) in Bangladesh.DesignMixed-methods, combining qualitative (eg, document reviews, key informant interviews, in-depth interviews, observations) and quantitative methods (time-motion survey).SettingStudy was conducted in 24 health facilities of Bangladesh. However, UpHCs being the nucleus of primary healthcare in Bangladesh, this manuscript limits itself to reporting the findings from the providers at four UpHCs under this project.Participants18 physicians and 51 nurses, males and females.Primary outcome measuresWorkload components were defined based on inputs from five experts, refined by nine service providers. Using WHO Workload Indicator of Staffing Need (WISN) software, standard workload, category allowance factor, individual allowance factor, total required number of staff, WISN difference and WISN ratio were calculated.ResultsPhysicians have very high (WISN ratio 0.43) and nurse high (WISN ratio 0.69) workload pressure. 50% of nurses’ time are occupied with support activities, instead of nursing care. There are different workloads among the same staff category in different health facilities. If only the vacant posts are filled, the workload is reduced. In fact, sanctioned number of physicians and nurses is more than actual need.ConclusionsIt is evident that high workload pressures prevail for physicians and nurses at the UpHCs. This reveals high demand for these health workforces in the respective subdistricts. WISN method can aid the policy-makers in optimising utilisation of existing human resources. Therefore, the government should adopt flexible health workforce planning and recruitment policy to manage the patient load and disease burden. WISN should, thus, be incorporated as a planning tool for health managers. There should be a regular review of health workforce management decisions, and these should be amended based on periodic reviews.

scholarly journals Negotiation of the use of medical contraception: Levers and obstacles within married couples in Benin

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253438
Author(s):  
Togla Aymard Aguessivognon
Keyword(s):  
Developing Countries ◽  
Family Planning ◽  
International Development ◽  
Contraceptive Use ◽  
Service Providers ◽  
Married Couples ◽  
Married Women ◽  
Structured Interviews ◽  
National Family Planning ◽  
Specific Factors

In developing countries, millions of married women who want to use medical contraception are unable to do so for various reasons. To address this gap in access to contraception international development actors are emphasizing, among other things, the implementation of empowerment programs for women to enable them to take ownership of issues related to their sexual and reproductive health. Nevertheless, studies show that beyond their socio-demographic characteristics, negotiating contraception as a couple is the essential determinant of medical contraception usage among married women in developing countries. Thus, some authors suggest that this aspect be considered in the strategies of national family planning programs. However, we do not know much about the reasons underlying the negotiation or silence around contraception in Beninese married couples. To fill this gap, we conducted semi-structured interviews with women and men living as married couples in Benin. The results show that this type of negotiation is mainly influenced by specific factors that can act as levers or obstacles. These data could help family planning service providers in Benin and possibly other developing countries to ensure greater contraceptive use among married women.

Sign in / Sign up

Export Citation Format

Share Document