Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania
Adequate sexual and reproductive health information is vital to women of reproductive age (WRA) 15 to 49 years, for making informed choices on their reproductive health including family planning (FP). However, many women who interact with the health system continue to miss out this vital service. Th...
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| description | Adequate sexual and reproductive health information is vital to women of reproductive age (WRA) 15 to 49 years, for making informed choices on their reproductive health including family planning (FP). However, many women who interact with the health system continue to miss out this vital service. The study aimed to identify the extent of provision of FP counselling at service delivery points and associated behavioral factors among women of reproductive age in two districts of Arusha region. It also determined the association between receipt of FP counselling and contraceptive usage.
Data were drawn from a cross-sectional survey of 5,208 WRA residing in two districts of Arusha region in Tanzania; conducted between January and May 2018. Multistage sampling technique was employed to select the WRA for the face-to-face interviews. FP counseling was defined as receipt of FP information by a woman during any visit at the health facility for antenatal care (ANC), or for post-natal care (PNC). Analyses on receipt of FP counseling were done on 3,116 WRA, aged 16-44 years who were in contact with health facilities in the past two years. A modified Poisson regression model was used to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders.
Among the women that visited the health facility for any health-related visit in the past two years, 1,256 (40%) reported that they received FP counselling. Among the women who had had births in the last 30 months; 1,389 and 1,409 women had contact with the service delivery points for ANC and PNC visits respectively. Of these 31% and 26% had a missed FP counseling at ANC and PNC visit respectively. Women who were not formally employed were more likely to receive FP counselling during facility visit than others. WRA who received any FP counseling at PNC were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.28; 95% Confidence Interval [CI]: 1.09, 1.49).
Overall, only 40% women reported that they received any form of FP counseling when they interfaced with the healthcare system in the past two years. Informally employed women were more likely to receive FP counselling, and women who received FP counselling during PNC visits were significantly more likely to use contraceptive in comparison to the women who did not receive FP counselling. Thi |
| doi_str_mv | 10.1371/journal.pone.0250988 |
| format | Article |
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Data were drawn from a cross-sectional survey of 5,208 WRA residing in two districts of Arusha region in Tanzania; conducted between January and May 2018. Multistage sampling technique was employed to select the WRA for the face-to-face interviews. FP counseling was defined as receipt of FP information by a woman during any visit at the health facility for antenatal care (ANC), or for post-natal care (PNC). Analyses on receipt of FP counseling were done on 3,116 WRA, aged 16-44 years who were in contact with health facilities in the past two years. A modified Poisson regression model was used to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders.
Among the women that visited the health facility for any health-related visit in the past two years, 1,256 (40%) reported that they received FP counselling. Among the women who had had births in the last 30 months; 1,389 and 1,409 women had contact with the service delivery points for ANC and PNC visits respectively. Of these 31% and 26% had a missed FP counseling at ANC and PNC visit respectively. Women who were not formally employed were more likely to receive FP counselling during facility visit than others. WRA who received any FP counseling at PNC were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.28; 95% Confidence Interval [CI]: 1.09, 1.49).
Overall, only 40% women reported that they received any form of FP counseling when they interfaced with the healthcare system in the past two years. Informally employed women were more likely to receive FP counselling, and women who received FP counselling during PNC visits were significantly more likely to use contraceptive in comparison to the women who did not receive FP counselling. This presents a missed opportunity for prevention of unintended pregnancies and suggests a need for further integration of FP counseling into the ANC and PNC visits.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0250988</identifier><identifier>PMID: 34260605</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Abortion ; Adolescent ; Adult ; Birth control ; Care and treatment ; Confidence intervals ; Continuity of Patient Care - statistics & numerical data ; Contraception ; Contraception - statistics & numerical data ; Contraception Behavior - statistics & numerical data ; Contraceptives ; Counseling ; Cross-Sectional Studies ; Epidemiology ; Family planning ; Family Planning Services - statistics & numerical data ; Female ; Health care facilities ; Health facilities ; Health surveys ; Humans ; Maternal & child health ; Medicine and Health Sciences ; Methods ; Middle Aged ; Patients ; People and Places ; Pregnancy ; Prenatal Care - statistics & numerical data ; Principal components analysis ; Public health ; Regression analysis ; Regression models ; Reproductive Health ; Research and Analysis Methods ; Sampling techniques ; Sociodemographics ; Statistical analysis ; Study and teaching ; Tanzania ; Variables ; Womens health ; Young Adult]]></subject><ispartof>PloS one, 2021-07, Vol.16 (7), p.e0250988</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Amour et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Amour et al 2021 Amour et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-ed04630c1e140cc03a17b08509054b8a5ca492f3da09b7d67e0fb036556daa613</citedby><cites>FETCH-LOGICAL-c692t-ed04630c1e140cc03a17b08509054b8a5ca492f3da09b7d67e0fb036556daa613</cites><orcidid>0000-0001-5328-6776</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279341/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279341/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34260605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Hodges, Mary Hamer</contributor><creatorcontrib>Amour, Caroline</creatorcontrib><creatorcontrib>Manongi, Rachel N</creatorcontrib><creatorcontrib>Mahande, Michael J</creatorcontrib><creatorcontrib>Elewonibi, Bilikisu</creatorcontrib><creatorcontrib>Farah, Amina</creatorcontrib><creatorcontrib>Msuya, Sia Emmanuel</creatorcontrib><creatorcontrib>Shah, Iqbal</creatorcontrib><title>Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Adequate sexual and reproductive health information is vital to women of reproductive age (WRA) 15 to 49 years, for making informed choices on their reproductive health including family planning (FP). However, many women who interact with the health system continue to miss out this vital service. The study aimed to identify the extent of provision of FP counselling at service delivery points and associated behavioral factors among women of reproductive age in two districts of Arusha region. It also determined the association between receipt of FP counselling and contraceptive usage.
Data were drawn from a cross-sectional survey of 5,208 WRA residing in two districts of Arusha region in Tanzania; conducted between January and May 2018. Multistage sampling technique was employed to select the WRA for the face-to-face interviews. FP counseling was defined as receipt of FP information by a woman during any visit at the health facility for antenatal care (ANC), or for post-natal care (PNC). Analyses on receipt of FP counseling were done on 3,116 WRA, aged 16-44 years who were in contact with health facilities in the past two years. A modified Poisson regression model was used to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders.
Among the women that visited the health facility for any health-related visit in the past two years, 1,256 (40%) reported that they received FP counselling. Among the women who had had births in the last 30 months; 1,389 and 1,409 women had contact with the service delivery points for ANC and PNC visits respectively. Of these 31% and 26% had a missed FP counseling at ANC and PNC visit respectively. Women who were not formally employed were more likely to receive FP counselling during facility visit than others. WRA who received any FP counseling at PNC were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.28; 95% Confidence Interval [CI]: 1.09, 1.49).
Overall, only 40% women reported that they received any form of FP counseling when they interfaced with the healthcare system in the past two years. Informally employed women were more likely to receive FP counselling, and women who received FP counselling during PNC visits were significantly more likely to use contraceptive in comparison to the women who did not receive FP counselling. This presents a missed opportunity for prevention of unintended pregnancies and suggests a need for further integration of FP counseling into the ANC and PNC visits.</description><subject>Abortion</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Birth control</subject><subject>Care and treatment</subject><subject>Confidence intervals</subject><subject>Continuity of Patient Care - statistics & numerical data</subject><subject>Contraception</subject><subject>Contraception - statistics & numerical data</subject><subject>Contraception Behavior - statistics & numerical data</subject><subject>Contraceptives</subject><subject>Counseling</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Family planning</subject><subject>Family Planning Services - statistics & numerical data</subject><subject>Female</subject><subject>Health care facilities</subject><subject>Health facilities</subject><subject>Health surveys</subject><subject>Humans</subject><subject>Maternal & child health</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>People and Places</subject><subject>Pregnancy</subject><subject>Prenatal Care - 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statistics & numerical data</topic><topic>Contraception</topic><topic>Contraception - statistics & numerical data</topic><topic>Contraception Behavior - statistics & numerical data</topic><topic>Contraceptives</topic><topic>Counseling</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Family planning</topic><topic>Family Planning Services - statistics & numerical data</topic><topic>Female</topic><topic>Health care facilities</topic><topic>Health facilities</topic><topic>Health surveys</topic><topic>Humans</topic><topic>Maternal & child health</topic><topic>Medicine and Health Sciences</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>People and Places</topic><topic>Pregnancy</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Principal components analysis</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Reproductive Health</topic><topic>Research and Analysis Methods</topic><topic>Sampling techniques</topic><topic>Sociodemographics</topic><topic>Statistical analysis</topic><topic>Study and teaching</topic><topic>Tanzania</topic><topic>Variables</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amour, Caroline</creatorcontrib><creatorcontrib>Manongi, Rachel N</creatorcontrib><creatorcontrib>Mahande, Michael J</creatorcontrib><creatorcontrib>Elewonibi, Bilikisu</creatorcontrib><creatorcontrib>Farah, Amina</creatorcontrib><creatorcontrib>Msuya, Sia Emmanuel</creatorcontrib><creatorcontrib>Shah, Iqbal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amour, Caroline</au><au>Manongi, Rachel N</au><au>Mahande, Michael J</au><au>Elewonibi, Bilikisu</au><au>Farah, Amina</au><au>Msuya, Sia Emmanuel</au><au>Shah, Iqbal</au><au>Hodges, Mary Hamer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-07-14</date><risdate>2021</risdate><volume>16</volume><issue>7</issue><spage>e0250988</spage><pages>e0250988-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Adequate sexual and reproductive health information is vital to women of reproductive age (WRA) 15 to 49 years, for making informed choices on their reproductive health including family planning (FP). However, many women who interact with the health system continue to miss out this vital service. The study aimed to identify the extent of provision of FP counselling at service delivery points and associated behavioral factors among women of reproductive age in two districts of Arusha region. It also determined the association between receipt of FP counselling and contraceptive usage.
Data were drawn from a cross-sectional survey of 5,208 WRA residing in two districts of Arusha region in Tanzania; conducted between January and May 2018. Multistage sampling technique was employed to select the WRA for the face-to-face interviews. FP counseling was defined as receipt of FP information by a woman during any visit at the health facility for antenatal care (ANC), or for post-natal care (PNC). Analyses on receipt of FP counseling were done on 3,116 WRA, aged 16-44 years who were in contact with health facilities in the past two years. A modified Poisson regression model was used to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders.
Among the women that visited the health facility for any health-related visit in the past two years, 1,256 (40%) reported that they received FP counselling. Among the women who had had births in the last 30 months; 1,389 and 1,409 women had contact with the service delivery points for ANC and PNC visits respectively. Of these 31% and 26% had a missed FP counseling at ANC and PNC visit respectively. Women who were not formally employed were more likely to receive FP counselling during facility visit than others. WRA who received any FP counseling at PNC were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.28; 95% Confidence Interval [CI]: 1.09, 1.49).
Overall, only 40% women reported that they received any form of FP counseling when they interfaced with the healthcare system in the past two years. Informally employed women were more likely to receive FP counselling, and women who received FP counselling during PNC visits were significantly more likely to use contraceptive in comparison to the women who did not receive FP counselling. This presents a missed opportunity for prevention of unintended pregnancies and suggests a need for further integration of FP counseling into the ANC and PNC visits.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34260605</pmid><doi>10.1371/journal.pone.0250988</doi><tpages>e0250988</tpages><orcidid>https://orcid.org/0000-0001-5328-6776</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-07, Vol.16 (7), p.e0250988 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2551563277 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Abortion Adolescent Adult Birth control Care and treatment Confidence intervals Continuity of Patient Care - statistics & numerical data Contraception Contraception - statistics & numerical data Contraception Behavior - statistics & numerical data Contraceptives Counseling Cross-Sectional Studies Epidemiology Family planning Family Planning Services - statistics & numerical data Female Health care facilities Health facilities Health surveys Humans Maternal & child health Medicine and Health Sciences Methods Middle Aged Patients People and Places Pregnancy Prenatal Care - statistics & numerical data Principal components analysis Public health Regression analysis Regression models Reproductive Health Research and Analysis Methods Sampling techniques Sociodemographics Statistical analysis Study and teaching Tanzania Variables Womens health Young Adult |
| title | Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania |
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