Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.

<h4>Introduction</h4>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 t...

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Autores principales:	Caroline Amour, Rachel N Manongi, Michael J Mahande, Bilikisu Elewonibi, Amina Farah, Sia Emmanuel Msuya, Iqbal Shah
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/df8f066ddd944eccb0b4b353fbef504f
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spelling	oai:doaj.org-article:df8f066ddd944eccb0b4b353fbef504f2021-12-02T20:05:04ZMissed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.1932-620310.1371/journal.pone.0250988https://doaj.org/article/df8f066ddd944eccb0b4b353fbef504f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0250988https://doaj.org/toc/1932-6203<h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.Caroline AmourRachel N ManongiMichael J MahandeBilikisu ElewonibiAmina FarahSia Emmanuel MsuyaIqbal ShahPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0250988 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Caroline Amour Rachel N Manongi Michael J Mahande Bilikisu Elewonibi Amina Farah Sia Emmanuel Msuya Iqbal Shah Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.
description	<h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.
format	article
author	Caroline Amour Rachel N Manongi Michael J Mahande Bilikisu Elewonibi Amina Farah Sia Emmanuel Msuya Iqbal Shah
author_facet	Caroline Amour Rachel N Manongi Michael J Mahande Bilikisu Elewonibi Amina Farah Sia Emmanuel Msuya Iqbal Shah
author_sort	Caroline Amour
title	Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.
title_short	Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.
title_full	Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.
title_fullStr	Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.
title_full_unstemmed	Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.
title_sort	missed opportunity for family planning counselling along the continuum of care in arusha region, tanzania.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/df8f066ddd944eccb0b4b353fbef504f
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Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.

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