Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives.
Adolescent
Adult
Community Participation
Contraception
Contraceptive Agents
/ supply & distribution
Family Planning Services
/ organization & administration
Female
Focus Groups
Health Services Accessibility
Humans
Interviews as Topic
Male
Middle Aged
Qualitative Research
Sex Education
Social Responsibility
Stakeholder Participation
Trust
Young Adult
Accountability
Community
Contraceptives
Family planning
Motivation
Participation
Programs
Strategies
Trust
Journal
Reproductive health
ISSN: 1742-4755
Titre abrégé: Reprod Health
Pays: England
ID NLM: 101224380
Informations de publication
Date de publication:
08 Aug 2020
08 Aug 2020
Historique:
received:
21
01
2020
accepted:
29
07
2020
entrez:
11
8
2020
pubmed:
11
8
2020
medline:
22
6
2021
Statut:
epublish
Résumé
Although community participation has been identified as being important for improved and sustained health outcomes, designing and successfully implementing it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision, remains challenging. Zambian participants in a multi-country project (the UPTAKE project) took part in the development of an intervention involving community and healthcare provider participation in FP/C services provision and uptake. This study reports key thematic areas identified by the study participants as critical to facilitating community participation in this intervention. This was an exploratory qualitative research study, conducted in Kabwe District, Central Province, in 2017. Twelve focus group discussions were conducted with community members (n = 114), two with healthcare providers (n = 19), and ten in-depth interviews with key community and health sector stakeholders. Data were analyzed using a thematic analysis approach. Four thematic categories were identified by the participants as critical to facilitating community participation in FP/C services. Firstly, accountability in the recruitment of community participants and incorporation of community feedback in FP/C. programming. Secondly, engagement of existing community resources and structures in FP/C services provision. Thirdly, building trust in FP/C methods/services through credible community-based distributors and promotion of appropriate FP/C methods/services. Fourthly, promoting strategies that address structural failures, such as the feminisation of FP/C services and the lack FP/C services that are responsive to adolescent needs. Understanding and considering community members' and healthcare providers' views regarding contextualized and locally relevant participatory approaches, facilitators and challenges to participation, could improve the design, implementation and success of participatory public health programmes, including FP/C.
Sections du résumé
BACKGROUND
BACKGROUND
Although community participation has been identified as being important for improved and sustained health outcomes, designing and successfully implementing it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision, remains challenging. Zambian participants in a multi-country project (the UPTAKE project) took part in the development of an intervention involving community and healthcare provider participation in FP/C services provision and uptake. This study reports key thematic areas identified by the study participants as critical to facilitating community participation in this intervention.
METHODS
METHODS
This was an exploratory qualitative research study, conducted in Kabwe District, Central Province, in 2017. Twelve focus group discussions were conducted with community members (n = 114), two with healthcare providers (n = 19), and ten in-depth interviews with key community and health sector stakeholders. Data were analyzed using a thematic analysis approach.
RESULTS
RESULTS
Four thematic categories were identified by the participants as critical to facilitating community participation in FP/C services. Firstly, accountability in the recruitment of community participants and incorporation of community feedback in FP/C. programming. Secondly, engagement of existing community resources and structures in FP/C services provision. Thirdly, building trust in FP/C methods/services through credible community-based distributors and promotion of appropriate FP/C methods/services. Fourthly, promoting strategies that address structural failures, such as the feminisation of FP/C services and the lack FP/C services that are responsive to adolescent needs.
CONCLUSIONS
CONCLUSIONS
Understanding and considering community members' and healthcare providers' views regarding contextualized and locally relevant participatory approaches, facilitators and challenges to participation, could improve the design, implementation and success of participatory public health programmes, including FP/C.
Identifiants
pubmed: 32771028
doi: 10.1186/s12978-020-00968-x
pii: 10.1186/s12978-020-00968-x
pmc: PMC7414747
doi:
Substances chimiques
Contraceptive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
119Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Références
Med J Aust. 2003 Jan 6;178(1):17-20
pubmed: 12492384
BMC Public Health. 2015 Jul 21;15:682
pubmed: 26194476
Afr J Reprod Health. 2019 Sep;23(3):106-119
pubmed: 31782636
Reprod Health. 2018 Aug 28;15(1):144
pubmed: 30153846
Reprod Health. 2016 Jul 22;13(1):88
pubmed: 27449128
Reprod Health. 2019 Nov 15;16(1):169
pubmed: 31730493
Health Expect. 2015 Dec;18(6):1906-17
pubmed: 25470231
Perspect Sex Reprod Health. 2010 Sep;42(3):160-7
pubmed: 20887285
Contraception. 2016 Oct;94(4):289-94
pubmed: 27287693
Soc Sci Med. 2003 Apr;56(7):1453-68
pubmed: 12614697
BMC Med Ethics. 2019 Jul 4;20(1):45
pubmed: 31272489
Stud Fam Plann. 2012 Dec;43(4):239-54
pubmed: 23239245
BMC Health Serv Res. 2018 May 31;18(1):390
pubmed: 29855292
Reprod Health. 2010 Sep 24;7:25
pubmed: 20863411
Health Care Women Int. 2009 Oct;30(10):935-53
pubmed: 19742366
Bull World Health Organ. 2011 Aug 1;89(8):556-64
pubmed: 21836754
Pan Afr Med J. 2014 Dec 03;19:349
pubmed: 25922638
Bull World Health Organ. 2016 May 1;94(5):398-400
pubmed: 27147772
Reprod Health. 2014 Feb 03;11(1):13
pubmed: 24490810
Reprod Health Matters. 2000 May;8(15):21-32
pubmed: 11424265
Aust J Prim Health. 2015;21(1):2-8
pubmed: 24176202
Reprod Health. 2014 Mar 05;11(1):21
pubmed: 24597502
Lancet Glob Health. 2019 Aug;7(8):e984-e985
pubmed: 31257095
BMC Health Serv Res. 2013 Oct 31;13:455
pubmed: 24176059
Reprod Health. 2019 Jun 25;16(1):89
pubmed: 31238960
Clin Obstet Gynecol. 2014 Dec;57(4):659-73
pubmed: 25264697
BMC Public Health. 2017 Mar 23;17(1):277
pubmed: 28335751
Health Policy Plan. 1998 Mar;13(1):1-12
pubmed: 10178181