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Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia

Quality family planning and contraceptive (FP/C) services result in positive outcomes such as client satisfaction and sustained use of contraceptives. While most assessments of quality in FP/C services are based on measurable reproductive health outcomes, there is limited consideration of the perspe...

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Autores principales: Nkole, Theresa, Silumbwe, Adam, Munakampe, Margarate N., Cordero, Joanna Paula, Milford, Cecilia, Zulu, Joseph Mumba, Steyn, Petrus S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583990/
https://www.ncbi.nlm.nih.gov/pubmed/34747352
http://dx.doi.org/10.1080/26410397.2021.1985945
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author Nkole, Theresa
Silumbwe, Adam
Munakampe, Margarate N.
Cordero, Joanna Paula
Milford, Cecilia
Zulu, Joseph Mumba
Steyn, Petrus S.
author_facet Nkole, Theresa
Silumbwe, Adam
Munakampe, Margarate N.
Cordero, Joanna Paula
Milford, Cecilia
Zulu, Joseph Mumba
Steyn, Petrus S.
author_sort Nkole, Theresa
collection PubMed
description Quality family planning and contraceptive (FP/C) services result in positive outcomes such as client satisfaction and sustained use of contraceptives. While most assessments of quality in FP/C services are based on measurable reproductive health outcomes, there is limited consideration of the perspectives and experiences of health providers and community members. This study aimed to address this knowledge gap, by exploring health providers’ and community perspectives on the elements of quality FP/C services in Kabwe district, Zambia. Fourteen focus group discussions and 10 in-depth interviews were conducted in October–December 2016, involving community members, key community stakeholders such as religious and political leaders, health committee members and frontline and managerial healthcare providers. Data were analysed using a thematic approach. According to study participants, quality FP/C services would include provision by skilled personnel with positive attitudes towards clients, availability of preferred methods and affordable products. Additional factors included appropriate infrastructure, especially counselling services spaces and adequate consultation time. Participants stressed the need for reduced waiting time and opportunity for self-expression. The efficiency and effectiveness of service delivery factors, such as information dissemination and community engagement, were also considered important elements of quality FP/C. This study underscores the value of considering both community and health provider perspectives in efforts to improve the quality of FP/C services, with the overall aim of increasing client satisfaction and sustained utilisation. However, service delivery processes must also be addressed in addition to providing for community participation, if quality is to be achieved in FP/C services.
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spelling pubmed-85839902021-11-12 Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia Nkole, Theresa Silumbwe, Adam Munakampe, Margarate N. Cordero, Joanna Paula Milford, Cecilia Zulu, Joseph Mumba Steyn, Petrus S. Sex Reprod Health Matters Research Article Quality family planning and contraceptive (FP/C) services result in positive outcomes such as client satisfaction and sustained use of contraceptives. While most assessments of quality in FP/C services are based on measurable reproductive health outcomes, there is limited consideration of the perspectives and experiences of health providers and community members. This study aimed to address this knowledge gap, by exploring health providers’ and community perspectives on the elements of quality FP/C services in Kabwe district, Zambia. Fourteen focus group discussions and 10 in-depth interviews were conducted in October–December 2016, involving community members, key community stakeholders such as religious and political leaders, health committee members and frontline and managerial healthcare providers. Data were analysed using a thematic approach. According to study participants, quality FP/C services would include provision by skilled personnel with positive attitudes towards clients, availability of preferred methods and affordable products. Additional factors included appropriate infrastructure, especially counselling services spaces and adequate consultation time. Participants stressed the need for reduced waiting time and opportunity for self-expression. The efficiency and effectiveness of service delivery factors, such as information dissemination and community engagement, were also considered important elements of quality FP/C. This study underscores the value of considering both community and health provider perspectives in efforts to improve the quality of FP/C services, with the overall aim of increasing client satisfaction and sustained utilisation. However, service delivery processes must also be addressed in addition to providing for community participation, if quality is to be achieved in FP/C services. Taylor & Francis 2021-11-08 /pmc/articles/PMC8583990/ /pubmed/34747352 http://dx.doi.org/10.1080/26410397.2021.1985945 Text en © 2021 World Health Organization. Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by/3.0/igo/This is an Open Access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/ (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. There should be no suggestion that the World Health Organization endorses any specific organization, products or services. This notice should be preserved along with the article's original URL.
spellingShingle Research Article
Nkole, Theresa
Silumbwe, Adam
Munakampe, Margarate N.
Cordero, Joanna Paula
Milford, Cecilia
Zulu, Joseph Mumba
Steyn, Petrus S.
Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia
title Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia
title_full Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia
title_fullStr Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia
title_full_unstemmed Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia
title_short Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia
title_sort community and health provider perspectives on the quality of family planning and contraceptive services in kabwe district, zambia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583990/
https://www.ncbi.nlm.nih.gov/pubmed/34747352
http://dx.doi.org/10.1080/26410397.2021.1985945
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