OBJECTIVE: To show that low-cost attitudinal, structural and procedural changes aimed at improving responsiveness to patients have the potential to increase uptake of family planning (FP) even among populations considered reluctant to do so by health personnel. METHODS: Intervention study with before-after comparison of contraceptive acceptance, couple-years of protection (CYP) and an 'index of contraceptive uptake' (IUC) in rural health centres in Niger. The intervention consists of a package of instructions to actively propose family planning, integrated within curative and under-fives consultations, coupled with measures to increase the health centres' responsiveness to their clients. RESULTS: Implementation of the intervention package was followed by marked increases in family planning uptake. CONCLUSION: Health services in Niger present an untapped potential for improving family planning through low-cost supply-side measures.
OBJECTIVE: To show that low-cost attitudinal, structural and procedural changes aimed at improving responsiveness to patients have the potential to increase uptake of family planning (FP) even among populations considered reluctant to do so by health personnel. METHODS: Intervention study with before-after comparison of contraceptive acceptance, couple-years of protection (CYP) and an 'index of contraceptive uptake' (IUC) in rural health centres in Niger. The intervention consists of a package of instructions to actively propose family planning, integrated within curative and under-fives consultations, coupled with measures to increase the health centres' responsiveness to their clients. RESULTS: Implementation of the intervention package was followed by marked increases in family planning uptake. CONCLUSION: Health services in Niger present an untapped potential for improving family planning through low-cost supply-side measures.
Authors: Eric M Mafuta; Lisanne Hogema; Thérèse N M Mambu; Pontien B Kiyimbi; Berthys P Indebe; Patrick K Kayembe; Tjard De Cock Buning; Marjolein A Dieleman Journal: BMC Health Serv Res Date: 2016-11-09 Impact factor: 2.655
Authors: Nguyen Toan Tran; Wambi Maurice E Yameogo; Mary Eluned Gaffield; Félicité Langwana; James Kiarie; Désiré Mashinda Kulimba; Seni Kouanda Journal: Open Access J Contracept Date: 2018-11-09
Authors: Jessie K Hamon; Misozi Kambanje; Shannon Pryor; Alice S Kaponda; Erick Mwale; Helen E D Burchett; Susannah H Mayhew; Jayne Webster Journal: BMC Health Serv Res Date: 2022-04-28 Impact factor: 2.908
Authors: Jessie K Hamon; Misozi Kambanje; Shannon Pryor; Alice S Kaponda; Erick Mwale; Susannah H Mayhew; Jayne Webster; Helen E D Burchett Journal: Health Policy Plan Date: 2022-08-03 Impact factor: 3.547