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 in family planning service delivery in Kenya: clients' and

providers' perspectives. Final report.

AUTHORS

Kenya. Ministry of Health. Division of Family Health; Population Council. Africa

Operations Research and Technical Assistance Project

SOURCE

Nairobi, Kenya, Population Council, 1995 Nov. [3], 16 p. USAID Contract No.

CCP-3030-C-00-3008-00

ABSTRACT

During July-September 1994, in Kenya, focus group discussions and in-depth interviews were conducted with current

and/or past clinic users and service providers from nine service delivery points in Nairobi and rural Murang'a district

to determine the clients' and providers' perspective of quality of care of family planning services and to compare them

with the elements of the Bruce-Jain framework. Service features that attract and discourage clients included

proximity to facility, cost of services, opening hours of clinic, waiting time, choosing a contraceptive method, privacy

and confidentiality, provider-client interaction, clients' views of a providers' characteristics, medical examination, and

types of information provided to clients. Clients tended to favor medical examinations, while providers considered

them to be barriers to service delivery. Factors associated with service switching were dissatisfaction with methods,

lack of provider responsiveness to clients' providers and needs, inability to obtain the methods of choice (i.e., Depo-

Provera), concern about own health, and effects of contraceptives on their bodies. Both clients and providers

described service quality in terms of the characteristics of the health facility (i.e., availability of supplies, water, and

electricity), provider-client interactions, and cost and proximity of the facility. Clients complained much about side

effects for most methods, especially the IUD. Many clients preferred public clinics over private clinics. Most clinics

lacked basic medical equipment, supplies, and water. Many clients identified the most serious difficulties of the

clinics, particularly public clinics, to be poor attitude of providers and staff and their inability to resolve common side

effects. Poor care along with distrust and alienation created by differences in age, gender, perceived competency,

and hostility of providers were responsible for many women switching services or stopping use of family planning

services entirely. Providers often refused family planning services to young, unmarried women with no children.

(PubHealth.info Document ID: CONT2T 3050-06)

PubHealth.info NOTE: The author(s) of this article titled, "Quality of care in family planning service delivery in Kenya:

clients' and providers' perspectives. Final report.", is(are) Kenya. Ministry of Health. Division of Family Health;

Population Council. Africa Operations Research and Technical Assistance Project. The source of this article is

"Nairobi, Kenya, Population Council, 1995 Nov. [3], 16 p. USAID Contract No. CCP-3030-C-00-3008-00". This article

was published in 1995 in English language(s). (PubHealth.info® Document ID: CONT2T 3050-06. All rights reserved

with PubHealth.info) PIN: 8050

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