Informed Choice and Decision-Making in Family Planning Counseling in Kenya

Kim, Young Mi; Kols, Adrienne; Mucheke, Stephen Kinyua

doi:10.2307/2991913

Cited by 70 publications

(71 citation statements)

References 4 publications

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“…2 A situation analysis of Nairobi clinics showed that fewer than 50% of new clients w e re provided with information on contraindications to or side effects of their chosen method. 3 Further situation analyses conducted in 12 African countries indicated that the percentage of clients informed about both how to use their method and its potential side effects ranged from lows of 5% in Tanzania and 22% in Burkina Faso, to highs of 64% in Kenya and 68% in B o t s w a n a .…”

Section: Length Of Counseling Sessions and The Amount Of Relevant Infmentioning

confidence: 99%

Length of Counseling Sessions and the Amount of Relevant Information Exchanged: A Study in Peruvian Clinics

León¹,

Monge²,

Zumaran³

et al. 2001

International Family Planning Perspectives

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International Family Planning Perspectives in Ecuador, Uganda and Zimbabwe, fewer than 75% of clients in each country were given any information about the contraceptive method they re c e i v e d . 5 Results are no diff e rent when the specific content of counseling is examined. For example, to probe how well clients w e re being counseled about when and how to switch methods, a study carried out in the coastal province of Santa, Peru , used simulated clients who had recently initiated pill use and who complained of headaches. Of the 54 Ministry of Health p roviders who were approached, more than 25% failed to tell the client that the headaches might be a side effect of pill use, and more than 30% did not tell her that they might disappear shortly. 6 In a similar study based on a national sample of 25 hospitals and 74 clinics in Ecuador, 47% of providers failed to tell the client that her headaches might be a side effect of the pill, and 61% neglected to inform her that they might go away with time. 7 When confronted with such evidence of incomplete counseling, providers generally attribute their shortcomings to causes beyond their control. In rural areas of Federico R. León is program associate with the Fro n t i e r s in Reproductive Health program of the Population Council, Lima, Peru. At the time this re s e a rch was conducted, Rosa Monge was a consultant, Adriana Zumarán was an intern, Ingeborg García was an intern and Alex Ríos was a re s e a rch assistant, all at the Population Council, Lima. The authors thank Lucy López for her comments on the study tools, Jorge Parra for his help in facilitating access to the health centers and John Townsend and Cynthia G reen for their useful comments on earlier drafts of this article. The re s e a rch upon which this article was based was made possible by funding from the U.S. Agency for International Development (USAID) under cooperative a g reement HRN-A-00-98-0012-00 with the Population Council. The opinions expressed herein are those of the authors and do not necessarily re flect the view of USAID. Length of Counseling Sessions and the Amount Of Relevant Information Exchanged: A Study in Peruvian ClinicsBy Federico R. León, Rosa Monge, Adriana Zumarán, Ingeborg García and Alex Ríos T he concept of "informed choice" in family planning counseling implies that providers assist clients in selecting the method that best satisfies their needs, and that clients leave the session knowing about the side effects of their chosen method and how to use it safely and eff e c t i v e l y. 1 Worldwide, however observational findings suggest that actual counseling is far from meeting these requirements.Audiotaped counseling sessions in Kenya, for example, revealed that only 57% of clients receiving the injectable and 32% of those getting the pill were provided with information on their method's side eff e c t s . 2 A situation analysis of Nairobi clinics showed that fewer than 50% of new clients w e re provided with information on contraindications to or side effects of thei...

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Section: Length Of Counseling Sessions and The Amount Of Relevant Infmentioning

confidence: 99%

Length of Counseling Sessions and the Amount of Relevant Information Exchanged: A Study in Peruvian Clinics

León¹,

Monge²,

Zumaran³

et al. 2001

International Family Planning Perspectives

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“…En este sentido, otros estudios son congruentes con nuestros resultados al señalar que, cuanto mayor es el conocimiento de MAC, mayor es su uso, particularmente entre los hombres. 13,15,25 Es evidente que tanto hombres como mujeres necesitan de mayor información sobre MAC, particularmente modernos, pues como mostró este estudio, si bien más de 90% de hombres y mujeres refirieron conocer sobre MAC, al indagar sobre sus características y uso, este porcentaje descendió 50%. Por otro lado, en las parejas que refirieron no usar MAC modernos, los hombres en su mayoría lo hacían por temor a la infidelidad de su pareja.…”

Section: Discussionunclassified

Conocimientos y actitudes de la pareja hacia la práctica de la planificación familiar en la Selva del Perú

Cruz-Peñarán¹,

Langer-Glas²,

Hernández-Prado³

et al. 2003

Salud pública Méx

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Objective. To assess the association of knowledge and attitudes about family planning (FP) with its practice in couples of the Peruvian jungle region. Material and Methods. A cross-sectional study was carried out in the jungle region in Peru (Pucallpa and Tarapoto), among 600 couples. Males were ≥15 years old and females between 15 and 49 years old, who had resided in the area for at least two years. A questionnaire was used to determine FP practices (defined as the use of modern contraceptive methods (MCM) for ≥12 months), as well as attitudes and knowledge regarding FP. Frequencies were compared using the chi-squared test. Logistic regression was used to assess the association between demographic variables and MCM knowledge as well as MCM utilization. The association between sociodemographic variables and attitudes toward MCM was assessed with linear regression models. Results. Males with primary education or with no formal education were twice as likely to have no knowledge about MCM compared with males with professional education (OR:2.18, 95% CI: 1.05, 4.50). Females with a catholic partner were more likely to know about MCM than those whose partners did not practice any religion (OR: 0.60, 95%CI: 0.37, 0.97). Partner's lower education, older age of women, and rural background of males were all factors associated with a less favorable attitude toward FP practices. Couples in which the man did not know about contraceptive methods were more likely ResumenObjetivo. Investigar la asociación entre los conocimientos y actitudes, y la práctica de la planificación familiar en parejas de la región de la Selva del Perú. Material y mé-todos. Estudio transversal llevado a cabo en la región de la Selva del Perú (Pucallpa y Tarapoto). Fueron entrevistadas 600 parejas unidas, varones ≥15 años de edad y mujeres entre 15 y 49 años, ambos con residencia mínima de dos años en el lugar de estudio. Se investigó mediante un cuestionario la práctica de la planificación familiar (definida como el uso de métodos anticonceptivos modernos, con un tiempo de uso ≥12 meses), así como los conocimientos y actitudes sobre la planificación familiar. Se realizaron comparaciones de frecuencias a través de Ji cuadrada. La asociación entre las variables sociodemográficas y el conocimiento de métodos anticonceptivos se analizó a través de modelos de regresión logística, la asociación entre las variables sociodemográficas y las actitudes hacia la planificación familiar a través de modelos de regresión lineal, y, para identificar las variables asociadas al uso de métodos anticonceptivos modernos, se hizo uso de un modelo de regresión logística. Resultados. Los hombres con educación primaria o sin escolaridad fueron más proclives a no conocer el uso de métodos anticonceptivos que aquéllos con educación profesional (RM: 2.18, IC 95%: 1.05, 4.50). Las mujeres cuya pareja era católica tenían una probabilidad mayor de conocer el uso de métodos anticonceptivos que (

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“…With the programmatic emphasis in the past several decades on informed choice in family planning, some providers have shifted to the other end of the spectrum, giving clients standard or routinized information on all available methods and leaving the client to make decisions unaided [4]. In between these two extremes lies a model of client-centered care where the decision-making process is shared by the client and provider: the provider facilitates the process and the client actively participates.…”

Section: Introductionmentioning

confidence: 96%

Towards client-centered counseling: Development and testing of the WHO Decision-Making Tool

Johnson

Kim

Church

2010

Patient Education and Counseling

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Informed Choice and Decision-Making in Family Planning Counseling in Kenya

Cited by 70 publications

References 4 publications

Length of Counseling Sessions and the Amount of Relevant Information Exchanged: A Study in Peruvian Clinics

Length of Counseling Sessions and the Amount of Relevant Information Exchanged: A Study in Peruvian Clinics

Conocimientos y actitudes de la pareja hacia la práctica de la planificación familiar en la Selva del Perú

Towards client-centered counseling: Development and testing of the WHO Decision-Making Tool

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