The relevance of client-centered communication to family planning settings in developing countries: Lessons from the Egyptian experience

Abdel-Tawab, Nahla G.; Roter, Debra

doi:10.1016/s0277-9536(01)00101-0

Cited by 95 publications

(94 citation statements)

References 23 publications

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“…[16][17][18][19][20] Eliciting women's values and needs and understanding their psychosocial context are consistent with patient-centered care and will improve satisfaction with contraceptive decisions. [35][36][37] Likewise, clinicians who are seeing women who have recently experienced unintended pregnancy should recognize that patient-centered counseling can build self-efficacy and empower women to change future health behaviors that put them at risk for unintended pregnancy. [35][36][37] Such counseling should emphasize behaviors, assessment of abilities, and future intentions and then motivate women to develop a contraceptive plan that meets her short-and long-term reproductive goals.…”

Section: Discussionmentioning

confidence: 99%

“…[35][36][37] Likewise, clinicians who are seeing women who have recently experienced unintended pregnancy should recognize that patient-centered counseling can build self-efficacy and empower women to change future health behaviors that put them at risk for unintended pregnancy. [35][36][37] Such counseling should emphasize behaviors, assessment of abilities, and future intentions and then motivate women to develop a contraceptive plan that meets her short-and long-term reproductive goals. 38,39 In addition, women who were using a contraceptive method that required adherence at the time of their unintended pregnancy (i.e., barrier or hormonal methods) may benefit from information and personalized discussion about methods that do not require adherence [i.e., intrauterine devices (IUDs) or implants].…”

Section: Discussionmentioning

confidence: 99%

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Unintended Pregnancy Influences Racial Disparity in Tubal Sterilization Rates

Borrero

Moore

et al. 2009

J GEN INTERN MED

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BACKGROUND: Minority women are more likely than white women to choose tubal sterilization as a contraceptive method. Disparities in rates of unintended pregnancy may help explain observed racial/ethnic differences in sterilization, but this association has not been investigated. OBJECTIVE:To examine the associations among race/ ethnicity, unintended pregnancy, and tubal sterilization. DESIGN AND PARTICIPANTS:Cross-sectional analysis of data from a nationally representative sample of women aged 15-44 years [65.7% white, 14.8% Hispanic, and 13.9% African American (AA)] who participated in the 2002 National Survey of Family Growth. MAIN MEASURES:Race/ethnicity, history of unintended pregnancy, and tubal sterilization. A logistic regression model was used to estimate the effect of race/ ethnicity on unintended pregnancy while adjusting for socio-demographic variables. A series of logistic regression models was then used to examine the role of unintended pregnancy as a confounder for the relationship between race/ethnicity and sterilization.KEY RESULTS: Overall, 40% of white, 48% of Hispanic, and 59% of AA women reported a history of unintended pregnancy. After adjusting for socio-demographic variables, AA women were more likely (OR: 2.0; 95% CI: 1.6-2.4) and Hispanic women as likely (OR: 1.0; 95% CI: 0.80-1.2) as white women to report unintended pregnancy. Sterilization was reported by 29% of women who had ever had an unintended pregnancy compared to 7% of women who reported never having an unintended pregnancy. In unadjusted analysis, AA and Hispanic women had significantly higher odds of undergoing sterilization (OR: 1.5; 95% CI: 1.3-1.9 and OR: 1.4; 95% CI: 1.2-1.7, respectively). After adjusting for unintended pregnancy, this relationship was attenuated and no longer significant (OR: 1.2; 95% CI: 0.95-1.4for AA women and OR: 1.3; 95% CI: 1.0-1.6 for Hispanic women).CONCLUSION: Minority women, who more frequently experience unintended pregnancy, may choose tubal sterilization in response to prior experiences with an unintended pregnancy.KEY WORDS: unintended pregnancy; minority women; tubal sterilization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Unintended Pregnancy Influences Racial Disparity in Tubal Sterilization Rates

Borrero

Moore

et al. 2009

J GEN INTERN MED

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“…[6] Adequate communication enhances family planning acceptance, client satisfaction, as well as effective and continued use of contraception. [7] There are many factors, which affect women utilization of family planning services. These factors mentioned as by Veres et al (2004); Factors related to contraceptive methods as (safety of the method, effectiveness, availability and the cost of all contraceptive methods); Factors related to the couples using contraceptives includes (demographic and biological factors as age of women, maternal education and husband education, parity, Sociocultural factors, occupational and economic factors, religious factors, legal factors and psychological factors).…”

Section: Introductionmentioning

confidence: 99%

Association between quality of family planning services and client's satisfaction level in maternal and child health centers in Port Said city

Nasr

Hassan

2015

JNEP

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Background: Improving quality of care has been a necessary goal for family planning programmes worldwide. Services should be convenient, accessible and acceptable to clients. In addition, it is essential to provide follow-up care to ensure continuity of services and an adequate logistics system to ensure continuity of supplies. Patient satisfaction is reportedly a useful measure to provide a direct indicator of quality in health care. Thus, it is needed to be measured frequently. Aim: To assess the association between quality of family planning services and client's satisfaction level in maternal & child health centers in Port Said city. Subject and Methods: A cross sectional descriptive research design included two main convenient samples were recruited in the study through 5 months, the family planning nurses (20) and clients attending these centers (240). The study was carried out at ten family planning clinics in ten centers representing the five districts of Port Said. Results: Statistically significant difference correlation was found between quality of family planning counseling of nurses practice and their number of received training program, the mean percentage of the client's (95.4%) were satisfied with family planning services. Conclusions: The number of received training program affects quality of family planning counseling of nurse's practice, providers of the services and the provided services affect the client satisfaction.

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“…These findings are in agreement with our results. On the contrary, an Egyptian study [14] found that the clients were less satisfied with FP counseling as only (65%) of the clients were satisfied with the services they received. This may be attributed to different model of communication, as physician centered counseling was predominant among their studied sample.…”

Section: Discussionmentioning

confidence: 88%

“…A study conducted by Mersal and Keshk [13] in maternal and child health (MCH) centers in Egypt found that 55.2% of nurses had experience from 5 to 15 years and Abdel-Tawab and Roter study [14] in Egypt found that 90% of physicians were in practice for <7 years. This comes in parallel to our results; may be due to same circumstances and regulations regarding primary care in Egypt.…”

Section: Discussionmentioning

confidence: 99%