Barriers to the involvement of clients in family planning service development: lessons learnt from experience

Baraitser, Paula; Blake, Geraldine; Brown, Kirsty Collander; Piper, J. M.

doi:10.1783/147118903101198088

Cited by 14 publications

(23 citation statements)

References 10 publications

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“…In the two centers long waiting time was an important cause related to dissatisfaction. This was in accordance with Baraitser et al (2003) and Askew et al (1994); longer waiting time progressively diminished satisfaction (Meuwissen et al 2006). In the rural center another factor was added, the environment.…”

Section: Discussionsupporting

confidence: 82%

Evaluation of maternal and child health services in El-Minia City, Egypt

et al. 2009

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Background Primary health-care centers provide outpatient health care and primary preventive activities for people in general and for mothers and children in particular. Medical care aims not only to improve health status, but also to respond to patients' needs and wishes and to ensure their satisfaction with care. The patient-clinician relationship is a central feature of primary care.Objective The purpose of this study was firstly determining the utilization pattern of Maternal and Child Health (MCH) services in urban and rural health centers in El-Minia City and secondly identifying factors affecting client dissatisfaction with the services provided by the two centers. Design Cross-sectional study. Method The study is a cross-sectional descriptive study conducted among two MCH centers randomly selected in El Minia City (MCH); this study included 400 female clients, 200 from each center. An anonymous questionnaire was designed by the research team to assess the performance of the provided services as well as client satisfaction. The client satisfaction part of the questionnaire included five items: waiting time, environment, doctor-client interaction, nurse-client interaction, and economic feasibility. Assessment of client satisfaction was done using a scoring system rated by three levels of response categories: satisfied, accepted, and dissatisfied. Pareto charts were drawn according to the frequency of each category showing the level of 80% cumulative percentage as cutoff, which identifies the corresponding factors related to dissatisfaction.Results The study showed that the rural center had a higher frequency of attendance regarding the curative services, antenatal care (ANC), and delivery care, while the urban center had higher attendance for family planning services, despite higher utilization of the rural center; histories of abortion and under-5-year moralities were more prevalent among customers of the rural center than those of the urban center, and clients of the urban center reported more satisfaction than those of the rural one. The most common causes of dissatisfaction were long waiting time and improper environment. Nearly 15% of the deliveries of babies in the rural center were attended by non-skilled personnel, and about half of the clients of the family planning section used intrauterine devices as a method of contraception. Conclusion MCH centers provide many services for mothers and their children, and the majority of the clients were satisfied with the services. However, the most common reason for dissatisfaction was the long waiting time.Recommendations include encouraging and rewarding any health facility that fulfills a high rate of attendance and client satisfaction, and reduction of waiting time. Attention should be directed to the environmental conditions of the rural center.

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Section: Discussionsupporting

confidence: 82%

Evaluation of maternal and child health services in El-Minia City, Egypt

et al. 2009

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“…A survey study37 indicated that the proximity of a clinic was linked to greater use. In contrast to these papers, however, one study16 highlighted that the perception that young people prefer services near to their home may not always be the case. In this study of FPCs, new clients often used services near to a friend's house or to their school rather than their home, and tended to continue to use that clinic.…”

Section: Resultsmentioning

confidence: 95%

“…Also, that a drop-in system in sexual health clinics is perceived as preferable by staff 43. Baraitser et al 16 reported that waiting times can be long in a clinic that does not have an appointment system, although staff perceived that the clinic was accessible despite this fact. Pitts et al 3.…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies16 21 22 28 31 44–54 described young people's perceptions of embarrassment. One44 reported the reduction of embarrassment when women (GP patients) were given supplies of EHC, rather than having to seek a supply from a doctor when needed.…”

Section: Resultsmentioning

confidence: 99%

“…However, some studies have reported that this seems to be mainly among young women,13 14 with limited success in attracting young people from high-risk groups 15. It has been highlighted that there are challenges associated with user involvement in service planning and delivery; such as the need to ensure representation from a wide variety of backgrounds, and support for their participation 16. French et al 9 have suggested that more evidence is required on the impact and appropriateness of different service delivery models for young people.…”

Section: Introductionmentioning

confidence: 99%

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Views of contraceptive service delivery to young people in the UK: a systematic review and thematic synthesis

Baxter

Blank

Guillaume

et al. 2011

J Fam Plann Reprod Health Care

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Background and methodology Despite widespread availability of contraceptives and increasing service provision in the UK, rates of teenage pregnancy remain a concern. It has been suggested that young people face particular obstacles in accessing services, leading to a need for specialist provision. This systematic review examined the literature reporting views of service providers and young people. Data were synthesised in order to develop key themes to inform the development of contraceptive services for this population. Results A total of 59 papers reporting studies carried out within the UK were included. Fortyfi ve of these provided qualitative or mixed method data and 14 reported survey fi ndings. Seven key themes were identifi ed: perceptions of services; accessibility; embarrassment; anonymity and confi dentiality; the clinic environment; the consultation; and service organisation. Conclusions This review suggests that the most signifi cant concern for young people is the preservation of anonymity and confi dentiality. There seems to be a need for young people to be given greater assurances about this, with process and environmental changes suggested. The fear of staff being critical or unfriendly also presents a considerable obstacle to some young people. Issues of service accessibility -such as convenience of location and opening hours -are also highlighted, with lifestyle factors and restrictions on where under-18s can go suggested as important aspects. The review suggests that varying preferences among young people with regard to which service to access requires choice to be preserved and, where possible, extended. This requires services to work effectively together to consider provision across a locality.

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