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Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia

BACKGROUND: Community dialogues have been used in participatory approaches in various health prevention and awareness programs, including family planning interventions, to increase understanding and alignment of particular issues from different peoples’ perspectives. The main objective of this paper...

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Autores principales: Munakampe, Margarate Nzala, Nkole, Theresa, Silumbwe, Adam, Zulu, Joseph Mumba, Cordero, Joanna Paula, Steyn, Petrus S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414985/
https://www.ncbi.nlm.nih.gov/pubmed/32771022
http://dx.doi.org/10.1186/s12913-020-05589-5
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author Munakampe, Margarate Nzala
Nkole, Theresa
Silumbwe, Adam
Zulu, Joseph Mumba
Cordero, Joanna Paula
Steyn, Petrus S.
author_facet Munakampe, Margarate Nzala
Nkole, Theresa
Silumbwe, Adam
Zulu, Joseph Mumba
Cordero, Joanna Paula
Steyn, Petrus S.
author_sort Munakampe, Margarate Nzala
collection PubMed
description BACKGROUND: Community dialogues have been used in participatory approaches in various health prevention and awareness programs, including family planning interventions, to increase understanding and alignment of particular issues from different peoples’ perspectives. The main objective of this paper is to document the feasibility of a community dialogue approach, which aimed to promote dialogue between healthcare providers and community members. The feasibility testing was part of formative-phase research needed to design an intervention, with the ultimate goal of increasing the uptake of family planning and contraception. The community dialogue intervention generated discussions on key approaches to improve family planning and contraception provision and uptake. METHODS: Key stages of the community dialogue were undertaken, with representation from healthcare providers and community members. Participants included frontline and managerial health care providers, community health workers, family planning and contraception users, the youth, other stakeholders from the education sector, and civil society. How the dialogue was implemented (operational feasibility) as well as the cultural feasibility of the community dialogue content was evaluated through participant observations during the dialogue, using a standardised feasibility testing tick-list, and through focus group discussions with the stakeholders who participated in the community dialogue. RESULTS: Overall, 21 of the 30 invited participants attended the meeting- 70% attendance. The approach facilitated discussions on how quality care could be achieved in family planning and contraception provision, guided by the ground rules that were agreed upon by the different stakeholders. A need for more time for the discussion was noted. Participants also noted the need for more balanced representation from adolescents as well as other family planning stakeholders, such as community members, especially in comparison to healthcare providers. Some participants were not comfortable with the language used. Young people felt older participants used complicated terminologies while community members felt the health care providers outnumbered them, in terms of representation. CONCLUSION: Generally, the community dialogue was well received by the community members and the healthcare providers, as was observed from the sentiments expressed by both categories. Some key considerations for refining the approach included soliciting maximum participation from otherwise marginalized groups like the youth would provide stronger representation.
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spelling pubmed-74149852020-08-10 Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia Munakampe, Margarate Nzala Nkole, Theresa Silumbwe, Adam Zulu, Joseph Mumba Cordero, Joanna Paula Steyn, Petrus S. BMC Health Serv Res Research Article BACKGROUND: Community dialogues have been used in participatory approaches in various health prevention and awareness programs, including family planning interventions, to increase understanding and alignment of particular issues from different peoples’ perspectives. The main objective of this paper is to document the feasibility of a community dialogue approach, which aimed to promote dialogue between healthcare providers and community members. The feasibility testing was part of formative-phase research needed to design an intervention, with the ultimate goal of increasing the uptake of family planning and contraception. The community dialogue intervention generated discussions on key approaches to improve family planning and contraception provision and uptake. METHODS: Key stages of the community dialogue were undertaken, with representation from healthcare providers and community members. Participants included frontline and managerial health care providers, community health workers, family planning and contraception users, the youth, other stakeholders from the education sector, and civil society. How the dialogue was implemented (operational feasibility) as well as the cultural feasibility of the community dialogue content was evaluated through participant observations during the dialogue, using a standardised feasibility testing tick-list, and through focus group discussions with the stakeholders who participated in the community dialogue. RESULTS: Overall, 21 of the 30 invited participants attended the meeting- 70% attendance. The approach facilitated discussions on how quality care could be achieved in family planning and contraception provision, guided by the ground rules that were agreed upon by the different stakeholders. A need for more time for the discussion was noted. Participants also noted the need for more balanced representation from adolescents as well as other family planning stakeholders, such as community members, especially in comparison to healthcare providers. Some participants were not comfortable with the language used. Young people felt older participants used complicated terminologies while community members felt the health care providers outnumbered them, in terms of representation. CONCLUSION: Generally, the community dialogue was well received by the community members and the healthcare providers, as was observed from the sentiments expressed by both categories. Some key considerations for refining the approach included soliciting maximum participation from otherwise marginalized groups like the youth would provide stronger representation. BioMed Central 2020-08-08 /pmc/articles/PMC7414985/ /pubmed/32771022 http://dx.doi.org/10.1186/s12913-020-05589-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Munakampe, Margarate Nzala
Nkole, Theresa
Silumbwe, Adam
Zulu, Joseph Mumba
Cordero, Joanna Paula
Steyn, Petrus S.
Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia
title Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia
title_full Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia
title_fullStr Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia
title_full_unstemmed Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia
title_short Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia
title_sort feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in zambia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414985/
https://www.ncbi.nlm.nih.gov/pubmed/32771022
http://dx.doi.org/10.1186/s12913-020-05589-5
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