Integrating reproductive and child health services enables access to modern contraception in Sierra Leone.
Breast Feeding
/ statistics & numerical data
Child Health Services
/ organization & administration
Contraception
Contraception Behavior
/ statistics & numerical data
Feeding Behavior
Female
Health Services Accessibility
/ organization & administration
Humans
Infant
Reproductive Health Services
/ organization & administration
Sierra Leone
Surveys and Questionnaires
Young Adult
Sierra Leone
complementary feeding
family planning
reproductive health
vitamin A supplementation
Journal
The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
11
12
2018
revised:
16
12
2018
accepted:
18
12
2018
pubmed:
27
1
2019
medline:
10
1
2020
entrez:
26
1
2019
Statut:
ppublish
Résumé
From mid-2015, reproductive and child health interventions were integrated into a routine 6-month contact point: vitamin A supplementation, nutrition counseling with the mother's participation in the preparation of a complementary food, and confidential family planning counseling with provision of modern forms of contraceptives. By mid-2017, these services had reached 28% of health facilities nationwide. To evaluate awareness and uptake of modern contraception and complementary feeding practices. All health facilities were visited, and the health worker "in-charge" were interviewed to ascertain their training status and supply chains. Within each catchment, community mothers of children 6 to 23 months of age were interviewed. Interviews were conducted with 321 "in-charges" and 670 mothers. Advantages and different types of contraception were understood by 99.0% of mothers, and 52.7% reported they were utilizing depot injections, hormonal implants, or oral contraceptive pills (45.1%, 34.6%, and 20.6% of users, respectively). Uptake was higher among Christians (62.1%) versus Muslims (48.6%) and among those with secondary/tertiary (61.5%) or primary education (60.5%) versus no education (43.3%) (P < 0.005 and P < 0.05, respectively). Complementary feeding practices included minimal meal diversity, 49.2% (fed three or more of six food groups), and recommended minimal meal frequency appropriate for age, 52.6%. Health workers reported frequent stockouts of vitamin A capsules (8%), male condoms (1%), oral contraceptives (10%), depot injections (20%), and hormonal implants (30%). In communities served by these integrated services, awareness and uptake of modern contraception exceeded national targets despite weak supply chains, and complementary feeding practices were favorable compared with the national survey.
Sections du résumé
BACKGROUND
BACKGROUND
From mid-2015, reproductive and child health interventions were integrated into a routine 6-month contact point: vitamin A supplementation, nutrition counseling with the mother's participation in the preparation of a complementary food, and confidential family planning counseling with provision of modern forms of contraceptives. By mid-2017, these services had reached 28% of health facilities nationwide.
OBJECTIVE
OBJECTIVE
To evaluate awareness and uptake of modern contraception and complementary feeding practices.
METHODS
METHODS
All health facilities were visited, and the health worker "in-charge" were interviewed to ascertain their training status and supply chains. Within each catchment, community mothers of children 6 to 23 months of age were interviewed.
RESULTS
RESULTS
Interviews were conducted with 321 "in-charges" and 670 mothers. Advantages and different types of contraception were understood by 99.0% of mothers, and 52.7% reported they were utilizing depot injections, hormonal implants, or oral contraceptive pills (45.1%, 34.6%, and 20.6% of users, respectively). Uptake was higher among Christians (62.1%) versus Muslims (48.6%) and among those with secondary/tertiary (61.5%) or primary education (60.5%) versus no education (43.3%) (P < 0.005 and P < 0.05, respectively). Complementary feeding practices included minimal meal diversity, 49.2% (fed three or more of six food groups), and recommended minimal meal frequency appropriate for age, 52.6%. Health workers reported frequent stockouts of vitamin A capsules (8%), male condoms (1%), oral contraceptives (10%), depot injections (20%), and hormonal implants (30%).
CONCLUSION
CONCLUSIONS
In communities served by these integrated services, awareness and uptake of modern contraception exceeded national targets despite weak supply chains, and complementary feeding practices were favorable compared with the national survey.
Types de publication
Journal Article
Langues
eng
Pagination
701-713Subventions
Organisme : Irish Aid
ID : HKI 1501
Informations de copyright
© 2019 John Wiley & Sons, Ltd.