Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation

Curry, Dora; Rattan, Jesse; Nzau, Jean Jose; Giri, Kamlesh

doi:10.9745/ghsp-d-14-00164

Cited by 28 publications

(33 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other studies have similarly documented challenges in supply chain management and provider biases that limit access to and uptake of family planning services in humanitarian settings [1,[4][5][6]. Studies examining the sexual and reproductive health (SRH) outcomes of refugees and internally displaced persons within camp settings compared to the host community present varying results, with both superior and inferior health outcomes between the two populations [7][8][9][10].…”

Section: Introductionmentioning

confidence: 98%

“…Recommendations in particular focused on ensuring availability of long-acting methods--which has been documented to be increasingly acceptable and feasible in humanitarian settings, including among the populations encompassed in the study-and EC to enhance method mix [4,30]. They further focused on increasing accessibility of contraceptives for adolescents; as well as making service quality improvements around adherence to standard precautions, cleanliness, wait times, and privacy; strengthening mechanisms for follow-up; and addressing staffing challenges.…”

Section: Improving Availability Accessibility and Qualitymentioning

confidence: 99%

“…The results show that the diversity of populations and quality of services influence SRH outcomes. The ability to pay and distance to services are repeatedly cited as variables impacting use, as well as quality of services [3,4,11,12]. The IAWG global evaluation highlights the necessity for programs to integrate mechanisms to understand how to best address family planning needs in humanitarian settings [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2017

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 98%

Section: Improving Availability Accessibility and Qualitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The CARE Supporting Access to Family Planning and Post‐Abortion Care (SAFPAC) program in eastern DRC, which supported 19 facilities, was able to serve more than 36 000 new users of modern contraceptive methods over 4 years . Critical elements for long‐term success included needs assessments, competency‐based training, management of the supply chain, and support and mobilization of the community . In long‐standing conflicts, which are often accompanied by protracted displacements, reproductive health services are equally critical, but changes in funding focus and availability can have a considerable impact on access and uptake …”

Section: Introductionmentioning

confidence: 99%

Family planning knowledge and use among women in camps for internally displaced people in the Democratic Republic of the Congo

Kisindja¹,

Kimona²,

Etoy³

et al. 2017

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…These methods are suitable for a range of women's pregnancy intentions and promote consistent use of family planning. However, they are the least available and used methods in many developing countries and crisis‐affected settings . The barriers to availability and use of LARC include women's limited decision‐making power, the cost of implementing service delivery, persistent societal level myths about LARC, and misperceptions about these methods among women, men, families, and providers .…”

mentioning

confidence: 99%

Effect of Deploying Trained Community Based Reproductive Health Nurses (CORN) on Long‐Acting Reversible Contraception (LARC) Use in Rural Ethiopia: A Cluster Randomized Community Trial

Zerfu¹,

Ayele²,

Bogale³

2018

Studies in Family Planning

View full text Add to dashboard Cite

To investigate the effect of innovative means to distribute LARC on contraceptive use, we implemented a three arm, parallel groups, cluster randomized community trial design. The intervention consisted of placing trained community-based reproductive health nurses (CORN) within health centers or health posts. The nurses provided counseling to encourage women to use LARC and distributed all contraceptive methods. A total of 282 villages were randomly selected and assigned to a control arm (n = 94) or 1 of 2 treatment arms (n = 94 each). The treatment groups differed by where the new service providers were deployed, health post or health center. We calculated difference-in-difference (DID) estimates to assess program impacts on LARC use. After nine months of intervention, the use of LARC methods increased significantly by 72.3 percent, while the use of short acting methods declined by 19.6 percent. The proportion of women using LARC methods increased by 45.9 percent and 45.7 percent in the health post and health center based intervention arms, respectively. Compared to the control group, the DID estimates indicate that the use of LARC methods increased by 11.3 and 12.3 percentage points in the health post and health center based intervention arms. Given the low use of LARC methods in similar settings, deployment of contextually trained nurses at the grassroots level could substantially increase utilization of these methods.

show abstract

Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation

Cited by 28 publications

References 3 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

Family planning knowledge and use among women in camps for internally displaced people in the Democratic Republic of the Congo

Effect of Deploying Trained Community Based Reproductive Health Nurses (CORN) on Long‐Acting Reversible Contraception (LARC) Use in Rural Ethiopia: A Cluster Randomized Community Trial

Contact Info

Product

Resources

About