Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1995

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Provider rationales for restrictive family planning service practices in

Ghana. Final report.

AUTHORS

Ghana. Statistical Service; Family Health International [FHI]

SOURCE

[Accra], Ghana, Ghana Statistical Service, 1995 Mar. [2], 29, [14] p.

ABSTRACT

In 1993, the Ghana Situation Analysis was performed to provide data necessary for the development of family

planning (FP) service delivery guidelines to assure clients' access to high quality FP services. Follow-up research

was undertaken in 1994 to determine why various barriers (minimum and maximum age, parity, spousal consent,

maximum weight, and marriage restrictions) to accessible FP services exist in Ghana and why certain clinical

practices (physical examinations, pelvic examinations, blood pressure tests, laboratory tests, rigorous IUD follow-up

schedule, limitations on oral contraceptive (OC) supply, and recommendations to breast-feeding clients) are

followed. Data were collected from interviews with a sample of 97 providers from 46 service delivery sites who

scored 10 of 12 points on a "barrier" scale and from a review of clinic records. It was found that service delivery

practices varied among and within the 46 sites. The providers exhibited inadequate knowledge of the

contraindications to and side effects of modern contraceptive methods, especially injectables, and may be doing

more harm than good in their efforts to protect their clients. The providers exhibited a lack of professionalism by

imposing their personal moral standards on their clients. The providers did not trust nonmenstruating women with

the proper use of OCs and did not rule out pregnancy for IUD and injectable acceptors. Finally, the providers

demonstrated an over-reliance on laboratory tests, thus wasting time and money. It was concluded that, while the

sample was not necessarily representative, the practices uncovered in this study are widespread and the

conclusions can be extrapolated beyond the sample. It was recommended that the proposed service delivery

guidelines emphasize the safety of injectables and OCs, client rights, precautions (rather than absolute and relative

contraindications) for use of contraceptives, service provision to nonmenstruating clients, appropriate methods for

various clients, and stricter protocols for laboratory tests. Future training of providers should emphasize

contraceptive technology, relative risks of FP versus pregnancy, appropriate methods for various clients, the

importance of continuing education, client trust, and provider professionalism. (PubHealth.info Document ID:

CONT2T 3035-06)

PubHealth.info NOTE: The author(s) of this article titled, "Provider rationales for restrictive family planning service

practices in Ghana. Final report.", is(are) Ghana. Statistical Service; Family Health International [FHI]. The source

of this article is "[Accra], Ghana, Ghana Statistical Service, 1995 Mar. [2], 29, [14] p.". This article was published in

1995 in English language(s). (PubHealth.info® Document ID: CONT2T 3035-06. All rights reserved with

PubHealth.info) PIN: 8035

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