Quality of Long-acting Reversible Contraception Provision in Lomé, Togo.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2020-09-23 eCollection Date: 2020-01-01 DOI:10.2147/OAJC.S257385
Karen Weidert, Koffi B Tekou, Ndola Prata
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引用次数: 3

Abstract

Context: Provision of high-quality contraceptive counseling and services is essential to ensure family planning (FP) programs are rights-based and voluntary. Togo's modern contraceptive use has steadily increased with almost a quarter of the method mix attributed to long-acting reversible contraceptives (LARC). The purpose of this study is to assess the quality of LARC provision in Togo.

Methods: Data for this study were collected in 2016 as part of a larger research study conducted in Lomé, Togo to assess the effectiveness of the ongoing FP service delivery model. Quality of FP service was assessed in terms of program capacity and program performance. Program capacity was measured with five individual variables and program performance was measured with the Method Information Index (MII). Descriptive statistics and mixed effects models were used to assess likelihood of LARC uptake.

Results: Of the 669 clients included in the study, 19.4% received a LARC method. Multivariable results show that LARC uptake is significantly associated with supervisory visit at the facility in the last three months (program capacity indicator) (OR 1.44; 95%CI 1.48-2.39) and is twice as likely for those with a positive MII score, even after controlling for provider and client characteristics (OR 2.1; 95%CI 1.61-2.51).

Conclusion: This study identified supervisory visits and comprehensive contraceptive counseling as the key quality factors positively associated with uptake of LARC. Continued focus on quality of care and provider-client information exchange is necessary to ensure women's FP needs are met.

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多哥洛莫雷市长效可逆避孕措施的质量分析。
背景:提供高质量的避孕咨询和服务对于确保计划生育项目是基于权利和自愿的至关重要。多哥的现代避孕药具的使用稳步增加,几乎四分之一的方法混合归功于长效可逆避孕药(LARC)。本研究的目的是评估多哥LARC提供的质量。方法:本研究的数据于2016年收集,作为在多哥lomoise进行的一项大型研究的一部分,以评估正在进行的计划生育服务提供模式的有效性。计划生育服务的质量是根据计划容量和计划绩效来评估的。程序容量用五个单独的变量来衡量,程序性能用方法信息指数(MII)来衡量。使用描述性统计和混合效应模型来评估LARC吸收的可能性。结果:在纳入研究的669名客户中,19.4%的人接受了LARC方法。多变量结果表明,LARC的吸收与最近三个月对设施的监督访问(项目能力指标)显著相关(OR 1.44;95%CI 1.48-2.39),即使在控制了提供者和客户特征之后,MII得分为正的人的可能性也是其两倍(OR 2.1;95%可信区间1.61 - -2.51)。结论:本研究确定了监督访问和全面避孕咨询是与LARC摄取呈正相关的关键质量因素。继续关注护理质量和提供者-客户信息交流是确保满足妇女计划生育需求的必要条件。
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