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Family Planning in a Family Health Unit; Planejamento familiar em Unidade de Saúde da Família; Planificación familiar en Unidad de Salud de la Familia

PIERRE, Luzia Aparecida dos Santos; CLAPIS, Maria José
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica
ENG
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75.99%
The aim of this study was to identify the care provided by health professionals who work in family planning, in a Family Health Unit in the municipality of Ribeirao Preto, São Paulo. This was a descriptive, cross-sectional and quali-quantitative study. Data were collected through interviews with 11 health professionals. The results revealed that most professionals had not received training in family planning, and that information about contraceptive methods is transmitted in an individual way, having women as the target-public. The contraceptive methods which the professionals suggest and offer more are those considered most effective. These findings indicate that family planning care at the Family Health Unit needs to be adjusted not only to ensure quality of service, but also to ensure sexual and reproductive rights.; O objetivo deste estudo foi identificar a assistência oferecida pelos profissionais de saúde que atuam em planejamento familiar, em uma Unidade de Saúde da Família, no município de Ribeirão Preto, São Paulo. Trata-se de estudo descritivo, com corte transversal e abordagem quali-quantitativa. Os dados foram coletados por meio de entrevista com 11 profissionais da saúde. Os resultados revelaram que a maioria dos profissionais não recebeu capacitação em planejamento familiar...

Assistência em planejamento familiar em um programa de saúde da família no município de Ribeirão Preto - SP; Family Planning Care in a Family Health Program in Ribeirão Preto-SP.

Santos, Luzia Aparecida dos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 13/02/2009 PT
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O planejamento familiar é uma ação de saúde que permite a regulação da fecundidade, faz parte da Atenção Básica, atualmente vem sendo oferecido através do Programas de Saúde da Família é um direito reprodutivo. A qualidade da assistência em planejamento familiar é imprescindível para os índices de saúde reprodutiva e sexual, sendo a oferta, a livre escolha por métodos contraceptivos e a informação dada aos clientes são elementos fundamentais para garantir a qualidade dessa assistência. Este estudo teve como objetivo descrever a assistência prestada em planejamento familiar segundo as mulheres em idade fértil e os profissionais de saúde do Núcleo de Saúde de Família I no município de Ribeirão Preto, São Paulo. Trata-se de um estudo descritivo, com abordagem quantitativa. A amostra foi composta por 242 mulheres em idade fértil cadastradas no Núcleo de Saúde da Família I e por 11 profissionais de saúde que atuavam neste serviço. Os dados foram coletados através de entrevistas estruturadas em domicilio e no serviço de saúde. A estatística descritiva e os testes quiquadrado de Pearson ou Exato de Fisher foram utilizados para a análise dos dados. Os resultados revelam que a maioria das mulheres (69...

Family Planning in a Family Health Unit

Pierre,Luzia Aparecida dos Santos; Clapis,Maria José
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2010 EN
Relevância na Pesquisa
75.99%
The aim of this study was to identify the care provided by health professionals who work in family planning, in a Family Health Unit in the municipality of Ribeirao Preto, São Paulo. This was a descriptive, cross-sectional and quali-quantitative study. Data were collected through interviews with 11 health professionals. The results revealed that most professionals had not received training in family planning, and that information about contraceptive methods is transmitted in an individual way, having women as the target-public. The contraceptive methods which the professionals suggest and offer more are those considered most effective. These findings indicate that family planning care at the Family Health Unit needs to be adjusted not only to ensure quality of service, but also to ensure sexual and reproductive rights.

Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data

Portner, Claus C.; Beegle, Kathleen; Christiaensen, Luc
Fonte: Banco Mundial Publicador: Banco Mundial
Relevância na Pesquisa
76.23%
Although reproductive health advocates consider family planning programs the intervention of choice to reduce fertility, there remains a great deal of skepticism among economists as to their effectiveness, despite little rigorous evidence to support either position. This study explores the effects of family planning in Ethiopia using a novel set of instruments to control for potential non-random program placement. The instruments are based on ordinal rankings of area characteristics, motivated by competition between areas for resources. Access to family planning is found to reduce completed fertility by more than one child among women without education. No effect is found among women with some formal schooling, suggesting that family planning and formal education act as substitutes, at least in this low-income, low-growth setting. This provides support to the notion that increasing access to family planning can provide an important, complementary entry point to kick-start the process of fertility reduction.

Population and Family Planning : Lessons from Malawi

Prakash, Siddhartha
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
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The objective of the Population and Family Planning (FP) Project, a Learning and Innovation Loan (LIL), was to test the feasibility of a comprehensive and district-wide Community Based Distribution (CBD) approach to Population and Family Planning Services in three districts, thereby increasing the Contraceptive Prevalence Rate (CPR) for modern methods. Rigorous testing of the hypothesis was ensured in the design by selecting control districts and using the same instruments to collect both the baseline and end of project data. The three rural pilot districts - Chitipa, Ntchisi and Chiradzulu, represented the three mains regions of North, South and Central Malawi and were adjacent to the control ones with which they shared comparable socio-demographic characteristics such as household composition (female headship and number of residents), environmental exposure (water sources, latrines) and backgrounds of respondents (age, education, marital status).

Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications

Chowdhury, Sadia; Vergeer, Petra; Schmidt, Harald; Barroy, Helene; Bishai, David; Halpern, Scott
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
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76.24%
This paper was developed for World Bank task team leaders (TTLs) and teams designing results-based financing (RBF) programs in family planning (FP). It explores the rationale for introducing such incentives based on insights from classical and behavioral economics, to respond to supply- and demand-side barriers to using FP services. To help the reader understand why incentivizing FP requires specific attention in RBF, the evolution of incentives in vertical FP programs introduced from the 1950s to the early 1990s and the ethical concerns raised in these programs are described. RBF programs after the 1990s were also studied to understand the ways FP is currently incentivized. The paper also touches on the effects of the incentive programs for FP as described in the literature. Finally, it examines ethical concerns related to FP incentives that should be considered during the design, implementation, and evaluation of programs and provides a conceptual framework that can be of use for task teams in the decision making process for FP in RBF programs. It should be noted that the paper is concerned exclusively with developing a framework that can help design ethical programs to address the unmet need for FP.

Transforming Family Planning Outlook and Practice in Egypt : A Rights-Based Approach

Rabie, Tamer; Boehmova, Zuzana; Hawkins, Loraine; Tawab, Nahla Abdel; Saher, Sally; El Shitany, Atef
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
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Family planning (FP) program contributed to Egypt s progress in reducing infant and maternal mortality and the total fertility and population growth rates. The Arab spring has brought to the forefront long-held aspirations, which can only be fulfilled by a clear shift to a rights-based and person-centered family planning approach and away from an imposed top-down program with targets for family size and fertility rate. The essence of a rights-based approach to FP is interacting with people as individuals with rights to control ones lives, not as a target of a particular program. The FP program also needs to determine and mitigate the factors that make it difficult for the poor, young, and marginalized groups to exercise rights to receive the services needed. The authors of this report examined the challenges facing Egypt s FP program through a human rights lens, exploring whether individuals and couples are able to exercise their rights to financial and physical access to good quality FP services. The research also investigated whether client demand for services...

Family Planning : The Hidden Need of Married Adolescents in Nepal

Aguilar Rivera, Ana Milena; Cortez, Rafael
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
EN_US
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In Nepal, both early marriage and motherhood still place adolescents and their children at a great disadvantage. In 2011, one-third of girls aged 15-19 were already married. About 60 percent of them were pregnant or had at least one child, and one in ten had two living children (Nepal Demographic Health Survey, 2011). This brief aims to understand why married adolescents in Nepal have low contraceptive use and a high unmet need for family planning, providing policy recommendations based on a literature review, interviews with key-informants, and a comprehensive analysis of secondary data from household surveys (NDHS 2006-2011). Given that early childbearing in Nepal still occurs primarily within marriage, the brief addresses the needs of female married adolescents which are often overlooked by policy-makers. However, it is important to note that unmarried adolescents are progressively engaging in sexual activity in Nepal increasing their risks for contracting an STI or an unplanned pregnancy that warrants special attention.

The Potential for Integrating Community-Based Nutrition and Postpartum Family Planning : Review of Evidence and Experience in Low-Income Settings

Alvesson, Helle M.; Mulder-Sibanda, Menno
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
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The objective of this review was to study where community-based family planning and nutrition programs have been integrated, how this has been accomplished, and what the results have been. Although family planning is a nontraditional intervention in community-based nutrition programs, it can have profound effects on maternal and child health and nutrition. When family planning does not occur, short intervals between pregnancies deplete mothers' reserves of nutrients needed for pregnancy and later for breastfeeding. As a result, short birth intervals are associated with higher maternal and neonatal mortality and malnutrition rates of infants. Family planning, which promotes contraceptive use and the lactational amenorrhea method, can thus improve nutrition outcomes in both mothers and babies. The authors identified a few studies on integrated services in the published literature; thus the main part of the review is built on operational research studies and unpublished smaller scale intervention studies. However...

Kenya : Reaching the Poor through the Private Sector, A Network Model for Expanding Access to Reproductive Health Services

Montagu, Dominic; Prata, Ndola; Campbell, Martha M.; Walsh, Julia; Orero, Salomon
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
76.12%
This study, carried out in the summer of 2003, measured the effectiveness of a Kenyan program dedicated to increasing the availability of reproductive health services to the poor through training and networking of private medical providers. The Kisumu Medical and Educational Trust (KMET) program focuses on family planning services and encourages providers to add these services to the normal range of consultations, commodity sales, and clinical care they already provide. The central question addressed in this study is whether it is possible to offer reproductive health services through a network of private sector, for-profit providers without exacerbating inequity in access to these services.. The study also looked at a pool of potential clients of KMET members to evaluate which wealth group benefits from the subsidy given to private providers through KMET. And finally, an analysis of actual KMET clients was used to better understand the program's success in providing quality reproductive health care.

The Global Family Planning Revolution : Three Decades of Population Policies and Programs; La revolucion mundial de la planificación familiar : tres decadas de politicas y programas de poblacion

Robinson, Warren C.; Ross, John A.
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH; EN_US
Relevância na Pesquisa
76.27%
This volume helps fill the gap left from insufficiently archived details of family planning programs carried out in many developing countries from the 1950s through the 1980s of their operations, their commonalities, and their differences, with much useful information and informed analysis. The programs were complex undertakings in difficult settings that had little prior experience to draw upon. Not surprisingly, as the case studies described here demonstrate, no single strategy was available that could be employed across these diverse situations, and procedures that were successful in one country did not necessarily function well in another. The case studies also indicate that developing a successful program was as much an art as a science. The key ingredient was being able to distinguish when a somewhat radical new approach was needed and when only some fine-tuning was necessary. While not a focus of this book, the family planning programs had several important, indirect effects on the field of population studies that merit attention as part of the record. First...

Village family planning volunteers in Indonesia: their role in family planning programme

Utomo, Iwu; Arsyad, Syahmida; Hasmi, Eddy Nural
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
75.99%
Family planning was once a sensitive issue in Indonesia, but today it is considered essential. This paper reports on a study in 1997-98 of the role of village family planning volunteers and the cadres who worked under them in West Java, Central Java and D

Perceptions of clients regarding family planning service delivery in a clinic of the Greater Johannesburg Metropolitan Council

Kellner,A; Jooste,K; Jacobs,W
Fonte: Curationis Publicador: Curationis
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2010 EN
Relevância na Pesquisa
76.14%
Unwanted pregnancies with their negative impact on both women and children occur on an ongoing basis in Gauteng, South Africa. One way to prevent unwanted pregnancies is to use a reliable contraceptive method available free of charge from primary health care clinics providing family planning services throughout Gauteng Province. A literature review was completed on women and access to family planning services and an interview schedule (questionnaire) was developed. The purpose of this study was to describe guidelines to meet the expectations of clients accessing family planning services provided by a clinic in Region F, Area 28 of the Greater Johannesburg metropolitan council. This quantitative, exploratory, descriptive and comparative study measured the gaps between the expectations of participants on service delivery and the extent to which these expectations were met. A convenience sample was conducted and consisted of 50 women of reproductive age (ages 15 to 49) attending the family planning clinic. Pre-testing of the instrument was conducted. Structured interviews with a interview schedule were conducted before and after women attended a family planning service. Inferential statistics indicated that there was a significant gap between the client expectations of family planning service delivery and the extent to which these expectations were met. Of the sixty-four items where women indicated the extent of their expectations the findings on only three items were not statistically significant. These gaps were addressed by proposing managerial guidelines to be implemented by the nurse manager in charge of the facility...

Women's experiences of maternal and child health and family planning services in KwaZulu-Natal

Gatsinzi,S; Maharaj,P
Fonte: Curationis Publicador: Curationis
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
76.05%
The increasing recognition that millions of women and children die every year as a result of the poor health of the mother coupled with inadequate care before, during, and after delivery, has highlighted the importance of seeking women's views of health services in order to contribute to improving their health. The purpose of this paper is to shed more light on women's views of health services by exploring their experiences of maternal and child health and family planning services in Cato Manor in KwaZulu-Natal. The findings suggest that the majority of women were unclear about the purpose of antenatal care. Most women had little or no knowledge about the required number of antenatal care visits. In addition, few women reported that they were offered a comprehensive range of contraceptive services during their visit. In most cases, they were only given information on a limited number of family planning methods. However, the majority of women expressed overall satisfaction with the services. Discontent mainly rose from the long waiting period, duration of the consultation and limited contraceptive counselling. In order to ensure sustainable improvements in women's health increasing involvement of men is also important.

Integration of prevention and care of sexually transmitted infections with family planning services: what is the evidence for public health benefits?

Dehne,K.L.; Snow,R.; O’Reilly,K.R.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2000 EN
Relevância na Pesquisa
86.1%
It has been widely believed that, by combining the services for preventing and treating sexually transmitted infections (STI) with those for family planning (FP), STI coverage would increase and the combined service would be of higher quality and more responsive to the needs of women. So far, there is little concrete evidence that integration has had such an impact. Besides the absence of documentation, a clear definition of integration is lacking. We therefore carried out a comprehensive review of concrete experiences with integrated services, and present a summary of our findings in this article. The results indicate that the tasks of STI prevention, such as education for risk reduction and counselling, have been integrated into family planning services much more frequently than the tasks of STI diagnosis and treatment. Some STI/FP integration efforts appear to have been beneficial, for instance when the integration of STI/HIV prevention had a positive impact on client satisfaction, and on the acceptance of family planning. Less clear is whether STI prevention, when concentrated among traditional FP clients, is having a positive impact on STI risk behaviours or condom use. A few projects have reported increases in STI caseloads following integration. In some projects...

Validation of a job aid to rule out pregnancy among family planning clients in Nicaragua

Stanback,John; Nanda,Kavita; Ramirez,Yolanda; Rountree,Wes; Cameron,Sandra B.
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2008 EN
Relevância na Pesquisa
76%
In Latin America, one of the most common barriers to family planning access is denial of services to women who present at clinics in the absence of menses. Where pregnancy tests are unavailable, many providers fear that nonmenstruating women may be pregnant and, worrying about possible harm to the fetus, require the woman to await the onset of menses before initiating a contraceptive method. In 2005, during a randomized trial of oral contraceptive users in Nicaragua, we assessed a job aid endorsed by the World Health Organization to help providers exclude pregnancy among family planning clients. Among 263 new, nonmenstruating clients, the job aid ruled out pregnancy for 60% of the women. Only 1% of the women were pregnant, and no woman identified by the job aid as "not pregnant" was pregnant. Provider fears that nonmenstruating clients are pregnant are usually misplaced, while fears that hormonal methods can harm fetuses are exaggerated.

Coping with changing conditions: alternative strategies for the delivery of maternal and child health and family planning services in Dhaka, Bangladesh

Routh,Subrata; Arifeen,Shams El; Jahan,Shamim Ara; Begum,Anwara; Thwin,Aye Aye; Baqui,Abdullah  Hel
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 EN
Relevância na Pesquisa
86.13%
The door-to-door distribution of contraceptives and information on maternal and child health and family planning (MCH-FP) services, through bimonthly visits to eligible couples by trained fieldworkers, has been instrumental in increasing the contraceptive prevalence rate and immunization coverage in Bangladesh. The doorstep delivery strategy, however, is labour- intensive and costly. More cost-effective service delivery strategies are needed, not only for family planning services but also for a broader package of reproductive and other essential health services. Against this backdrop, operations research was conducted by the Centre for Health and Population Research at the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) from January 1996 to May 1997, in collaboration with government agencies and a leading national nongovernmental organization, with a view to developing and field-testing alternative approaches to the delivery of MCH-FP services in urban areas. Two alternative strategies featuring the withdrawal of home-based distribution and the delivery of basic health care from fixed-site facilities were tested in two areas of Dhaka. The clinic-based service delivery strategy was found to be a feasible alternative to the resource-intensive doorstep system in urban Dhaka. It did not adversely affect programme performance and it allowed the needs of clients to be addressed holistically through a package of essential health and family planning services.

Stakeholder perceptions of a total market approach to family planning in Nicaragua

Drake,Jennifer Kidwell; Espinoza,Henry; Suraratdecha,Chutima; Lacayo,Yann; Keith,Bonnie M.; Vail,Janet G.
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/05/2011 EN
Relevância na Pesquisa
76.03%
OBJECTIVE: To assess private-sector stakeholders' and donors' perceptions of a total market approach (TMA) to family planning in Nicaragua in the context of decreased funding; to build evidence for potential strategies and mechanisms for TMA implementation (including public-private partnerships (PPPs)); and to identify information gaps and future priorities for related research and advocacy. METHODS: A descriptive exploratory study was conducted in various locations in Nicaragua from March to April 2010. A total of 24 key private-sector stakeholders and donors were interviewed and their responses analyzed using two questionnaires and a stakeholder analysis tool (PolicyMakerTM software). RESULTS: All survey participants supported a TMA, and public-private collaboration, in family planning in Nicaragua. Based on the survey responses, opportunities for further developing PPPs for family planning include building on and expanding existing governmental frameworks, such as Nicaragua's current coordination mechanism for contraceptive security. Obstacles include the lack of ongoing government engagement with the commercial (for-profit) sector and confusion about regulations for its involvement in family planning. Strategies for strengthening existing PPPs include establishing a coordination mechanism specifically for the commercial sector and collecting and disseminating evidence supporting public-private collaboration in family planning. CONCLUSIONS: There was no formal or absolute opposition to a TMA or PPPs in family planning in Nicaragua among a group of diverse nongovernmental stakeholders and donors. This type of study can help identify strategies to mobilize existing and potential advocates in achieving articulated policy goals...

Do family-planning workers in China support provision of sexual and reproductive health services to unmarried young people?

Tu,Xiaowen; Cui,Nian; Lou,Chaohua; Gao,Ersheng
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2004 EN
Relevância na Pesquisa
76.2%
OBJECTIVE: To ascertain the perspectives of family-planning service providers in eight sites in China on the provision of sexual and reproductive health services to unmarried young people. METHODS: Data were drawn from a survey of 1927 family-planning workers and 16 focus group discussions conducted in eight sites in China in 1998-99. FINDINGS: Family-planning workers recognized the need to protect the sexual health of unmarried young people and were unambiguous about the need for government agencies to provide information and education on sexual and reproductive health to unmarried young people; however, perceptions about the appropriate age for and content of such education remained conservative. While about 70% of family-planning workers were willing to provide contraceptives to unmarried young people, and about 60% approved government provision of contraceptive services to unmarried young people, only one quarter agreed that the services could be extended to senior high schools. CONCLUSION: Family-planning workers in China are ambivalent about the provision of sexual and reproductive health services to unmarried young people, which potentially poses a significant obstacle to the adoption of safe sex behaviours by young people, as well as to the provision of sexual and reproductive health information and services to young unmarried people in China. Training programmes for family-planning workers are urgently needed to address this issue.

Creating options in family planning for the private sector in Latin America

Sharma,Suneeta; Gribble,James N.; Menotti,Elaine P.
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2005 EN
Relevância na Pesquisa
76.21%
The countries of Latin America and the Caribbean are facing the gradual phaseout of international-donor support of contraceptive commodities and technical and management assistance, as well as an increased reliance on limited public sector resources and a limited private sector role in providing contraceptives to the public. Therefore, those nations must develop multisectoral strategies to achieve contraceptive security. The countries need to consider information about the market for family planning commodities and services in order to define and promote complementary roles for the public sector, the commercial sector, and the nongovernmental-organization sector, as well as to better identify which segments of the population each of those sectors should serve. While it is unable to mandate private sector participation, the public sector can create conditions that support and promote a greater role for the private sector in meeting the growing needs of family planning users. Taking steps to actively involve and expand the private sector's market share is a critical strategy for achieving a more equitable distribution of available resources, addressing unmet need, and creating a more sustainable future for family planning commodities and services. This paper also discusses in detail the experiences of two countries...