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Abstract

This study was conducted to assess providers' attitudes toward the provision of long-term methods of contraception, in particular the IUD, and provider concerns about human immunodeficiency virus (HIV) in the context of family planning (FP) services. The data were collected using self-administered structured questionnaires. Between 65% and 80% of the public and private providers thought that the IUD is a good contraceptive method for Zimbabwean women. In addition, the majority of these two provider groups felt that neither the IUD nor tubal sterilization (TL) posed much risk of HIV infection to the client. A significant number of providers (especially the public nurses), however, thought that the provision of TL put the provider at high risk of HIV infection and a significant proportion of public nurses were also concerned about provider risk associated with providing IUD and injectables. To address such concerns, future training interventions should emphasize appropriate infection prevention practices associated with surgical FP method provision. Nurses, in particular, should be informed about the magnitude of risk associated with FP service provision and ways to protect themselves. Logistic activities also need to be strengthened so that legitimate concerns among providers regarding lack of adequate infection prevention supplies (e.g. gloves) in the field can be addressed.

Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania

“…For example, many participating healthcare providers did not know that the use of untreated nets can divert extra biting to sleepers without nets in the same home, and many of them self-reported that they often (incorrectly) informed patients that torn ITNs are worse than no ITNs. These gaps in knowledge and practices on the prevention of malaria align with other gaps that have been well-documented among households on the same issue [16-39] and healthcare providers on the diagnosis, treatment and transmission of malaria in low- and middle-income countries [45-50] and other diseases and conditions around the world [51-73,101-122]. …”

“…While many studies have asked community members about their knowledge and practices relating to malaria prevention [16-39], none could be found that asked these same questions of healthcare providers--who are intuitively and empirically known to influence their patients' behaviour in a variety of contexts [40-44]. In contrast, many studies of healthcare providers' knowledge and practices have addressed malaria diagnosis, treatment, management and transmission [45-50], and the prevention of other conditions, including cancer [51-60], dehydration from diarrhea [61-68] and pregnancy [69-73]. A better understanding of the factors that influence whether healthcare providers in low- and middle-income countries are knowledgeable about and optimally practice malaria prevention will serve to inform efforts aiming to eliminate the global burden of this disease for the future.…”

Knowledge and perceptions of the intrauterine device among family planning providers in Nepal: a cross-sectional analysis by cadre and sector

“…Under the assumption that those with financial investment in a clinic’s success may be more reluctant to support the low-cost IUD, ownership of a clinic, and sector (public vs private) were also chosen as potential indicators of experience [ 16 , 31 ]. Last, independent of experience, provider’s personal use of contraception was included due to its presence in previous tools that sought to capture data on IUD knowledge and perceptions [ 20 , 32 ].…”

Screen-and-Treat Approach to Cervical Cancer Prevention Using Visual Inspection With Acetic Acid and Cryotherapy: Experiences, Perceptions, and Beliefs From Demonstration Projects in Peru, Uganda, and Vietnam

“…An alternative to client tracking is offering screening and treatment in a single day. Although this approach has been highly successful in research settings [12, [25][26][27], it may not be practical to implement as a health service program. Our data suggest that during screening, other infections are often identifiedandneedtobetreatedpriortocryotherapyforprecancerous lesions.…”