Integration of family planning into maternal and child health and other services at Harare Central Hospital.
Cent Afr J Med
; 36(12): 311-5, 1990 Dec.
Article
in En
| MEDLINE
| ID: mdl-2092889
PIP: To increase the accessibility, availability, and acceptance of family planning methods and counseling, family planning services were integrated with maternal and child health care services at Harare Central Hospital in Zimbabwe. The Family Planning Project was implemented with hopes that mothers would seek contraceptive methods and counseling concurrent with their or their children's hospital admission, thereby making facility and service inaccessibility a thing of the past. Ante-natal, post-natal, and postabortal women were targeted for project outreach at the facility, along with patients suffering chronic medical and psychiatric problems, and mothers of malnourished children. Weaknesses of family planning provision at the hospital prior to the project are presented in the component parts of pharmacy, emergency gynecology unit, outpatient department, ante-natal clinic, post-partum care, post-natal clinic, and the general hospital. 2 full-time nurse- midwives and 2 part-time gynecologists counsel and provide services for the Family Planning Project. Other programmatic changes and improvements are described. There were 3,822 new acceptors and 5,423 return visits during the 1st project year, with the nurse-midwives providing 3,114 couple-years of protection, equal to 5.1% of the total provided by all 35 national family planning council clinics. Additional results, plans for the future, and problem areas are further discussed. The project, undertaken with few resources and high motivation, yielded high family planning acceptance rates with markedly less inconvenience for acceptors.^ieng
Key words
Acceptors; Africa; Africa South Of The Sahara; Age Factors; Behavior; Child; Clinic Activities; Contraception; Contraceptive Usage; Counseling; Delivery Of Health Care; Demographic Factors; Developing Countries; Eastern Africa; Economic Factors; English Speaking Africa; Family Planning; Family Planning Programs; Health; Health Facilities; Health Personnel; Health Services; Hospitals; Maternal-child Health Services; Method Acceptability; Motivation; Needs; Nurse-midwives; Organization And Administration; Population; Population At Risk; Population Characteristics; Primary Health Care; Program Activities; Program Design; Programs; Psychological Factors; Research Methodology; Resources; Summary Report; Target Population; Youth; Zimbabwe
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Child Health Services
/
Family Planning Services
/
Maternal Health Services
Limits:
Child, preschool
/
Humans
Country/Region as subject:
Africa
Language:
En
Journal:
Cent Afr J Med
Year:
1990
Document type:
Article
Country of publication:
Zimbabwe