Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives

Reproductive Health

Adam Silumbwe¹  Margarate N. Munakampe¹  Joseph Mumba Zulu²  Theresa Nkole³  Cecilia Milford⁴  Petrus S. Steyn⁵  Joanna Paula Cordero⁵ 

[1] Department of Health Policy and Management, School of Public Health, University of Zambia;Department of Health Promotion, School of Public Health, University of Zambia;Department of Obstetrics and Gynaecology, University Teaching Hospital;MRU (MatCH Research Unit), Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand;UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) and Department of Sexual and Reproductive Health and Research (SRH), Geneva, World Health Organization;

关键词: Community;    Participation;    Family planning;    Contraceptives;    Programs;    Accountability;   

DOI  :  10.1186/s12978-020-00968-x

来源: DOAJ

【 摘 要 】

Abstract 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 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 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 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.

【 授权许可】

Unknown