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How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform

BACKGROUND: To assess the strength of implementation of family planning programs targeting youth (15-24) in Malawi with a specific focus on youth and the Youth-Friendly Health Services program METHODS: We conducted 9781 mobile phone interviews with facility in-Charge Nurses and health workers (healt...

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Autores principales: Chipokosa, Samuel, Pattnaik, Anooj, Misomali, Amos, Mohan, Diwakar, Peters, Michael, Kachale, Fannie, Ndawala, Jameson, Marx, Melissa A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Edinburgh University Global Health Society 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689283/
https://www.ncbi.nlm.nih.gov/pubmed/33282227
http://dx.doi.org/10.7189/jogh.09.020901
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author Chipokosa, Samuel
Pattnaik, Anooj
Misomali, Amos
Mohan, Diwakar
Peters, Michael
Kachale, Fannie
Ndawala, Jameson
Marx, Melissa A
author_facet Chipokosa, Samuel
Pattnaik, Anooj
Misomali, Amos
Mohan, Diwakar
Peters, Michael
Kachale, Fannie
Ndawala, Jameson
Marx, Melissa A
author_sort Chipokosa, Samuel
collection PubMed
description BACKGROUND: To assess the strength of implementation of family planning programs targeting youth (15-24) in Malawi with a specific focus on youth and the Youth-Friendly Health Services program METHODS: We conducted 9781 mobile phone interviews with facility in-Charge Nurses and health workers (health facility workers, health surveillance assistants [HSAs] and community-based distribution agent [CBDAs]) who provide family planning (FP) services across the 28 districts. Responses were entered in tablet using Open Data Kit. They were summarized and presented using R, Stata (College Station, TX, USA, StatsReport, JHU, Baltimore, MD, USA) and ArcView GIS (ESRI, Redlands, CA, USA). RESULTS: Availability of key products was a challenge across all health worker types as only 39% of health facilities, 29% of HSAs and 45% of CBDAs had all the FP methods they are supposed to provide on the day of the interview. About 50% of health workers were supervised within past 90 days preceding the study. Despite most facilities saying that they provide youth friendly health services, youth-specific FP guidelines or protocols were not available in 43% of facilities that provide these services and only 33% of facilities had special rooms and 58% have special days for youth. CONCLUSIONS: The commodity supply system needs to ensure that all facilities and workers have a consistent supply of all contraceptive methods. Government and program implementers should ensure availability of all FP guidelines and information, education, communication materials at all service delivery points and facilitate creation of special rooms or days for youth.
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spelling pubmed-76892832020-12-05 How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform Chipokosa, Samuel Pattnaik, Anooj Misomali, Amos Mohan, Diwakar Peters, Michael Kachale, Fannie Ndawala, Jameson Marx, Melissa A J Glob Health Research Theme 5: National Evaluation Platform BACKGROUND: To assess the strength of implementation of family planning programs targeting youth (15-24) in Malawi with a specific focus on youth and the Youth-Friendly Health Services program METHODS: We conducted 9781 mobile phone interviews with facility in-Charge Nurses and health workers (health facility workers, health surveillance assistants [HSAs] and community-based distribution agent [CBDAs]) who provide family planning (FP) services across the 28 districts. Responses were entered in tablet using Open Data Kit. They were summarized and presented using R, Stata (College Station, TX, USA, StatsReport, JHU, Baltimore, MD, USA) and ArcView GIS (ESRI, Redlands, CA, USA). RESULTS: Availability of key products was a challenge across all health worker types as only 39% of health facilities, 29% of HSAs and 45% of CBDAs had all the FP methods they are supposed to provide on the day of the interview. About 50% of health workers were supervised within past 90 days preceding the study. Despite most facilities saying that they provide youth friendly health services, youth-specific FP guidelines or protocols were not available in 43% of facilities that provide these services and only 33% of facilities had special rooms and 58% have special days for youth. CONCLUSIONS: The commodity supply system needs to ensure that all facilities and workers have a consistent supply of all contraceptive methods. Government and program implementers should ensure availability of all FP guidelines and information, education, communication materials at all service delivery points and facilitate creation of special rooms or days for youth. Edinburgh University Global Health Society 2019-12 2019-11-24 /pmc/articles/PMC7689283/ /pubmed/33282227 http://dx.doi.org/10.7189/jogh.09.020901 Text en Copyright © 2019 by the Journal of Global Health. All rights reserved. http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Research Theme 5: National Evaluation Platform
Chipokosa, Samuel
Pattnaik, Anooj
Misomali, Amos
Mohan, Diwakar
Peters, Michael
Kachale, Fannie
Ndawala, Jameson
Marx, Melissa A
How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
title How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
title_full How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
title_fullStr How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
title_full_unstemmed How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
title_short How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
title_sort how strong are malawi’s family planning programs for adolescent and adult women? results of a national assessment of implementation strength conducted by malawi’s national evaluation platform
topic Research Theme 5: National Evaluation Platform
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689283/
https://www.ncbi.nlm.nih.gov/pubmed/33282227
http://dx.doi.org/10.7189/jogh.09.020901
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