scholarly journals The Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High HIV/STI Prevalence Settings (supplemental material in Dari)

2015 ◽  
Keyword(s):  
Family Planning ◽  
Service Providers ◽  
Family Planning Service ◽  
Planning Service ◽  
Counseling Strategy

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 Addressing socio-cultural barriers to family planning and co-designing services to improve utilization: evidence from northern Nigeria

2019 ◽  
Author(s):  
Olugbenga Oguntunde ◽  
Jabulani Nyenwa ◽  
Sikiratu Kilani-Ahmadu ◽  
Abdulsamad Salihu ◽  
Issa Yusuf
Keyword(s):  
Family Planning ◽  
Health Facility ◽  
Service Utilization ◽  
Service Providers ◽  
Family Planning Service ◽  
Service Improvement ◽  
Community Perception ◽  
Planning Service ◽  
Family Planning Services

Abstract BACKGROUND: Family planning is a proven cost-effective intervention that has contributed to women empowerment and overall human development. Demand factors and women’s expectations and experiences at health facility for family planning services may influence their uptake and utilisation of these services. Increased awareness and positive community perception and quality of family planning services that meet clients’ expectations may greatly improve utilization. The aim of this study was to identify ways to improve family planning service users' experience at primary health care centres towards improving utilization of family planning services in two northern Nigerian states. METHODS: This qualitative study was part of a larger operations research that explored married women’s and service providers’ perception of quality of care along the RMNCH pathway to inform improvements in service delivery. The study utilised Experience-based co-design (EBCD) methodology that employed qualitative methods to explore clients and service providers’ experiences of healthcare services. A total of 92 IDIs and 4 FGDswere conducted in two communities each in Kano and in Yobe states. ‘Touch points’ from service providers’ and respondents’ experiences were extracted using thematic analysis. Joint workshops were further conducted with clients and providers to co-design a user-driven service pathway to improve service utilization. RESULTS: Key 'touch points' from providers’ experiences included stock out of family planning commodities, inadequate equipment and infrastructure and cultural and religious believes that prevent utilization of family planning services. In addition, clients reported challenges securing husband permission to utilize services, poor provider attitude and lack of female providers at health facility as obstacles to service utilization. Co-designing a service improvement plan by service providers and clients that involved increasing community awareness about the benefits of family planning by service providers, improving providers’ attitude, increasing family planning outreach and promoting men involvement in family planning programmes. CONCLUSION: EBCD provides a platform that make clients active contributors to family planning service improvement plans at the health facility thereby ensuring provision of quality services that meet the need of women.

scholarly journals Respectful family planning service provision in Sidama zone, Southern Ethiopia

2019 ◽  
Author(s):  
Melese Siyoum ◽  
Ayalew Astatkie ◽  
Teshome Melese ◽  
Zelalem Tenaw ◽  
Abebaw Abeje ◽  
...  
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Service Providers ◽  
Health Workers ◽  
Family Planning Service ◽  
Health Facilities ◽  
Prior Training ◽  
Planning Service ◽  
Short Acting ◽  
Respectful Care

Abstract Introduction Disrespect and abusive care is a violation of women’s basic human rights and it is serious global problem that needs urgent intervention. In Ethiopia disrespect and abusive care is very common (21-78%) across health facilities. Objective To assess the status of respectful family planning service in Sidama zone, south Ethiopia. Methodology Health facility-based cross-sectional study was conducted from June to August 2018. Data were collected from 920 family planning clients’ recruited from 40 randomly selected health facilities. The Mother on Respect index (MORi) questionnaire was used to collect the data through client exit interview. Partial proportional odds ordinal regression was employed to identify determinants of respectful family planning service. Result The level of respectful family planning service was found to be: Zero (0%) in the very low respect category, 75(18.5%) low respect, 382(41.52%) moderate respect and 463(50.33%) high respect. Being a short acting method client (AOR=0.3, 95%CI [0.12, 0.72]), participants’ level of education (uneducated (AOR=0.39, 95%CI [0.25, 0.61), elementary (AOR=0.41, 95%CI [0.23, 0.73]), low income(AOR=0.75, 95%CI [0.56, 0.99]), long waiting time (AOR=0.46, 95%CI [0.30, 0.69]), were negatively associated with moderate and high respect compared to low respect. Preference of male service providers (AOR=2, 95%CI [1.1, 3.8]), service providers’ work satisfaction (AOR=1.55, 95%CI [1.13, 2.14]) and health workers’ prior training on respectful care (AOR=8.75, 95%CI [4.61, 16.61]) were positively associated. Being a client of short acting contraceptives (AOR=2.1, 95%CI [1.42, 3.12]), preference of male service providers (AOR=0.55, 95%CI [0.4, 0.76]) and health workers’ prior training on respectful care (AOR=3.03, 95%CI [2.24, 4.1]) had significant association with high respect compared to low and moderate respect. Conclusion Considering the current strategy of zero tolerance for disrespect in Ethiopia, the level of respectful care in this study is sub-optimal. We recommend community awareness and short term training for service providers.

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