Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results

Curry, Dora; Rattan, Jesse; Huang, Shuyuan; Noznesky, Elizabeth

doi:10.9745/ghsp-d-14-00112

Cited by 39 publications

(48 citation statements)

References 7 publications

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“…Across country offices, the importance of training, monitoring, and supervision have been emphasized for staff, CHWs, youth, and community leaders. Indeed, a recent study by Curry et al reports that through competency-based training, supply chain management, systematic supervision, and community mobilization to raise awareness and shift norms in crisis-affected Chad, Democratic Republic of the Congo (DRC), Djibouti, Mali, and Pakistan, CARE's projects have managed to increase uptake of long-acting methods in particular [33]. Other reported learning include the benefits of a coordinated approach with UNFPA who addresses SRH, as well as designating a focal point to be responsible for contraceptive security.…”

Section: Resultsmentioning

confidence: 99%

Family planning in refugee settings: findings and actions from a multi-country study

et al. 2017

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Background: To address family planning for crisis-affected communities, in 2011 and 2012, the United Nations High Commissioner for Refugees and the Women's Refugee Commission undertook a multi-country assessment to document knowledge of family planning, beliefs and practices of refugees, and the state of service provision in the select refugee settings of Cox's Bazar, Bangladesh; Ali Addeh, Djibouti; Amman, Jordan; Eastleigh, Kenya; Kuala Lumpur, Malaysia; and Nakivale, Uganda. Methods: The studies employed mixed methods: a household survey, facility assessments, in-depth interviews, and focus group discussions. Results: Findings on awareness and demand for family planning, availability, accessibility, and quality of services showed that adult women aged 20-29 years were significantly more likely to be aware, to have ever used, or are currently using a modern method as compared to adolescent girls aged 15-19 years. Facility assessments showed limited availability of certain methods, especially long-acting and permanent methods. Despite availability, in all sites, focus group discussion participants-especially adolescents-reported many accessibility-related barriers to using existing services, including distant service delivery points, cost of transport, lack of knowledge about different types of methods, misinformation and misconceptions, religious opposition, cultural factors, language barriers with providers, and provider biases. Conclusion: Based on gaps, partners to the study developed short and long-term recommendations around improving service availability, accessibility, and quality. There remains a need to scale up support for refugees, particularly around adolescent access to family planning services.

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Section: Resultsmentioning

confidence: 99%

Family planning in refugee settings: findings and actions from a multi-country study

et al. 2017

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“…The proportion of women who accepted postabortion contraception in our setting is above the internationally recommended target of 80% and is also higher compared to similar fragile settings such as Djibouti, Chad, Pakistan, DRC, and Mali, where PAC-FP rates ranging from 28% to 77% have been reported. 25 Although the percentage of PAC clients who accepted a modern FP method fluctuated, likely due to natural variations, it continuously improved due to training on counselling for postabortion FP, individual provider support, and follow-up during supportive supervision. Our finding is similar to what has been reported in other low income countries where PAC-FP acceptance was reported to have improved following training specifically on counselling.…”

Section: Discussionmentioning

confidence: 99%

Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia

Chukwumalu¹,

Gallagher

Baunach

et al. 2017

Reproductive Health Matters

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“…Additionally, the ICCP surveys reported a 6% IUD and 3% non‐IUD (patch, implant and injection) uptake in 2003, which rose to 11% and 8% by 2010, respectively, with the biggest increase seen in women aged 18–25 years (4% to 12%) among the non‐IUD LARC group . Although still underutilized in many other countries, LARC uptake is increasing in the UK (31%), Norway (12%), United States (7.2%) and Australia (15.4%) . International programmes to increase uptake of LARCs in developing countries in an attempt to address the vast unmet contraceptive needs of these women have been promising .…”

Section: Discussionmentioning

confidence: 99%

Hormonal contraceptive use inIreland: trends and co‐prescribing practices

O'Mahony

Liddy

Barry

et al. 2015

Brit J Clinical Pharma

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Hormonal contraceptives are highly prevalent. Currently, little is known about Irish hormonal contraceptive trends to date since the 1995 British media contraceptive controversy. The aim of this study was to examine recent trends in contraceptive use in Ireland and to determine the frequency of co‐prescriptions with important interacting medications. Approximately 40% of the Irish population are prescribed 70% of total medicines under the Irish GMS scheme. Medicines were identified using the WHO Anatomical Therapeutic Chemical (ATC) classification system. Regression analysis was used to examine trends over time. Of all contraceptives dispensed in 2013, oral contraceptives were used the most (74%) and long acting reversible contraceptives (LARCs) the least (7.5%). Fourth generation combined oral contraceptives (COCs) predominated, although a slight significant decline was shown (P < 0.0001). Second and third generation COCs were significantly increasing and decreasing, respectively (P < 0.0001). Progestin‐only pills were significantly increasing (P < 0.0001 across age groups). Low rates of contraceptive co‐prescribing with important interacting drugs are shown. However, 93.6% of those on enzyme‐inducing anti‐epileptic medications were co‐prescribed ineffective contraception containing <50 μg oestrogen.Irish prescribing trends of second and third generation COCs have remained consistent since 1995. The slow decline in fourth generation COC uptake follows new evidence of an increased risk of venous thromboembolism (VTE) reported in 2011. The low, but increasing, uptake of LARCs is consistent with other countries. Co‐prescribing practices involving hormonal contraceptives requires continued vigilance. This study emphasizes the need to optimize co‐prescribing practices involving hormonal contraceptives and anti‐epileptic medications and highlights the need to address the barriers to the currently low uptake of LARC methods in Ireland.

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Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results

Cited by 39 publications

References 7 publications

Family planning in refugee settings: findings and actions from a multi-country study

Family planning in refugee settings: findings and actions from a multi-country study

Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia

Hormonal contraceptive use inIreland: trends and co‐prescribing practices

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