Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study

Abstract Background The low utilisation of modern contraceptives in many low- and middle-income countries remains a challenge. Patent medicine vendors (PMVs) that operate in the informal health sector, have the potential to address this challenge. Between 2015 and 2018, the Population Council, in co...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mojisola Morenike Oluwasanu, Ayodeji Matthew Adebayo, Faizah Tosin Okunade, Olayinka Ajayi, Akinwumi Oyewole Akindele, John Stanback, Ademola Johnson Ajuwon
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Injectable contraceptives Patent medicine vendors Process evaluation Family planning Access to healthcare Therapeutics. Pharmacology RM1-950 Pharmacy and materia medica RS1-441
Acceso en línea:	https://doaj.org/article/77b324961de54f8599c32fb59db59a70
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:77b324961de54f8599c32fb59db59a70
record_format	dspace
spelling	oai:doaj.org-article:77b324961de54f8599c32fb59db59a702021-11-21T12:03:04ZProcess evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study10.1186/s40545-021-00336-52052-3211https://doaj.org/article/77b324961de54f8599c32fb59db59a702021-11-01T00:00:00Zhttps://doi.org/10.1186/s40545-021-00336-5https://doaj.org/toc/2052-3211Abstract Background The low utilisation of modern contraceptives in many low- and middle-income countries remains a challenge. Patent medicine vendors (PMVs) that operate in the informal health sector, have the potential to address this challenge. Between 2015 and 2018, the Population Council, in collaboration with the Federal and State Ministries of Health and the Pharmacy Council of Nigeria, trained PMVs in six states to deliver injectable contraceptive services. Outcome evaluation demonstrated increased client uptake of injectable contraceptive services; however, there is limited information on how and why the intervention influenced outcomes. This study was conducted to elucidate the processes and mechanism through which the previous intervention influenced women’s utilisation of injectable contraceptive services. Methods The study utilised a mixed methods, convergent parallel design guided by the UK Medical Research Council framework. Quantitative data were obtained from 140 trained PMVs and 145 of their clients in three states and 27 in-depth interviews were conducted among relevant stakeholders. The quantitative data were analysed descriptively, while the qualitative data were analysed thematically. Results The results revealed that even after the completion of the PMV study which had a time-bound government waiver for injectable contraceptive service provision by PMVs, they continued to stock and provide injectables in response to the needs of their clients contrary to the current legislation which prohibits this. The causal mechanism that influenced women’s utilisation of injectable contraceptives were the initial training that the PMV received; the favourable regulatory environment as demonstrated in the approval provided by government for PMVs to provide injectable contraceptives for the duration of the study; and the satisfaction and the confidence the female clients had developed in the ability of the PMVs to serve them. However, there were gaps with regards to the consistent supply of quality injectable contraceptive commodities and in PMVs use of job aids. Referral and linkages to government or private-owned facilities were also sub-optimal. Conclusion PMVs continue to play important roles in family planning service provision; this underscores the need to formalize and scale-up this intervention to aid their integral roles coupled with multi-faceted initiatives to enhance the quality of their services.Mojisola Morenike OluwasanuAyodeji Matthew AdebayoFaizah Tosin OkunadeOlayinka AjayiAkinwumi Oyewole AkindeleJohn StanbackAdemola Johnson AjuwonBMCarticleInjectable contraceptivesPatent medicine vendorsProcess evaluationFamily planningAccess to healthcareTherapeutics. PharmacologyRM1-950Pharmacy and materia medicaRS1-441ENJournal of Pharmaceutical Policy and Practice, Vol 14, Iss S1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Injectable contraceptives Patent medicine vendors Process evaluation Family planning Access to healthcare Therapeutics. Pharmacology RM1-950 Pharmacy and materia medica RS1-441
spellingShingle	Injectable contraceptives Patent medicine vendors Process evaluation Family planning Access to healthcare Therapeutics. Pharmacology RM1-950 Pharmacy and materia medica RS1-441 Mojisola Morenike Oluwasanu Ayodeji Matthew Adebayo Faizah Tosin Okunade Olayinka Ajayi Akinwumi Oyewole Akindele John Stanback Ademola Johnson Ajuwon Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study
description	Abstract Background The low utilisation of modern contraceptives in many low- and middle-income countries remains a challenge. Patent medicine vendors (PMVs) that operate in the informal health sector, have the potential to address this challenge. Between 2015 and 2018, the Population Council, in collaboration with the Federal and State Ministries of Health and the Pharmacy Council of Nigeria, trained PMVs in six states to deliver injectable contraceptive services. Outcome evaluation demonstrated increased client uptake of injectable contraceptive services; however, there is limited information on how and why the intervention influenced outcomes. This study was conducted to elucidate the processes and mechanism through which the previous intervention influenced women’s utilisation of injectable contraceptive services. Methods The study utilised a mixed methods, convergent parallel design guided by the UK Medical Research Council framework. Quantitative data were obtained from 140 trained PMVs and 145 of their clients in three states and 27 in-depth interviews were conducted among relevant stakeholders. The quantitative data were analysed descriptively, while the qualitative data were analysed thematically. Results The results revealed that even after the completion of the PMV study which had a time-bound government waiver for injectable contraceptive service provision by PMVs, they continued to stock and provide injectables in response to the needs of their clients contrary to the current legislation which prohibits this. The causal mechanism that influenced women’s utilisation of injectable contraceptives were the initial training that the PMV received; the favourable regulatory environment as demonstrated in the approval provided by government for PMVs to provide injectable contraceptives for the duration of the study; and the satisfaction and the confidence the female clients had developed in the ability of the PMVs to serve them. However, there were gaps with regards to the consistent supply of quality injectable contraceptive commodities and in PMVs use of job aids. Referral and linkages to government or private-owned facilities were also sub-optimal. Conclusion PMVs continue to play important roles in family planning service provision; this underscores the need to formalize and scale-up this intervention to aid their integral roles coupled with multi-faceted initiatives to enhance the quality of their services.
format	article
author	Mojisola Morenike Oluwasanu Ayodeji Matthew Adebayo Faizah Tosin Okunade Olayinka Ajayi Akinwumi Oyewole Akindele John Stanback Ademola Johnson Ajuwon
author_facet	Mojisola Morenike Oluwasanu Ayodeji Matthew Adebayo Faizah Tosin Okunade Olayinka Ajayi Akinwumi Oyewole Akindele John Stanback Ademola Johnson Ajuwon
author_sort	Mojisola Morenike Oluwasanu
title	Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study
title_short	Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study
title_full	Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study
title_fullStr	Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study
title_full_unstemmed	Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study
title_sort	process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in nigeria: a mixed methods study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/77b324961de54f8599c32fb59db59a70
work_keys_str_mv	AT mojisolamorenikeoluwasanu processevaluationofaninterventiontoimproveaccesstoinjectablecontraceptiveservicesthroughpatentmedicinevendorsinnigeriaamixedmethodsstudy AT ayodejimatthewadebayo processevaluationofaninterventiontoimproveaccesstoinjectablecontraceptiveservicesthroughpatentmedicinevendorsinnigeriaamixedmethodsstudy AT faizahtosinokunade processevaluationofaninterventiontoimproveaccesstoinjectablecontraceptiveservicesthroughpatentmedicinevendorsinnigeriaamixedmethodsstudy AT olayinkaajayi processevaluationofaninterventiontoimproveaccesstoinjectablecontraceptiveservicesthroughpatentmedicinevendorsinnigeriaamixedmethodsstudy AT akinwumioyewoleakindele processevaluationofaninterventiontoimproveaccesstoinjectablecontraceptiveservicesthroughpatentmedicinevendorsinnigeriaamixedmethodsstudy AT johnstanback processevaluationofaninterventiontoimproveaccesstoinjectablecontraceptiveservicesthroughpatentmedicinevendorsinnigeriaamixedmethodsstudy AT ademolajohnsonajuwon processevaluationofaninterventiontoimproveaccesstoinjectablecontraceptiveservicesthroughpatentmedicinevendorsinnigeriaamixedmethodsstudy
_version_	1718419313360109568

Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study

Ejemplares similares