Improving IUD uptake through engaging the health extension program, the experience of Ipas Ethiopia, (January 2011–December 2012)

Desta, Demeke; Brahmi, Dalia; Alemayehu, Tadesse

doi:10.1016/j.contraception.2014.05.095

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An additional review of factors contributing to successful FP programs noted that they also require a strong government vision with leadership and commitment to FP [23]. For example, in Ethiopia, Desta, Brahmi and Alemayehu note that IUD use has increased considerably in large part due to government support for community outreach comprising effective training and supervision for insertions by community-based Health Extension Workers [24]. Tilahum et al reported that the Ethiopia Intrauterine Contraceptive Device Scale-up Initiative (2011–2013), which was extended through 2017, increased the percentage of modern contraceptive users receiving an IUD from 0.4 to 5.7% by 2014 [13].…”

Section: Introductionmentioning

confidence: 99%

Successful programmatic approaches to facilitating IUD uptake: CARE’s experience in DRC

et al. 2019

View full text Add to dashboard Cite

Background Achieving the unfinished agenda towards sexual and reproductive health and rights requires overcoming remaining barriers to contraceptive uptake, which can be method-specific. Women’s uptake of the IUD is poor across sub-Saharan Africa. The objective of this paper is to identify the reasons for comparatively high IUD use observed in a CARE project in DRC, together with the programmatic characteristics which facilitated uptake. Methods Qualitative data were collected in 2015 as part of a reproductive health project in the DRC. Using purposive sampling, 15 focus group discussions took place with IUD users, users of other methods and non-users of modern contraception as well as their male partners. Eighteen in-depth interviews were conducted with health providers, project staff, community health workers and local stakeholders to capture a range of experiences. Data were analyzed using content theory approach and contextualized through a review of routine monitoring data. Results In an area with practically no previous IUD use, 38,662 new FP clients were served during the first 5 years of the project and 82% (31,569) chose long-acting or permanent methods. Over 10,000 clients chose an IUD, representing 30% of the total FP clients. Key informants expressed mainly positive views about the IUD and quality of service. Concerns related to method insertion, which some perceived as too intimate or shameful. Findings indicate that this uptake reflects effective supply chains, good provider training and supervision and multiple communication strategies including those which target men. Community engagement was enhanced by local stakeholders’ participation in sensitization and quality assurance as well in analysis of data for decision-making. Conclusions The findings of the paper showed that by involving local stakeholders in addressing structural and socio-cultural barriers to women’s free access to FP, programs can positively influence quality of service and method mix as well as knowledge and attitudes surrounding FP use and thus improve the uptake of FP in general and IUDs in particular, even in conflict-affected settings. A Theory of Change for enhancing IUD provision within family planning programs is suggested.

show abstract

Section: Introductionmentioning

confidence: 99%

Successful programmatic approaches to facilitating IUD uptake: CARE’s experience in DRC

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Health extension workers are in addition responsible for providing safe and clean delivery, managing hemorrhage, preventing infections, identifying problems and complications early and making referrals to appropriate levels of health service. The health extension workers give Supportive supervision to TBAs and Community Health Workers too (Assfaw, 2010;Desta et al, 2012;Berhe and Berhane, 2014). The roles of HEWs in providing service provision in health posts are not successful to all HEP health services delivering.…”

Section: Introductionmentioning

confidence: 99%

The Role of Health Extension Workers in Primary Health Care in AsgedeTsi'mbla District: A Case of Lim'at T'abya Health Post

Desta

Basha

2017

Int J Soc Sci Mgt

View full text Add to dashboard Cite

Health Extension Workers are the health service providers to the community in delivering integrated preventive, promotive and basic curative health services. Hitherto no studies have been carried out in Lim 'at T'abya health post focusing on the role of health extension workers. Thus the researcher has randomly selected 263 participants in order to achieve the intended objectives of the study. The researcher used both quantitative and qualitative approaches. The result of the study identified the major Health Extension Program services which are delivered by Health Extension Workers in the health post to seek malaria treatment, child immunization and Antenatal Care followed by Postnatal Care, family planning, referral for delivery, diarrhea treatment and health education. The challenges of Health Extension Workers hindering their performance for the unsuccessful health service provision identified as strong societal cultural beliefs, remoteness, poor relation with supervisors, communication system and road construction, low remuneration, lack of refresher courses and improper attention by Qebelle administrators to health agendas. Attitude of community towards Health Extension Workers communication skill, quality of service provision and social behaviors is over all positive but the following up of referred patients and the skill to diagnosing community health problems that Health Extension Workers need to work sensitively which are answered negatively by the respondents. To increase community's health post utilization, health posts should be equipped with minimum essential medical equipment with particular focus on malaria treatments, family planning, deliver, treatment of common illnesses and immunization services in the study area.

show abstract

Improving IUD uptake through engaging the health extension program, the experience of Ipas Ethiopia, (January 2011–December 2012)

Cited by 2 publications

References 0 publications

Successful programmatic approaches to facilitating IUD uptake: CARE’s experience in DRC

Successful programmatic approaches to facilitating IUD uptake: CARE’s experience in DRC

The Role of Health Extension Workers in Primary Health Care in AsgedeTsi'mbla District: A Case of Lim'at T'abya Health Post

Contact Info

Product

Resources

About