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

Quality of care among Jamaican private physicians offering family planning

services.

AUTHORS

McDonald OP; Hardee K; Bailey W; Clyde M; Villinski MT

SOURCE

ADVANCES IN CONTRACEPTION. 1995 Sep;11(3):245-54.

ABSTRACT

In 1992, the National Family Planning Board of Jamaica commissioned a study of service delivery practices of 90%

of private physicians in Jamaica. Most physicians provided patients with oral contraceptives (OCs) (97%), condoms

(68%), and Depo-Provera (67%). Depending on the contraceptive method, 8-31% of physicians postponed family

planning services due to lack of supplies or equipment. Most physicians (60%) did not oppose any family planning

method. The most opposed methods were abortion (13.7%), natural family planning (13.1%), and Depo-Provera

(12.3%). The preferred method was OCs for delaying births (90%) and birth spacing (75%) and female sterilization for

birth limiting (80%). Factors influencing physicians' prescribing practices included availability of

supplies/equipment, physician preference, counseling skills, and medical barriers. The average amount of time for

counseling was 20 minutes. 77% of physicians were trained in counseling, while 98% provided counseling. Factors

affecting contraceptive availability were marital status/partner opposition; fertility; menstruation; local prevalence of

hypertension, diabetes, and cervical cancer; and consumer opinion on methods concerning efficacy, safety, cancer

risk, infertility, and vaginal discharge. Eligibility criteria, inappropriate contraindications, requirement for

inappropriate tests, provider bias, process and scheduling obstacles, and inappropriate management of side effects

were medical barriers to contraceptive availability. 49% of physicians required parental consent for prescribing OCs,

Depo-Provera, and IUDs for women aged less than 16, yet the law says that parental consent is always required for

treatment for this age group. Many physicians inappropriately advised a temporary rest period from OCs (53%), Depo-

Provera (40%), and the IUD (29%). These findings show that private physicians need training in eligibility criteria for

methods, primary precautions to method use, follow-up schedules, and rest periods to improve their practices.

(PubHealth.info Document ID: CONT2T 3044-06)

PubHealth.info NOTE: The author(s) of this article titled, "Quality of care among Jamaican private physicians offering

family planning services.", is(are) McDonald OP; Hardee K; Bailey W; Clyde M; Villinski MT. The source of this

article is "ADVANCES IN CONTRACEPTION. 1995 Sep;11(3):245-54.". This article was published in 1995 in

English language(s). (PubHealth.info® Document ID: CONT2T 3044-06. All rights reserved with PubHealth.info) PIN:

8044

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