الفهرس | Only 14 pages are availabe for public view |
Abstract Family planning (FP) is now acknowledged as one of the most successful development interventions, with potential benefits on maternal and child health outcomes, educational advances and economic development. The benefits of family planning and birth spacing reach beyond the individual level for women and their families, women who can plan the number and timing of the birth of their children enjoy improved health, experience fewer unplanned pregnancies and births and are less likely to have an abortion. Family planning counselling is interaction between clients and providers who serve them, treat all clients respectfully, responds to their reproductive needs and intentions, help in the selection of the most appropriate family planning method. The aim of this study was to assess and improve quality of family planning counseling sessions and to assess clients’ satisfaction with family planning counseling sessions. This study was carried out in all family health facilities (no=15), in Sadat city district, Menoufia governorate. It included all family planning services providers in the studied family health facilities (45) and two hundred clients who were randomly selected from attendants to the studied family health facilities. Data from health care providers were collected using a check list using Balanced Counseling Strategy BCS stages according USAID user’s guide and self-reported questionnaire to assess the qualification of providers in providing family planning counseling and services. Data from clients to assess their knowledge and satisfaction with services related to contraception and sessions were collected using a semi-structured questionnaire. from this study it was found that: The total number of family planning providers was 45(physicians were 21 (46.7%)& nurses were 24 (53.3%).Regarding duration of physicians experience in FP most of physicians (71.4%) had an experience less than five years, most of the interviewed nurses(58.3%) had an experience more than 10 years. Almost all family planning providers had previous family planning training courses. However 100 % of nurses versus 38.1% of physicians received training courses about counseling. Check list gave better scores for nurses than for physicians in providing counseling sessions for clients. Regarding knowledge of studied clients about contraceptive methods, most clients got knowledge from family health facilities, nearly all clients hear about Loop, Contraceptive pills, injections & lactational amenorrhea, 73.5% hear about sub dermal implants, 56.5%hear about male barrier, 40% hear about coitus interrupts, 61% hear about surgical contraception, only 12% hear about female barrier, 10.5% hear about safe doirep and only7.5% hear about emergency contraception. Only 1% of wives & 3% of husbands had negative attitude about F P. About 25% of the studied clients used IUD, 30.5 % used combined pills, 17% used mini pills, 5% used combined injection, 20.5% used Depovera injection, 2% used condom and 0.5% used Implanon. |