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Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?

Background: Family planning (FP) is among the important interventions that reduce maternal mortality. Poor quality FP service is associated with lower services utilisation, in turn undermining the efforts to address maternal mortality. There is currently little research on the quality of FP services...

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Autores principales: Tessema, Gizachew Assefa, Mahmood, Mohammad Afzal, Gomersall, Judith Streak, Assefa, Yibeltal, Zemedu, Theodros Getachew, Kifle, Mengistu, Laurence, Caroline O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345433/
https://www.ncbi.nlm.nih.gov/pubmed/32545564
http://dx.doi.org/10.3390/ijerph17124201
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author Tessema, Gizachew Assefa
Mahmood, Mohammad Afzal
Gomersall, Judith Streak
Assefa, Yibeltal
Zemedu, Theodros Getachew
Kifle, Mengistu
Laurence, Caroline O.
author_facet Tessema, Gizachew Assefa
Mahmood, Mohammad Afzal
Gomersall, Judith Streak
Assefa, Yibeltal
Zemedu, Theodros Getachew
Kifle, Mengistu
Laurence, Caroline O.
author_sort Tessema, Gizachew Assefa
collection PubMed
description Background: Family planning (FP) is among the important interventions that reduce maternal mortality. Poor quality FP service is associated with lower services utilisation, in turn undermining the efforts to address maternal mortality. There is currently little research on the quality of FP services in the private sector in Ethiopia, and how it compares to FP services in public facilities. Methods: A secondary data analysis of two national surveys, Ethiopia Services Provision Assessment Plus Survey 2014 and Ethiopian Demographic and Health Survey 2016, was conducted. Data from 1094 (139 private, 955 public) health facilities were analysed. In total, 3696 women were included in the comparison of users’ characteristics. Logistic regression was conducted. Facility type (public vs. private) was the key exposure of interest. Results: The private facilities were less likely to have implants (Adjusted Odds Ratio (AOR) = 0.06; 95% Confidence Interval (CI): 0.03, 0.12), trained FP providers (AOR = 0.23; 95% CI: 0.14, 0.41) and FP guidelines/protocols (AOR = 0.33; 95% CI: 0.19, 0.54) than public facilities but were more likely to have functional cell phones (AOR = 8.20; 95% CI: 4.95, 13.59) and water supply (AOR = 3.37; 95% CI: 1.72, 6.59). Conclusion: This study highlights the need for strengthening both private and public facilities for public–private partnerships to contribute to increased FP use and better health outcomes.
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spelling pubmed-73454332020-07-09 Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare? Tessema, Gizachew Assefa Mahmood, Mohammad Afzal Gomersall, Judith Streak Assefa, Yibeltal Zemedu, Theodros Getachew Kifle, Mengistu Laurence, Caroline O. Int J Environ Res Public Health Article Background: Family planning (FP) is among the important interventions that reduce maternal mortality. Poor quality FP service is associated with lower services utilisation, in turn undermining the efforts to address maternal mortality. There is currently little research on the quality of FP services in the private sector in Ethiopia, and how it compares to FP services in public facilities. Methods: A secondary data analysis of two national surveys, Ethiopia Services Provision Assessment Plus Survey 2014 and Ethiopian Demographic and Health Survey 2016, was conducted. Data from 1094 (139 private, 955 public) health facilities were analysed. In total, 3696 women were included in the comparison of users’ characteristics. Logistic regression was conducted. Facility type (public vs. private) was the key exposure of interest. Results: The private facilities were less likely to have implants (Adjusted Odds Ratio (AOR) = 0.06; 95% Confidence Interval (CI): 0.03, 0.12), trained FP providers (AOR = 0.23; 95% CI: 0.14, 0.41) and FP guidelines/protocols (AOR = 0.33; 95% CI: 0.19, 0.54) than public facilities but were more likely to have functional cell phones (AOR = 8.20; 95% CI: 4.95, 13.59) and water supply (AOR = 3.37; 95% CI: 1.72, 6.59). Conclusion: This study highlights the need for strengthening both private and public facilities for public–private partnerships to contribute to increased FP use and better health outcomes. MDPI 2020-06-12 2020-06 /pmc/articles/PMC7345433/ /pubmed/32545564 http://dx.doi.org/10.3390/ijerph17124201 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tessema, Gizachew Assefa
Mahmood, Mohammad Afzal
Gomersall, Judith Streak
Assefa, Yibeltal
Zemedu, Theodros Getachew
Kifle, Mengistu
Laurence, Caroline O.
Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?
title Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?
title_full Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?
title_fullStr Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?
title_full_unstemmed Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?
title_short Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?
title_sort structural quality of services and use of family planning services in primary health care facilities in ethiopia. how do public and private facilities compare?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345433/
https://www.ncbi.nlm.nih.gov/pubmed/32545564
http://dx.doi.org/10.3390/ijerph17124201
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