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

A qualitative study of family planning services at the primary health centre

level in the state of Karnataka, India. Final report. Sub-contract No.

CI94.110A.

AUTHORS

Bhatia JC

SOURCE

Bangalore, India, Indian Institute of Management, 1995 Mar. [4], 72, [5] p. USAID

Contract No. DPE-3030-C-00-0022-00

ABSTRACT

In India, observations, interviews, and focus group discussions were conducted in the state of Karnataka to

qualitatively evaluate the management of family planning services at the primary health center level as perceived by

health staff. No systematic and organized method of planning work existed. No one received written job

descriptions. Staff responsibilities were not consistent. Auxiliary nurse-midwives (ANMs) and lady health visitors

(LHVs) performed family planning and maternal and child health activities about three hours/day. Much of their time

involved maintaining records. They had not yet accepted the health management information system. Medical

officers (MOs) performed clinical work for about one-third of the time and did nothing or were gone for two-thirds of the

time. Most ANMs and MOs commuted long distances to work, even though the health department directives specified

that staff should live at their place of work. Unavailability and poor condition of government housing, inability to rent

suitable housing in the villages, and no schools for children were reasons for not living at the health facility.

Interactions of health staff with anganwadi workers and traditional birth attendants were regular. Village health

guides provided little help. Inadequate and irregular supply of drugs and equipment prevented health staff from doing

their job and undermined their credibility. Several meetings a month took up a lot of staff's time and generally

focused on meeting family planning targets and strategies to improve family planning performance. Supervision was

very poor. LHVs rarely supervised ANMs during village visits. They provided minimal guidance and support. MOs

rarely made field visits. ANMs had better rapport with the community than did LHVs and MOs. ANMs living in the

health facility had better rapport than those not living there. Lack of promotional opportunities, frequent transfers,

non-availability of liveable housing, political interference, corruption, and nepotism frustrated staff. (PubHealth.info

Document ID: CONT2T 3042-06)

PubHealth.info NOTE: The author(s) of this article titled, "A qualitative study of family planning services at the

primary health centre level in the state of Karnataka, India. Final report. Sub-contract No. CI94.110A.", is(are) Bhatia

JC. The source of this article is "Bangalore, India, Indian Institute of Management, 1995 Mar. [4], 72, [5] p. USAID

Contract No. DPE-3030-C-00-0022-00". This article was published in 1995 in English language(s). (PubHealth.info®

Document ID: CONT2T 3042-06. All rights reserved with PubHealth.info) PIN: 8042

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