The Situation Analysis Study of the family planning program in Kenya.
Stud Fam Plann
; 22(3): 131-43, 1991.
Article
em En
| MEDLINE
| ID: mdl-1949097
ABSTRACT
PIP: In 1989, researchers conducted a situation analysis of 100 service delivery points (SDPs) in Kenya. They wanted to evaluate the usefulness of collecting and analyzing data on factors that influence the impact of family planning (FP). FP workers took a gynecological history and blood pressure on 96% of new clients and did a pelvic exam on 73%. 80 SDPs had Depo-Provera and foam tablets on hand and 85 had condoms. Even though the Ministry of Health had 8 varieties of oral contraceptives (OCs), not all SDPs had all types. 97 SDPs had the OC Microgynon, yet 24 had 10 cycles. 53 SDPs had at least 1 FP poster on the wall. 38 had charts or other educational aids. None provided educational material for the clients to take home with them. 32 SDPs had health talks and only 16 addressed FP. 1 on 1 client counseling made up somewhat for this lack of information (31% of clients interviewed reported the clinic as their 1st source of FP information). Yet the SDP workers often did not tell clients about contraindications, complications, and how to manage complications. Supervision was minimal. 87 SDPs kept records on FP clients. 81 SDPs had referred some women for FP services. Only 54% of the nurses and midwives attended the core 7 week training course in FP designed to certify them to deliver FP services. A mean of 9443 clients attended these SDPs each month. 71% used OCs, 19% Depo-Provera, 5% condoms, and 5% IUDs and foam. 94% of clients learned of 2+ methods at the SDPs, especially OCs and Depo-Provera. FP workers provided little information about sterilization. The researchers observed the quality of care indicators on an 1 client/clinic basis which probably biased the results in a positive direction. Nevertheless, FP workers did know how to provide acceptable good care. These results showed that the quality of FP in Kenya should be upgraded from weak and poor to moderate to moderately high.
Palavras-chave
Africa; Africa South Of The Sahara; Behavior; Bias; Clients; Contraception; Contraceptive Agents; Contraceptive Agents, Female; Contraceptive Agents, Progestin; Contraceptive Methods; Data Collection; Depo-provera; Developing Countries; Eastern Africa; Education; English Speaking Africa; Error Sources; Family Planning; Family Planning Programs; Family Planning Training; Health Services Evaluation; Iec; Information; Information Processing; Interpersonal Relations; Interviews; Kenya; Management; Measurement; Medroxyprogesterone Acetate; Methodological Studies; Operations Research; Oral Contraceptives; Organization And Administration; Physician-patient Relations; Program Activities; Program Evaluation; Programs; Quality Of Health Care; Records; Referral And Consultation; Research Methodology; Supervision; Training Programs
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços de Planejamento Familiar
Tipo de estudo:
Evaluation_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Ano de publicação:
1991
Tipo de documento:
Article