Providers' approaches to contraceptive provision in Cape Town

Fataar, Kulthum; Zweigenthal, Virginia; Harries, Jane

doi:10.3389/fgwh.2022.917881

Cited by 3 publications

(4 citation statements)

References 46 publications

(66 reference statements)

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“…However, many healthcare providers have noted a lack of patient awareness regarding the availability of telehealth services and disparities in access to technology. Service providers feel there is a lack of personal connection in contraceptive counseling if done virtually, are aware of the challenges in maintaining confidentiality, and express concern about the inability to provide all contraceptive methods via telehealth (Akers, et al, 2010;Fataar, Zweigenthal, & Harries, 2022;Lee, et al, 2011;Rao et al, 2022).…”

Section: Resultsmentioning

confidence: 99%

SITEPIS Contraception is an Extension Officer in Providing Information on Family Planning in Indonesia

Hariyanti,

Khatimah,

Kristianto

et al. 2023

j. info kesehat.

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This study addresses the vital role of information as a reproductive health right and emphasizes the responsibility of family planning officers, including health workers, to disseminate accurate information for ensuring public reproductive health. The research focuses on evaluating the effectiveness of SITEPIS Contraception, an online information service designed to aid family planning officers in conveying contraceptive information. SITEPIS is a web application offering comprehensive information on contraception, medical eligibility criteria, and a live chat service. This study involves 28 family planning officers at sub-district and village levels in Bogor and West Lombok districts. Employing a descriptive research approach, the study includes socialization events introducing Sitepis Contraception, encouraging usage, and collecting officers' evaluations. Results indicate positive feedback from all officers, citing the website's appealing design, user-friendly accessibility, and essential features for effective information delivery. Despite challenges related to internet network support in certain areas, officers express willingness to use the SITEPIS website for their community information duties. Notably, while face-to-face interaction is preferred by most officers, SITEPIS contraception serves as a valuable tool for information dissemination. The study underscores the underutilization of online information as the primary method among family planning officers in Indonesia. Despite this, it recognizes the potential of online platforms, like SITEPIS, in reaching diverse societal levels. The findings emphasize the need for further examination of SITEPIS Contraception from the community's perspective, the primary target audience, to enhance its effectiveness. In conclusion, the study advocates for the integration of online information tools to empower family planning officers in fulfilling their crucial role as information providers.

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Section: Resultsmentioning

confidence: 99%

SITEPIS Contraception is an Extension Officer in Providing Information on Family Planning in Indonesia

Hariyanti,

Khatimah,

Kristianto

et al. 2023

j. info kesehat.

View full text Add to dashboard Cite

show abstract

“…This indicates that the implant may be a method with high user dissatisfaction in this population, most likely linked to side effects, inadequate pre-insertion counselling or is being discouraged by providers. A local qualitative study conducted in Cape Town revealed that providers typically favoured removing implants in HIV-infected women prescribed the widely used ART, efavirenz, instead, promoting injectables, due to contraindications [57]. In the same study, providers also expressed contraceptive preferences which discouraged the use of implants for younger women [57].…”

Section: Discussionmentioning

confidence: 99%

“…A local qualitative study conducted in Cape Town revealed that providers typically favoured removing implants in HIV-infected women prescribed the widely used ART, efavirenz, instead, promoting injectables, due to contraindications [57]. In the same study, providers also expressed contraceptive preferences which discouraged the use of implants for younger women [57]. In contrast, the IUD had the lowest baseline usage of < 0.5% but had the highest rst method continuation at 87%.…”

Section: Discussionmentioning

confidence: 99%

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Contraceptive continuation among women of reproductive age utilising city of Cape Town family planning services

Naidoo,

Harries,

Zweigenthal

2024

Preprint

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Background There is a need to provide comprehensive contraceptive services that are consistent and address the requirements of women who are at risk of unintended pregnancy. This study describes characteristics of contraceptive users accessing family planning services and their contraceptive method usage patterns, focusing on continuation, at public clinics in Cape Town, South Africa. Methods The study reviewed the 2017 routinely collected data on contraceptive users (n = 217 274), aged 15–49 years accessing services across 102 public clinics. We calculated all method continuation and method-specific continuation for all hormonal contraceptive methods, using novel measures of ascertaining contraceptive continuation suited to routine data. Multi-variate analysis was used to examine the relationship between sociodemographic and health characteristics with contraceptive continuation with p-values < 0.05 considered statistically significant. Results Of the 217 274 women, 95.6% used short acting methods (68.2% injectables, 9.1% oral pills, 18.2% male and female condoms), while < 5% used long-acting reversible methods (implant 3.9%, intrauterine device 0.4%). The all-method method continuation proportion was 39.5%. Among specific methods, norethisterone enanthate injectable had the lowest continuation proportion at 8%, followed by the oral pill at 11%. These two methods are the most favoured contraceptive options among younger women aged 15–24). Contraceptive continuation was associated with dual method use (OR: 1.78; 95% CI: 1.74–1.84), older age (25–49) (OR: 1.16; 95% CI: 1.13–1.18) and had reduced odds if a user was on treatment for TB (OR: 0.64; 0.57–0.73). Conclusions Both method-specific and all-method contraceptive continuation were low, which indicates high rates of contraceptive method discontinuation without women switching their method. This may point to issues requiring attention at health provider, health system and contraceptive user levels. Expanding patient-centred counselling and education, ongoing in-service education of health providers, and inventory monitoring systems to address issues such as stockouts are needed.

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Provider perspectives on adolescent access to contraception in South Africa

Ketye,

Babatunde,

Mianda

et al. 2024

African Journal of Primary Health Care & Family Medicine

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Background: Poor access to contraception influences adolescent health outcomes and may lead to sexual and reproductive health challenges. Unmet sexual and reproductive health should contribute to unplanned adolescent pregnancies, sexually transmitted infections, and other conditions. Therefore, it is crucial to enable adolescents to access appropriate contraceptive methods easily.Aim: This study explored factors influencing adolescents’ access to contraceptive methods from the perspective of primary healthcare providers in South Africa.Setting: This study was conducted in two health districts of the Western Cape province in South Africa: the City of Cape Town Metropolitan Municipality and the West Coast district.Methods: Using a qualitative research design, in-depth semi-structured interviews were conducted with 24 healthcare providers who work in primary healthcare clinics. Subsequently, the interviews were transcribed and verified for errors. Braun and Clarke’s thematic analysis model guided the data analysis using ATLAS.ti software (version 22). The study adhered to the consolidated criteria for reporting qualitative studies checklist for qualitative research.Results: Four themes emerged through the data analysis: (1) personal influences, (2) community-level influences, (3) health system influences, and (4) policy-level influences. Representative quotations were used to illustrate the themes and sub-themes.Conclusion: Adolescence is shaped by various influences that affect adolescents’ ability to access contraception. These factors include their awareness of contraception, social environment, provider biases and school policies. Understanding these influences is crucial for addressing unintended pregnancies and promoting sexual and reproductive health among this age group.Contribution: This study highlights strategies that facilitate and hinder adolescents’ access to contraception.

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Providers' approaches to contraceptive provision in Cape Town

Cited by 3 publications

References 46 publications

SITEPIS Contraception is an Extension Officer in Providing Information on Family Planning in Indonesia

SITEPIS Contraception is an Extension Officer in Providing Information on Family Planning in Indonesia

Contraceptive continuation among women of reproductive age utilising city of Cape Town family planning services

Provider perspectives on adolescent access to contraception in South Africa

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