Assessment of Family Planning Service Availability and Readiness in 10 African Countries

Ali, Moazzam; Farron, Madeline; Dilip, Thandassery Ramachandran; Folz, Rachel

doi:10.9745/ghsp-d-18-00041

Cited by 43 publications

(57 citation statements)

References 6 publications

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“…This high demand for implants is consistent with analysis showing that large increases in implant use across sub-Saharan Africa since the early 2000s are driving increased modern contraceptive use in the region 17 . By the mid-2010s, Kenya had the highest prevalence of implant use among 17 sub-Saharan African countries for which such data were available, with the percentage of married women using implants increasing from 2% to 18% between 2008 and 2016 18 …”

Section: Discussionsupporting

confidence: 83%

“…Procuring family planning commodities was a recurring challenge for this project and is a common problem across Africa, especially for FBO-managed facilities 18 . A study of FBO-managed facilities in 13 African countries found that more than half had faced stock-outs of one or more reproductive health products (including contraceptives) in the past 3 months, requiring staff to implement creative solutions such as finding other sources of commodities and purchasing and storing buffer stock 19 .…”

Section: Discussionmentioning

confidence: 99%

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Increasing Family Planning Access in Kenya Through Engagement of Faith-Based Health Facilities, Religious Leaders, and Community Health Volunteers

Ruark

Kishoyian

Bormet

et al. 2019

Glob Health Sci Pract

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Increasing Family Planning Access in Kenya Through Engagement of Faith-Based Health Facilities, Religious Leaders, and Community Health Volunteers

Ruark

Kishoyian

Bormet

et al. 2019

Glob Health Sci Pract

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show abstract

“…Strategies aimed at improving the quality of post abortion care by increasing providers knowledge, attitudes and skills and reducing unnecessary restrictive biases were found effective in increasing access to contraception (24,25). In addition, several studies from Togo identi ed multiple service availability and readiness related barriers (26).…”

Section: Introductionmentioning

confidence: 99%

WITHDRAWN: Do provider behaviors influence client satisfaction of family planning services in Togo? Evidence from a cross-sectional facility survey

Dougherty¹,

Spielman²,

Silva

2020

Preprint

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BackgroundStrengthening quality of family planning care is a key objective in Togo to improve maternal and reproductive health. Structural attributes or inputs to care, and process attributes or content of care, including providers’ interaction with clients, are key factors determining quality of care. Client satisfaction with family planning services is linked to contraceptive uptake and continuation, yet the relationship between quality of care elements and client satisfaction of family planning services has not been assessed in Togo, particularly process factors related to client-provider interactions. MethodsWe conduct a secondary analysis using data from a facility-based survey. The survey was conducted in August 2016 in six health districts of Lomé Togo, including a facility audit (N=16), client observations (N=1096) and client exit interviews with women of reproductive age (N=1089). We used multi-variable logistic regression to assess the association between factors related with service structure and process, including provider-client interaction and client perception of provider treatment as a proxy for client satisfaction.ResultsWe did not find a relationship between structural attributes of quality and client perception of provider treatment. Among process attributes, we found that several behaviors related to interpersonal skills, including encouraging clients to ask questions and asking clients to describe any concerns they have with their method, and providers use of visual aids were significantly associated with client perception of provider treatment. ConclusionThe quality of care a woman receives when seeking to adopt or continue family planning methods is essential to improving use of family planning service. Family planning programs must address provider related behaviors that may inhibit the uptake and continuation of contraceptive use, and strengthen inter-personal skills, which may improve client perception of provider treatment with services and facilitate their continued use.

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“…A similar approach has been adopted by Kanyangarara et al (2018) to assess obstetric service readiness in 17 low-and middle-income countries (LMICs) [13]. Ali et al (2018) obtained a general service score as the average of domain-specific scores to compare family planning service availability and readiness in 10 African countries [14]. This average composite measure takes into account the different aspects of health facility readiness.…”

Section: Introductionmentioning

confidence: 99%

“…Thus far, Burkina Faso has conducted two SARA surveys; in 2012 and in 2014. The data have been used to assess readiness of surgical [20], obstetric [13] and family planning services [14].…”

Section: Introductionmentioning

confidence: 99%

Constructing a malaria-related health service readiness index and assessing its association with malaria mortality in under 5-year-old children in Burkina Faso

Millogo¹,

Doamba²,

Sié³

et al. 2020

Preprint

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Background: The Service Availability and Readiness Assessment (SARA) surveys generate data on the readiness of health facility services. We constructed a readiness index related to malaria services and determined the association between health facility malaria readiness and malaria mortality in children under the age of 5 years in Burkina Faso.Methods: Data on inpatients visits and malaria-related deaths in under 5-year-old children were extracted from the national Health Management Information System (HMIS) in Burkina Faso. Bayesian geostatistical models with variable selection were fitted to malaria mortality data. The most important facility readiness indicators related to general and malaria-specific services were determined. Multiple correspondence analysis (MCA) was used to construct a composite facility readiness score based on multiple factorial axes. The analysis was carried out separately for 112 medical centres and 546 peripheral health centres.Results: Malaria mortality rate in medical centres was 4.8 times higher than that of peripheral health centres (3.46% vs. 0.72%, p<0.0001). Essential medicines was the domain with the lowest readiness (only 0.1% of medical centres and 0% of peripheral health centres had the whole set of tracer items of essential medicines). Basic equipment readiness was the highest. The composite readiness score explained 30% and 53% of the original set of items for medical centres and peripheral health centres, respectively. Mortality rate ratio (MRR) was by 59% (MRR = 0.41, 95% Bayesian credible interval (BCI): 0.19-0.91) lower in the high readiness group of peripheral health centres, compared to the low readiness group. Medical centres readiness was not related to malaria mortality. The geographical distribution of malaria mortality rate indicate that regions with health facilities with high readiness show lower mortality rates.Conclusion: Performant health services in Burkina Faso are associated with lower malaria mortality rates. Health system readiness should be strengthened in the regions of Sahel, Sud-Ouest and Boucle du Mouhoun. Emphasis should be given to improving the management of essential medicines and to reducing delays of emergency transportation between the different levels of the health system.

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Assessment of Family Planning Service Availability and Readiness in 10 African Countries

Abstract: In the 10 countries surveyed, the availability of oral contraceptives, injectables, and condoms varied greatly, and the availability of basic items indicating service readiness, such as guidelines, trained staff, equipment, and certain commodities, was low.

Cited by 43 publications

References 6 publications

Increasing Family Planning Access in Kenya Through Engagement of Faith-Based Health Facilities, Religious Leaders, and Community Health Volunteers

Increasing Family Planning Access in Kenya Through Engagement of Faith-Based Health Facilities, Religious Leaders, and Community Health Volunteers

WITHDRAWN: Do provider behaviors influence client satisfaction of family planning services in Togo? Evidence from a cross-sectional facility survey

Constructing a malaria-related health service readiness index and assessing its association with malaria mortality in under 5-year-old children in Burkina Faso

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