How does quality of care relate to a rights-based approach to family planning programs?

Kumar, Jan

doi:10.31899/rh8.1046

Cited by 26 publications

(5 citation statements)

References 17 publications

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“…Clients evaluate the method from specific aspects, as autonomy, independent of SPs, availability all the time in Primary Health Care facilities and at low price, and do not need gynecological examination [28]. OCs use according to those criteria become the method of choice for women at any age, with any morbidity (that contradict use of hormonal contraceptives), and lactation status [29]. The problem of availability of physicians had been tried in service deprived areas through mobile clinics where Gynecologist and FP specialist could provide IUD insertion process.…”

Section: Discussionmentioning

confidence: 99%

Egypt Family Planning Method Mix Indicates Shifting toward Hormonal Contraceptives

Wahby

Sabry

Abdel-Razik

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: The study is of practical importance for policy makers and family planning (FP) program managers as the profile of FP method-mix with a shift from a mechanical method as intrauterine devices (IUD) to hormonal methods such as oral contraceptives (OCs) and injectables predicts a critical situation for maternal and child health and reflects shortcomings in FP service delivery program. AIM: The purpose of the current study was to identify reasons for the progressive shift from IUD to OCs in Egypt. METHODS: The study is an-operations research conducted at four levels of the Ministry of Health and Population/FP (MOHP/FP) service delivery: Central (headquarter, HQ), governorate, district, and service delivery points. It included five of MOHP/United Nations Fund for Population Activities-Contraceptive Security Project governorates that represent, urban governorates, Lower Egypt, and Upper Egypt. Both qualitative data in-depth interviews with MOHP/HQ staff, Two Focus Group Discussions with FP Health Directorates staff and nurses in the five governorates, and quantitative data through a self-administered questionnaire for 607 service providers (SP). RESULTS: There was a consensus on the actual shift from IUD to OCs use. Reasons were the absence of incentives for healthcare providers for IUD insertion services (64%) and improper training of physicians (45%), and the availability of OCs all time. CONCLUSION: The three articulating issues that lead to shifting from IUD to OCs are: Unsatisfactory training and incentive systems for SPs and the clients’ choice of OCs for independent use/autonomy, and availability of OCs all the times at a reasonable cost in both the public and private sectors.

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Section: Discussionmentioning

confidence: 99%

Egypt Family Planning Method Mix Indicates Shifting toward Hormonal Contraceptives

Wahby

Sabry

Abdel-Razik

et al. 2021

Open Access Maced J Med Sci

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“…The provision of reproductive health services must conform to the international human rights framework comprising the right to health such as the standards guaranteeing availability, accessibility, acceptability, and quality of health facilities, goods, and services 22 . These are regarded as core components of the right to sexual and reproductive health.…”

Section: Current Situation and Challengesmentioning

confidence: 99%

Sexual and Reproductive Health and Rights of Women: A Rights-based Approach

Tanira¹,

Amin²,

Adhikary³

et al. 2019

Bangladesh J Bioethics (BJBio)

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Violations of women’s sexual and reproductive health and rights are frequent all over the world. Women’s sexual and reproductive health is related to multiple human rights. The term ‘rights-based’ has become increasingly linked to the concept of a more comprehensive approach to sexual and reproductive rights of women around the globe. The rights-based perspective is derived from the treaties, pacts and other international commitments that recognize and reinforce human rights, including the sexual and reproductive rights of women. We conducted an extensive review of the guidelines, frameworks, research reports and published articles that have been cited as informing the rights-based approach. The findings of the review highlights what is meant by sexual and reproductive health and rights by the stakeholders, why this matter is important, and what can be done. It demands more partnerships with human rights, women’s and other civil society organizations, increased number of successful national policies, initiatives and/or legislative changes, increased budget and other resources at national and/or local community level, mass communication and engagement of men to promote and advance women’s sexual and reproductive health and rights. Achievement of gender equality is very crucial, because it is a human right that advances women’s empowerment; and is interlinked with sexual and reproductive health and rights.

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“…Motivated in part by landmark international conferences such as the 1994 International Conference on Population and Development (UNFPA, 1994) and the 2012 London Summit on Family Planning (Hardee et al, 2014a), a sizeable literature has been accumulated over the years on the basic principles of rights-based family planning and the activities/ processes needed to achieve rights-based programming (Center for Reproductive Rights, 2009;Cottingham et al, 2012;Erdman and Cook, 2008;Hardee et al, 2014a;IPPF, 1996;Kerber et al, 2007;Kumar et al, 2013Kumar et al, , 2014Kumar, 2015;World Health Organization, 2014;Zaidi et al, 2013). Rights-based approach to family planning conceptualized as "one in which all phases of a program (needs assessment, planning, implementation, monitoring, evaluation, and management) are viewed through the lens of individuals' human rights and how rights are, or are not, upheld in communities and in FP programs" (Hardee et al, 2014b;Kumar et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The Indonesian national family planning program: progress and remaining challenges in implementing a rights-based approach

Utomo,

Rahayu,

Liyanto

et al. 2023

IJHRH

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Purpose Indonesia subscribes to rights-based principles of family planning. However, a chasm between principles and practice has long been noted on a global basis, and progress has not been well-documented. This paper aims to assess the extent to which the Indonesian national family planning program has evolved in a manner that is consistent with rights-based principles. Design/methodology/approach The primary source of data was five Indonesian Demographic Health Surveys undertaken from 1997 to 2017. The analyses were organized around three major categories of family planning-related human rights. Trend analysis and logistic regression were used in analyzing the data. Findings Indonesian women have considerable autonomy in family planning decision, reporting that family planning decisions were mainly made by themselves or jointly with their spouse. Although contraceptive method awareness and demand for family planning are high, Indonesia fares poorly with regard to informed choice in contraceptive method selection. Access to family planning services is comparatively high as judged by contraceptive prevalence, family planning demand satisfaction and unmet need for family planning. However, significant geographic and socioeconomic inequity were observed on many indicators, with eastern Indonesian provinces consistently lagging behind. Research limitations/implications This paper focuses on married couple, as Indonesia has a restrictive policy to limiting access and information of family planning for other groups, unmarried youth in particular. Originality/value This paper makes an important contribution to document how effectively the prohuman rights policy orientation toward family planning has been translated into services.

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How does quality of care relate to a rights-based approach to family planning programs?

Cited by 26 publications

References 17 publications

Egypt Family Planning Method Mix Indicates Shifting toward Hormonal Contraceptives

Egypt Family Planning Method Mix Indicates Shifting toward Hormonal Contraceptives

Sexual and Reproductive Health and Rights of Women: A Rights-based Approach

The Indonesian national family planning program: progress and remaining challenges in implementing a rights-based approach

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