Qualitative Assessment of Providers’ Experiences with a Segmentation Counseling Tool for Family Planning in Niger

MacLachlan, Ellen; Agali, Balki Ibrahim; Maytan-Joneydi, Amelia; Chaibou, Sanoussi; Garba, Souleymane Amadou; Halidou, Illiassou Chaibou; Speizer, Ilene S.; Nouhou, Abdoul Moumouni

doi:10.21203/rs.3.rs-1242034/v1

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…The qualitative data used for the analyses described in this paper are comprised of Part 1 of the 24 in-depth interviews (IDIs) collected with providers across all three study arms. Information on provider perspectives on the segmentation tool (Arms 1 and 2) are provided elsewhere ( MacLachlan et al ., 2022 ).…”

Section: Methodsmentioning

confidence: 99%

Providers’ views on hormonal family planning methods for young women: a qualitative study from Dosso, Niger

Maytan-Joneydi

MacLachlan²,

Agali³

et al. 2022

Gates Open Res

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Background: Family planning (FP) providers play an important role in ensuring that clients are offered a full range of FP methods. This qualitative study explores providers’ views on three hormonal FP methods and why they think young women may choose these methods in Niger. Methods: In-depth interviews were conducted with 24 FP providers in 24 government health centers in Dosso region, Niger between February-March 2020. Providers were asked about the suitability of different FP methods for women, including unmarried adolescents and young married women with children. The interviews were translated and transcribed from Hausa and Zarma into French, thematically coded, and qualitatively analyzed. Results: Many providers believed discretion to be the most important method attribute for women. Providers report preferring implants for young clients because of the more rapid return to fertility. They disagreed on whether implants or injectables are more discrete for clients. That said, providers felt that clients appreciate the implant’s discretion, effectiveness, long-acting nature, and ease of use. Providers perceived that the majority of women choose injectables due to familiarity with the method, the fact that it is “invisible” to an outsider, and a lack of awareness of implants. Providers stated that while women may not initially choose the implant, when given more information about it, they were more open to adopting it, or switching from another method, and less likely to believe local myths. Providers believed that women find pills to be indiscreet. Conclusions: The findings highlight that while providers have perspectives on suitable methods for certain women, they also recognize that clients have their own preferences, such as how discreet the method is. As programs continue to expand method choice and new contraceptive technologies undergo research and development, highly desirable features such as discretion need to be considered.

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Section: Methodsmentioning

confidence: 99%

Providers’ views on hormonal family planning methods for young women: a qualitative study from Dosso, Niger

Maytan-Joneydi

MacLachlan²,

Agali³

et al. 2022

Gates Open Res

Self Cite

View full text Add to dashboard Cite

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“…Here I as a user of community services, namely the Health Center, strongly disagree with the lack of use of social media as a means of information from activities carried out in the Health center and the lack of uncoordinated health-related information at the Salimpaung Health Center, that to increase the brand of the company or organization is no longer only through conventional media but can be done through social media (MacLachlan et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Lack of Public Relations Role in the Use of Instagram as a Publication Tool to Improve Community Services at the Salimpaung District Health Center (Case Study on Instagram Account puskesmas salimpaung)

Fajar G,

Bernd,

Erland

et al. 2022

JIDC

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Media is a tool for conveying messages to the general public, then the field of public relations does not escape the name of the media because public relations needs the media to publish information about companies or organizations. In the process of performance, the Salimpaung Health Center certainly needs to convey information to its audience about whether it is necessary to receive programs, services, and so on. This does not include media information for such programs and information. This study aims to analyze the role of public relations on Instagram social media as a publication to improve community services at the Salimpaung District Health Center. The research method in this study is qualitative, with descriptive research using case studies. Data collection techniques in this study by conducting interviews with Deep, seeing the results of posts from the Salimpaung Health Center related to the activities and role of the health center as community services. The role of public relations is the role of expert advisor, the role of communication facilitator, the role of facilitator of problem-solving processes, and the role of communication technician. Public Relations are categorized as less active in using Instagram as a means of publication at the Salimpaung Health Center, through the results of research related to the salimpaung health center public relations.

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Assessment of segmentation and targeted counseling on family planning quality of care and client satisfaction: a facility-based survey of clients in Niger

Speizer

Amani

Winston

et al. 2021

BMC Health Serv Res

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Background Niger demonstrates high fertility and low contraceptive use that are typical in much of the West and Central African region. The government of Niger has committed to increasing modern contraceptive use as part of its health strategy. Designing and testing strategies to improve quality of care and satisfaction of family planning clients is important for addressing low contraceptive use in contexts like Niger. Methods This study uses recently collected client exit interview data from 2720 clients surveyed in the Dosso region of Niger to examine whether implementation of segmentation-based counseling leads to improved quality of services and client satisfaction. We compare three scenarios: a) facilities where segmentation counseling was implemented since 2017; b) facilities where segmentation counseling began in late 2019; and c) facilities without segmentation counseling. Bivariate and multivariate analyses are undertaken to determine if there are differences in quality of services and client satisfaction between the facility groups and between clients that were segmented and those who were not segmented in the first two scenarios. Results Results demonstrate that clients in facilities with segmentation generally received better quality services than clients in facilities without segmentation. Clients in facilities implementing segmentation longer reported higher quality services than the recent segmentation facilities. Clients who were segmented compared to those who were not segmented also reported better quality services. New clients reported higher quality services than returning clients and among new clients, those who were segmented also reported higher quality services. No differences were found in client satisfaction between facility scenarios or between segmented and non-segmented clients. Conclusions These findings demonstrate that segmentation or another targeted counseling strategy could be useful to the government of Niger to improve the quality of services offered. As part of the scale up process, the government needs to consider strategies that ensure that all new clients are segmented and design an approach that is sustainable and does not risk failing should there be stock-out of segmentation sheets or loss of counseling cards. This type of targeted counseling could improve the quality of services offered and ideally lead to increased contraceptive use in Niger.

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Qualitative Assessment of Providers’ Experiences with a Segmentation Counseling Tool for Family Planning in Niger

Cited by 4 publications

References 8 publications

Providers’ views on hormonal family planning methods for young women: a qualitative study from Dosso, Niger

Providers’ views on hormonal family planning methods for young women: a qualitative study from Dosso, Niger

Lack of Public Relations Role in the Use of Instagram as a Publication Tool to Improve Community Services at the Salimpaung District Health Center (Case Study on Instagram Account puskesmas salimpaung)

Assessment of segmentation and targeted counseling on family planning quality of care and client satisfaction: a facility-based survey of clients in Niger

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