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Högberg, Ulf. "Maternal mortality in Sweden." Doctoral thesis, Umeå universitet, Obstetrik och gynekologi, 1985. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1866.
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Every year about half a million women die from complications of pregnancy, parturition and puerperium, most of which are preventable. The purpose of this thesis was to chart the distribution and decline in maternal mortality in Sweden between 1751 and 1980, and furthermore to characterize positive (predisposing) factors and negative (protective) factors of maternal mortality. Maternal mortality declined from 900 to 6.6 per 100,000 live births in these 230 years. Maternal deaths accounted for 10070 of all female deaths in the reproductive ages between 1781 and 1785, but only 0.2.0/0 between 1976 and 1980. However, in the 19th century 40-450/0 of the female deaths in the most active childbearing ages were maternal deaths. The children left motherless had an extremely high mortality. Indirect maternal deaths and puerperal sepsis accounted for the bulk of maternal deaths in the rural areas. Only a minority of maternal deaths occurred in lying-in hospitals. Midwifery services in rural areas and antiseptic techniques were most effective in preventing maternal deaths during the late 19th century. The changing distribution ofage and parity amongst the parturients had a definite impact on the mortality decline, enhanced by time, contributing to 500/0 of the mortality decline over the last 15 years. The expontential decline of cause-specific mortality and case fatality rates during the last 40 years is furthermore explained by the emergence ofmodern medicine - antibiotics, antenatal and obstetric care. The earlier serious problem of illegal abortions was eradicated by legislation and changes in hospital practice. The maternal mortality decline has levelled out during the 1970s, the relative importance of embolism as a cause of death is increasing. Advanced age and intercurrent disease are the most difficult risk factors to overcome. To conclude, this study indicates that the reason why maternal mortality has declined faster than otherhealth indices is that the major part of the maternal deaths can be prevented by medical technology, including family planning, antenatal and obstetric care. This experience should be of interest to developing countries where high rates of maternal mortality prevails.
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Salman, Abdul-Jalil M. "Fertility and family planning patterns in Qatar." Thesis, City University London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.307877.
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Lukyanova, Valentina Vladimirovna. "An Evaluation of Family Planning Services in Southwest Virginia." Thesis, Virginia Tech, 2005. http://hdl.handle.net/10919/34016.
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The goal of this study is to assess the quality of family planning services in rural areas of Virginia. Through interviews with the public and not-for profit clinics, I collected various facts and through client survey, I obtained women's perceptions and feeling about the services provided to them. The goal was to reconcile responses wherever possible, and furthermore, identify differences between facts provided by the clinics and perceptions of clients.
From the client surveys, I found that the majority of women are satisfied with the family planning services. Moreover, Appalachian women report higher satisfaction with the family planning services than non-Appalachian women. However, accessibility remains one of the major problems and obstacles to the family planning services. Women that report long waiting time and lack of transportation also have lower satisfaction scores with the services. From qualitative interviews, it is apparent that staff is doing a good job at assisting rural Appalachian women. However, as in client survey, staff reported problems with access to family planning services, such as transportation, unawareness of women of existing services, financial difficulties, and the need of more days and hours of clinic operation.Master of Science
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Akintade, Oluwasanmi Lawrence. "Awareness, use and barriers to family planning services among female students at the National University of Lesotho, Roma, Lesotho." Thesis, University of Limpopo ( Medunsa Campus), 2010. http://hdl.handle.net/10386/215.
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Thesis (MPH)--University of Limpopo, 2010.Background: Sexual health of young people is a matter of public health concern and Reproductive health occupies a central position in health and development. Unwanted pregnancy and sexually transmitted infections among young women can be prevented through effective use of contraception. Unmet need for contraception in developing world and rates of unintended pregnancy among young women is high. Aim of the Study: To assess the level of awareness of contraceptives and utilization of family planning services among young women and barriers that hinders effective use of such services Methods: A quantitative descriptive survey was conducted among 360 female undergraduate students of the National University of Lesotho, Roma, Lesotho. A hand delivered self administered questionnaire was used to collect data with the help of four trained research assistants. Epi info version 3.5 was used for data entry and analysis. Results: Awareness of family planning is high among the participant (98.3%); Condom is the most commonly known and used family planning method. Level of sexual experience and Contraceptive prevalence is high. Married status is associated with current use, positive perception on health benefit while Formal teaching on family planning is associated with misconceptions. Conclusion: The level of awareness and Utilization of family planning services is high among female students of university of Lesotho. Access to services is good but there are misconceptions. There is the need to introduce family planning teaching that is based on accurate knowledge to school curriculum
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Hossain, MD Motahar Gray Alan Noel. "Male involvement in family planning in Bangladesh /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-MotaharH.pdf.
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Diaz, Ashley M., and Melodie Anne Chronister. "KNOWLEDGE AND USE OF FAMILY PLANNING SERVICES BY EXTENDED FOSTER CARE CLIENTS." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/160.
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There has been extensive, mostly negative research on the outcomes of foster care youth. Due to the abundance of this research, Extended Foster Care (EFC) was created to help to provide additional resources and support to young adults in foster care until age 21. This is a fairly new program, therefore little research has been completed. One of the negative outcomes of foster youth is the high pregnancy and parenting rates. The purpose of this study is to be able to understand the knowledge and use of family planning services among the young adults participating in EFC. Understanding this information will help to improve services provided by the social workers who work with this population. This research used a quantitative questionnaire. The questionnaire was mailed to the young adults participating in EFC in San Bernardino County. A statistical analysis was completed using SPSS version 21. The study’s findings showed that on average, EFC participants have a good understanding of safe-sex practices but do not usually use safe-sex methods or go to family planning service organizations. The study also found that participant demographics do not have a correlation to their knowledge or use of family planning services, nor to the number of pregnancies or live births. However, there is a negative correlation between a participant's knowledge score and if they have children in their custody. Finally, 47% of participants reported being informed about family planning service organizations by their Social Worker.
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Ralejoana, Ntsoaki. "Participation of men attending outpatient services at Qoaling Filter Clinic in family planning." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/249.
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Thesis (MPH)--University of Limpopo, 2010.Introduction The neglect of men with respect to their role in family planning has contributed to a situation in which men remained passive or non-participatory in reproductive health related studies and have generally not been included in most of research on family planning and use of modern contraceptives (Mbizvo & Basset, 1996). Family planning saves women’s and children’s lives and improves the quality of life. In addition, family planning reduces fertility and help to relieve the pressures that rapidly growing populations place on economic, social and natural resources. Men’s participation in family planning can improve women and children’s health. Men are heads of families and play dominant roles in decision making crucial to women’s lives and women’s reproductive health. Aim and the objectives of the study: The aim of the study was to identify and describe factors affecting the participation of men attending out - patient services at Qoaling Filter Clinic. Methods and materials: • Study design The study used a descriptive cross sectional design. The factors were identified, described and the differences between the factors and participation determined. • Study population The population for the study consisted of men between 18 and 50 years who attended out-patient services at Qoaling Filter Clinic. • Study setting The data was collected from Qoaling Filter Clinic which is situated the southern region of Maseru, the capital of Lesotho. It is a mini hospital. • Sampling and sample size A cluster sampling was used. The researcher developed a sampling frame. Men who met the inclusion criteria were selected randomly. The formula used to compute the sample size was n/ [(1-(n/population)]. The sample size was 94. Results The findings of this study indicated that men knew some of the family planning methods. There was no difference in participation of men in family planning between men with more or less knowledge. There was a relationship between age, residing area, knowledge and participation. The majority of men indicated that if they were given information and there were special clinics for men, family planning services utilization would increase and they can be more involved in family planning services and support their wives and partners. Conclusion Men’s knowledge on family planning can improve their participation in utilizing the services and supporting their partners. Through participation men can help slow the spread of HIV and AIDS and sexually transmitted infections, unwanted pregnancies and criminal abortions
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Rodberg, Josie. "Planning the American Family: The Politics of Government Family Planning Programs from the Great Society to the New Right." Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:10999.
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This dissertation examines the creation and development of the United States government's Title X family planning program from 1965 to 1988. It argues that Title X became controversial when its supporters shifted their focus from promoting family self-sufficiency to celebrating individual reproductive freedom. The new individualist arguments profoundly threatened many Americans who wanted government policy to support the patriarchal nuclear family. Support for federally-subsidized family planning programs in the 1960s rested on an ideology of nuclear family economic independence. Advocates reasoned that birth control services would enable poor Americans, especially African-Americans, to have children only within stable, self-sufficient marriages. Using these arguments, family planning advocates developed nearly-unanimous support for family planning programs among federal policymakers. In the early 1970s, though, family planning supporters embraced feminist and anti-racist critiques of their earlier ideas, leading them to promote subsidized family planning as a route to individual women’s reproductive freedom. In turn, the dissertation examines the growth of the New Right in reaction to the new liberal focus on individual freedom. While some dissenters had opposed family planning programs in the 1960s, this opposition mushroomed in the 1970s as opponents identified Title X as a threat to the family. Family planning opponents focused on two aspects of subsidized birth control programs that endangered the patriarchal nuclear family: abortion and teenagers’ access to contraception. Both of these issues jeopardized the husband’s and father’s authority over his dependents. In addition, opponents claimed that federal government spending on Title X overused their tax dollars, compromising their own ability to be self-sufficient and, thus, the survival of their own independent nuclear families. As a result, they mobilized in opposition to Title X in the 1970s and 1980s. The dissertation uses a wide variety of archival materials, government documents, and published sources to document the trajectory of debates over federally-funded family planning programsHistory
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Tuoane, Maletela. "Pattern of contraceptive behaviour and the delivery of family planning services in Lesotho." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285786.
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Hasna, Fadia Shawqi Ali. "Strategies to widen access to family planning in the Arab world : a case study of Zarqa, Jordan." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://researchonline.lshtm.ac.uk/682253/.
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This thesis identifies the constraints to FP utilisation at the policy, service, community and household levels based on the perspectives of policy makers, providers of services, and men and women in different communities of Jordan. It contributes strategies to widen access to FP that are transferable to other countries of the Middle East and the developing world. The policy environment is analysed to assess whether it encourages or deters FP utilisation. The National Population Strategy is highlighted. Improving co-ordination between the different policy players is a major challenge faced in its implementation. FP utilisation is portrayed in four clinics using different models of provision. Service statistics, clinic observations, in-depth interviews, focus and natural group discussions are used to compare the degree of access to FP. Strengthening co- ordination mechanisms between the service providers is an important strategy to increase FP utilisation. The findings suggest that FP decisions are mostly influenced by men who remain concerned, to a varying degree, with the permissibility of FP utilisation in Islam. A culturally competent strategy proposed to increase utilisation is to communicate to men that FP is permissible in Islam. Religious men are proposed vehicles for implementing this communication strategy, basing their discourse on socio-cultural tradition, namely Islamic jurisprudence. The thesis has three sections introduction, findings and conclusions. Chapter One explores the literature. Chapter Two reviews the Jordanian setting. Chapter Three sets out the methods used in this research. Chapter Four examines the policy environment and policy makers' perspectives. Chapters Five to Eight explore the models of service provision concluding with an evaluation of the strengths and weaknesses of the different models. Chapter Nine elaborates on the community's perspectives. Chapter Ten is the concluding chapter that sets out strategies to widen access to FP, by utilising the socio-cultural context of the region.
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Holnbeck, Christy. "Implementation of a Program Planning and Review Model at Winnipeg Child and Family Services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ53102.pdf.
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Van, Zijl Shelsley. "A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town." Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/9341.
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Includes bibliographical references (leaves 97-106).[Background]The IUD is a highly effective, reliable, and safe contraceptive method that is under-utilised in many countries due to persistent fears that it causes pelvic infection. Reliable evidence of the safety of this contraceptive method has not been enough to effect a change in use. The aim of this study was to assess the knowledge and acceptability of the IUD among clients and providers in the Family Planning services in Cape Town and to attempt to identity obstacles to use. [Methods] A descriptive cross-sectional survey was conducted at eight Family Planning clinics in Cape Town. Two hundred and sixteen clients aged between 18 and 50 years, and 30 providers from the same clinics, were interviewed using structured questionnaires. [Results] Awareness of the IUD among clients was low - 81 women (41%) had heard of this contraceptive method. Ever and current use were very low. Only 9 women (4%) had ever used an IUD and 3 women were still using this method. Both the women who were interested in using this method in the future (n=77; 36%) and the women who were ambivalent or not interested in future use (n=139; 64%) cited a lack of knowledge as an obstacle to use. Although most providers were aware of the availability of the IUD (n=26; 87%). their factual knowledge was limited. Infection (n=14; 47%) and increased menstrual bleeding (n=12; 40%) were frequently mentioned as disadvantages. Referrals for and insertions of the IUD were low, and this method was often not discussed with women considering tubal ligation. Providers identified lack of client knowledge, myths and rumours among clients, lack of skilled providers to insert the device, and lack of promotion of the IUD, as significant obstacles to greater use of this method. [Conclusion] Although the IUD is available in the public sector services, it is not being utilized. Better education of both clients and providers is essential in order to improve accessibility and acceptability of this highly effective and cost effective contraceptive method.
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Ha, Viet Hung Kusol Soonthorndhada. "Women's groups and family planning in rural Vietnam, a case study /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-HaVietHung.pdf.
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Cox, Jessica, Kate Beatty, Liane Ventura, and Jong Jordan de. "Telehealth Implementation in Family Planning Clinics in Two Southeastern States During COVID-19." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/37.
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COVID-19 was declared a pandemic by the World Health Organization on March 11th, 2020. Many states issued stay-at-home orders to prevent the spread of the coronavirus. Any non-essential clinical services were canceled or postponed to decrease in-person visits at clinics, which led to clinics having decreased patient volume. Telehealth was used as a way to continue clinical care to patients in an alternate form. Health departments (HD) provide fundamental services to patients based on a sliding fee scale. Federally Qualified Health Centers (FQHC) provide a wide variety of health care services to underserved communities. Policies on the implementation of telehealth varied between the two systems. The concentration of this study is on the characteristics of telehealth service provision before and during the COVID-19 pandemic and future considerations for clinic service provision.
A quantitative analysis was conducted through statewide surveys. The statewide surveys assessed clinic characteristics and contraceptive care service provision among HD family planning clinics and FQHC clinics in two Southeastern states, South Carolina (SC) and Alabama (AL), with similar clinic structures. The survey was conducted from July- November 2020. Survey items included evaluating the impact of COVID-19 on clinical service provision, including services provided prior to (2019) and during (March-June 2020) the pandemic. The response rate was 86.8% (N=112) among HD clinics and 53.8% (N=127) among FQHC clinics. Chi-Squared tests of independence were used to assess differences in service provision among HD and FQHC clinics in SC and AL. Fischer’s Exact test was applied where categorical responses were fewer than five.
Among survey respondents, 64.9% (N=72) of HD clinics and 38.9% (N=49) of FQHC clinics indicated no telehealth services were provided prior to the pandemic (p < .0001). Nearly 35% (N=85) of all clinics reported introducing at least one telehealth service during the pandemic. The most prevalent telehealth service provided by HD clinics during the pandemic was prescribing refills of hormonal contraceptive methods at 58.2% (N=64). FQHC clinics’ most prevalent telehealth service provided during the pandemic was primary health care at 89.8% (N=114). Regarding the future of telehealth, 12.4% (N=12) of HD clinics plan to continue all telehealth services offered during March-June 2020, whereas 52.5% (N=62) of FQHC clinics plan to continue all telehealth services offered during March-June 2020 (p < .001).
These findings highlight the significance of policy and procedures among the HD clinics in states that have a centralized health department structure. The telehealth services adopted by HD clinics and FQHC clinics varied and further research is needed to understand the barriers to telehealth provision in each state. The importance of reimbursement policy for telehealth services plays a vital role in providing contraceptive services, thus it may be critical to expand billing options and maintain reimbursement of telehealth through Medicaid.
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Bitter, James Robert, and J. Carlson. "The History of Marriage, Family, and Couples Therapy." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/5215.
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Book Summary:
The SAGE Encyclopedia of Marriage, Family and Couples Counseling is a new, all-encompassing, landmark work for researchers seeking to broaden their knowledge of this vast and diffuse field.
Marriage and family counseling programs are established at institutions worldwide, yet there is no current work focused specifically on family therapy. While other works have discussed various methodologies, cases, niche aspects of the field and some broader views of counseling in general, this authoritative Encyclopedia provides readers with a fully comprehensive and accessible reference to aid in understanding the full scope and diversity of theories, approaches, and techniques and how they address various life events within the unique dynamics of families, couples, and related interpersonal relationships.
Key topics include: Assessment Communication Coping Diversity Interventions and Techniques Life Events/Transitions Sexuality Work/Life Issues, and more
Key features include: More than 500 signed articles written by key figures in the field span four comprehensive volumes Front matter includes a Reader’s Guide that groups related entries thematically Back matter includes a history of the development of the field, a Resource Guide to key associations, websites, and journals, a selected Bibliography of classic publications, and a detailed Index All entries conclude with Further Readings and Cross References to related entries to aid the reader in their research journey
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Fisher, Kate. "An oral history of birth control practice c. 1925-50 : a study of Oxford and South Wales." Thesis, University of Oxford, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264548.
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Lehane, Maria. "No frills : the governance of children and family services." Thesis, University of Kent, 2015. https://kar.kent.ac.uk/54556/.
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No Frills is a grounded case study enquiry based on a Local Authority in the South of England. The research question asked ‘How do the governance arrangements and the organisational structures of education and children’s social care services inhibit or support transdisciplinary working?’ No Frills raises the varied social location and categorisation of children historically and now, as occupying various policy positions, either as part of, or separate to, family. Children have been, and still are, labelled as socially constructed subjects dependent upon wide ranging and frequently contradictory societal norms, values and expectations. These social constructs have played their part in shaping how organisations have worked with children and their families both in the past and in the more recent policy imperatives to Working Together No Frills is contextualised by the New Labour Government’s policy of Every Child Matters (ECM) and the Common Assessment Framework (CAF) and focus’ upon safeguarding children through the job roles of the wider children’s workforce and the ‘Working Together’ agenda to include parents. The nature of ‘transdisciplinary’ as a form of working together is identified and explored with particular reference to the concept of role release (McGonigel 1994; King 2009), whereby professionals share their expertise with, and release roles to, paraprofessionals, and parents as part of a transdisciplinary team. The literature regarding role release in transdisciplinary work is from the perspective of professionals who release aspects of their job role. In No Frills, the released aspect focused upon is the assessment of children deemed to be in need of safeguarding. The boundaries between safeguarding, prevention and protection are not always clear and this creates uncertainty and concern for members of the wider children’s workforce. No Frills examines the perspective of members of the wider children’s workforce at the receiving end of role release, through the contribution of participants from a cross section of staff, and service users. The role of power in ‘Working Together’ is identified as a pivotal relational dynamic affecting both members of staff and service users in the governance of role release in transdisciplinary working together. The governance of role release obscures the location of responsibility and accountability in children’s safeguarding services. Members of the wider children’s workforce find themselves increasingly responsible for assessing and meeting the needs of children that have complex needs. Members of the wider children’s workforce are not always confident in assessing the ever increasing complexities of need for children’s safeguarding through the CAF. Staff faced with such assessment complexities, often refer children to statutory social care services, which could be seen as an inappropriate referral because of the high threshold criteria to access children’s social care services. This dynamic illustrates that the role of assessment and monitoring has been released to the wider children’s workforce through an auditable outcome based governance. Contextualised by prevailing neoliberal value systems the governance of role release ‘repackaged’ (Newman 2005:4) children’s safeguarding and protection needs into quantifiable categories ‘through the imposition of codified and proceduralised, efficiency-related knowledge’ (Keeping 2008:139).
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Bahubaishi, Najiah Saleh Mohammed. "Assessment of quality of care and utilisation of family planning services in Sana'a City, Yemen." Thesis, University of Liverpool, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.437500.
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Ngala, Lapani Chisi. "Nurses' practice of the integration of family planning and HIV prevention services in Ntcheu District, Malawi." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28056.
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Nurses in Malawi are in the forefront of service provision for HIV prevention and family planning. However, not much is known about how nurses actually practice the integration of family planning and HIV prevention services as prescribed by the President's Emergency Plan for AIDS Relief in Malawi. There is recognition that integration of HIV and reproductive health service delivery is needed to support women's and men's reproductive health needs, and to push the HIV epidemic back, with the goal of achieving an HIV-free generation and to meet several of the Millennium Development Goals (UNAIDS, 2010:21). The purpose of the study is to explore and describe nurses' practice in the integration of family planning and HIV prevention services in Ntcheu district, Malawi. The research question was 'How do nurses' practice the integration of family planning and HIV prevention services in Malawi, Ntcheu district?'. Use was made of Cabana et al.'s (1999) modified model of assessing facilitators and barriers to knowledge use as the theoretical framework that guided the study. A descriptive qualitative case study design was deemed appropriate to answer the research question. Semi-structured interviews and field notes were used to collect data. The sample consisted of 10 nurses who had undergone training in both family planning and HIV prevention services. Purposive sampling techniques were used for selection of participants. The five steps for carrying out interpretative content analysis outlined by Blanche, Durrheim and Painter (2006) were used. These include familiarisation and immersion, coding, induction of themes, elaboration, and interpretation and checking. This yielded eight themes related to family planning and HIV prevention integration practice, namely: facilitation of access and acceptability of comprehensive integration of family planning and HIV prevention services; educating and counselling clients; early detection of HIV among women of childbearing age; personal and professional benefits of integrating family planning and HIV prevention services (positive attitude); resentment of integration of family planning and HIV prevention services (negative attitude); policy-related barriers; human resource-related barriers; and competence-related barriers. The nurses at Ntcheu District Hospital, Malawi, practice the integration of HIV and family planning services effectively according to integration of family planning and HIV prevention guidelines, despite challenges such as inadequate human resources and lack of policies and guidelines at the clinic. It is therefore recommended that Ntcheu hospital management team adopts and implements task shifting of certain nursing duties to volunteers, in order to promote integration of family planning and HIV prevention services. This recommendation is based on the example of Tanzania, where Pathfinder International worked with district health management teams and health facility staff to recruit and train a volunteer cadre that initially provided only home-based HIV care and testing services (Banzi et al., 2011). It is therefore recommended that refresher courses and mentorship programmes be developed and implemented in order to improve nurses' competencies in the integration of family planning and HIV prevention services in Ntcheu district, Malawi. A large-scale quantitative study is recommended in order to generate data that will be representative of all family planning clinics in Malawi.
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Eni, Gustina Som-arch Wongkhomthong. "Male perception and family planning practice : a case study in Khaochakan dfstrict, Sakaeo province, Thailand /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd363/4637957.pdf.
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Wright, Sarah Elizabeth Jeavons. "Integrating sexual health services : an ethnographically-informed study of attendee experience." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/28926.
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Across the UK the integration of historically divergent specialities of genitourinary medicine (GUM) and well-woman/family planning (WW/FP) has emerged as a modern approach to sexual and reproductive health care provision. Integration’s most visible form is the ‘one-stop shop’ (OSS), where a full range of services are brought together under one roof and wherein care is provided by comprehensively trained practitioners. To date, there exists only limited insights into stakeholder experiences of integrated clinics. Conducting ethnographically-informed research at one such purpose-built OSS over a 9 month period (2013-2014), I sought to redress this gap in knowledge. Accompanying 29 attendees along their journey through the clinic, my research offers a detailed examination of the extent to which experience is shaped by integration. Drawing upon literature at the confluence of medical sociology, social geography, and anthropology, including Gesler’s (1992) ‘geographic metaphor’ of the ‘therapeutic landscape’, the thesis puts forward two key arguments. First, I suggest that participants often reconstructed the clinic as aligned to their presenting need, for example, a ‘GUM clinic’, or a ‘family planning’ service. This finding, teased out over the course of the thesis, destabilises assumptions present in previous studies that integration be inevitably deterministic in shaping attendees’ experiences. Second, the thesis contributes to a gaps in literature relating to Gesler’s (1992) ‘therapeutic landscapes’ in three key ways. The first contribution is to show how affective landscapes matter, are significant, in the formation of experience in a novel setting – a transient, ‘walk-in’ clinic. The findings, further, point to the elevated import of the physical and symbolic landscapes in the case of the OSS - a place where there is little opportunity to cultivate therapeutic social relationships. Finally, the thesis speaks to the ways in which the affective landscapes of the clinic work to challenge, confirm or reshape attendees’ preconceptions and expectations of sexual health services. Together, these findings contribute to pre-existing accounts of the experience of integrated services by asking us to consider the influence of forces other than the integrated status of service delivery on attendee experiences of such sites. I argue that place should not be conceived as immutable but, rather, is subject to individual interpretations that are, themselves, the product of both situated and external contexts.
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Görgen, Regina. "Factors influencing adolescents' sexual and reproductive behaviour in an urban setting in Guinea, West Africa : implications for AIDS prevention and family planning." Thesis, University of Liverpool, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.243106.
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Okwori, Glory, Nathan Hale, Micheal Smith, and Kate E. Beatty. "Geographic Differences in Contraception Access and Utilization Within Family Planning Organizations in South Carolina." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/130.
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Introduction: Unintended pregnancies are associated with poor health and economic outcomes. The use of modern contraceptive methods has been proven to be effective in reducing unintended pregnancy. Historical barriers in access to care experienced by rural communities suggest that rural women may also experience barriers in accessing reproductive health services. However, little is known about geographic variation in reproductive health services. The primary aim of this study is to examine rural and urban differences in access to and utilization of contraceptive methods among publicly funded clinics in South Carolina. Methods: A cross-sectional study of all Federally Qualified Health Center (FQHC) and Department of Health & Environmental Control (DHEC) family planning clinics in South Carolina offering reproductive health services in 2017 was used to examine access to and utilization of contraceptive methods. Administrators or organizational representatives with knowledge of clinic operations were asked to complete a survey specific to the provision of contraceptive services. Two outcomes from the survey were of primary interest. Access to a full range of contraceptive methods was operationalized as a dichotomous variable reflecting whether or not an individual method was directly available on-site. Utilization was defined as the percent of women using individual methods, relative to the overall distribution of women receiving contraceptive services. The Rural-Urban Continuum Codes (RUCC) were used to categorize clinic as rural or urban. RUCC codes 1, 2 and 3 were classified as urban, while codes 4 through 8 were classified as rural. Contraceptive methods were examined individually and aggregated into 3 groups: highly effective reversible methods, moderately effective methods and least effective methods. Bivariate relationships between the two-level RUCC variable and provision of contraceptive methods were examined using a Chi-square test for independence. An independent t-test was also used to examine differences in contraceptive utilization based on rural or urban clinic designation. Results: The study population consisted of 105 clinics, with 60% of clinics in urban areas and 40% in rural areas. Across the state of South Carolina, 75% of clinics offer highly effective contraceptive methods without having to schedule a follow-up visit to receive the method. Although not statistically significant, among clinics that offered highly effective reversible contraceptives on site, 79% of such methods are available in urban communities compared to 74% in rural and communities (p=0.49). About 12% of women at urban clinics utilized highly effective reversible methods compared to 7% of women at rural clinics (p=0.02). This appears to be driven by less access to and utilization of hormonal implants (9% among urban clinics compared to 5% among rural). Conclusion: Access to highly effective methods through publicly funded providers is similar in rural and urban communities; however, rural/urban differences in the utilization of highly effective methods, specifically implants, was noted. Given historical disparities in access and transportation barriers among rural population, decreased access and utilization of methods that allow for longer durations between provider visits could be problematic. These findings suggest that increased efforts ensuring access to long acting reversible contraception in rural clinics is warranted.
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Akpabio, Alma. "Attitude, perceptions and behaviour towards family planning amongst women attending PMTCT services at Oshakati Intermediate Hospital, Namibia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9300_1362391815.
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Background: About 22.4 million people were living with HIV/AIDS in 2008 out of which women constitute approximately 57%. Namibia is one of the highly affected countries with a national HIV prevalence of 17.8% among women attending antenatal clinics. Antiretroviral medications have become available in Namibia since 2002 and presently all district hospitals and some health centres provide ARVs to those in need. Namibia is rated as one of the few countries in sub-Sahara Africa with a high coverage of ART, with 80% of those in need of ART receiving the treatment. An increasing trend has been observed whereby HIV+ women on ARV are becoming pregnant. Little is known about the attitude, knowledge and behavior of these women towards family planning and use of contraceptives and what barriers they may be facing in accessing these services.Aim: To determine the factors affecting the utilization of family planning services by HIV+ pregnant women receiving PMTCT services. Methodology: The study was a cross sectional study using both quantitative and qualitative methods to assess the critical elements of knowledge, attitude and perceptions of the study participants towards family planning services. The study also assessed the health system and other factors that impact on the use of contraceptives by HIV+ women. It was conducted in northern Namibia at Oshakati Health centre among randomly selected pregnant HIV+ women attending for PMTCT services.Results: Among the 113 respondents, who participated in the study, 97.3% knew at least one method of family planning but only 53.6% actually used any method of contraception prior to current pregnancy. Among the 46.4% who did not use any contraception, the reasons often cited for non-use were because they wanted a baby (52%), spouse objection (10%), being afraid of the effects (14%) and other reasons such as belief, culture and distance to travel to the health facility. 88% of the respondents indicated a willingness to use contraceptives after current pregnancy and expressed general satisfaction with services at the health centre while asking for more information on family planning services.Conclusion: HIV+ women have high awareness on some contraceptives but use of contraceptives is not as high as many of them have a desire to have children for self esteem and leave a legacy for the future. Knowledge of the risks of pregnancy on HIV+ woman may be limited and there is a need to improve educational intervention in this regard as well as integrate family planning services into all HIV/AIDS services.
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Melbostad, Heidi S. "Comparing Family Planning Knowledge Among Females and Males Receiving Opioid Agonist Treatment or Seeking Primary Care Services." ScholarWorks @ UVM, 2019. https://scholarworks.uvm.edu/graddis/1137.
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Background: Approximately 70% of US adults currently receiving opioid agonist treatment (OAT) for opioid use disorder are of reproductive age. Among women receiving OAT at risk of having an unintended pregnancy, typically less than half report any current contraceptive use compared to 90% in the general population. In addition, the rate of unintended pregnancy among women receiving OAT is disproportionately higher than the general population (~80% vs. 45%, respectively). Lack of knowledge about family planning may be contributing to decreased rates of contraceptive use and increased rates of unintended pregnancy among women receiving OAT.
Method: Participants were a convenience sample of women and men receiving OAT or a comparison group receiving primary care (PC) services. Family planning knowledge was assessed with the recently validated Contraceptive Knowledge Assessment (CKA), a self-administered 25-question multiple-choice survey. A two-way ANOVA, with fixed factors (i.e. patient sample and sex), compared the total number of correct responses for all questions and five more specific content areas (p<.05).
Results: Overall, 332 participants completed this survey. The mean percent of total correct responses was significantly lower in the OAT sample (n=167) compared to the PC sample (n=165), 47% vs. 53% correct, respectively (p<.001) or approximately 1.5 questions less. The mean percent of correct responses in four of the five content areas was also lower among the OAT sample compared to the PC sample (ps<.01). The mean percent of total correct responses was significantly higher among women (n=169) than men (n=163), 56% vs. 44% correct, respectively (p<.0001) or approximately 3 questions more. The percent of correct responses in four of the five content areas was also higher among women than men (ps<.01).
Conclusion: Given the substantial discrepancy in rates of contraceptive use and unintended pregnancy between individuals receiving OAT and the general population, it is somewhat unexpected that individuals receiving OAT did not have lower levels of family planning knowledge, although patients in both samples only answered approximately 50% of the questions correctly. Results from the present study suggest deficits in family planning knowledge, while statistically significant, may be less clinically so. Overall, lack of family planning knowledge is likely only playing a small role in population differences in contraceptive use and unintended pregnancy and interventions aimed at decreasing these differences will need to address other barriers to accessing family planning services and utilizing contraception in this population.
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Acharya, Laxmi Bilas. "Utilization of family planning and MCH services in rural Nepal: the effects of service access and quality." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536944.
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Liegmann, Michel, and Steven Lau. "History Matters : How path dependence in the family business influence succession planning - A case study." Thesis, Högskolan i Jönköping, Internationella Handelshögskolan, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-44057.
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Background: Family businesses are a complex, overlapping system of business, ownership, and family, which contribute between 70 to 90 percent of the World’s economy. Family businesses do however struggle to survive over generations, to which only 30 percent makes it to the second generation, emphasizing the need for further research within this field, in order to increase the survival rate and positively affect the World’s economy. Purpose: To fill the research gap within succession in family businesses, by investigating the phenomenon of succession planning and how history matters, through the use of the path dependence framework. For this, we are analyzing the second generational Swedish family business, Holtab, which have undergone a conflicted succession in the past and now are planning for the next succession, to which we seek to answer, “How does path dependence influence succession in family businesses?”. Method: Qualitative, single case study with a relativistic ontology and a social constructionism epistemology to showcase how actors construct their realities, which follows an interpretivist philosophy. We follow abductive reasoning with an explorative research strategy to investigate the theory of path dependence, applied to the Swedish family business named Holtab. Data was collected through in-depth interviews, both semi-structured and unstructured with open-ended questions. Conclusion: Our findings, with the framework of path dependence, clearly show that history matters, as the acknowledgment of it triggered the process of professionalization at Holtab and set a focus for a planned, well-thought succession process, in order to learn and build on the mistakes of the past [history].
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Karanika, Vassiliki Lekea. "Greek national perinatal survey : the associations between socioeconomic characteristics of the family, maternal obstetric history, antenatal care features and pregnancy outcome." Thesis, University of Bristol, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.385731.
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Nwufoh-Oladimeji, Victoria I. "Non-formal education in Oyo State of Nigeria with special reference to the evaluation of family planning education in a community-based distribution project." Thesis, Cardiff University, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338972.
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Phetdam, Vanhnolrath Vivat Tangugsorn. "Family planning practice among married women of reproductive age in Samneua municipality, Houaphanh province, Lao PDR /." Abstract, 2003. http://mulinet3.li.mahidol.ac.th/thesis/2546/4537460.pdf.
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Masiano, Steven P. "Family Planning and HIV Interventions among Women in Low-income Settings." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5688.
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This dissertation examines the effectiveness of interventions related to family planning and the uptake of HIV-related preventive services among women in low-income settings. Women in low-income settings and living with HIV face many barriers to care, including limited access to services for family planning and HIV-related preventive care. At the same time, national, regional, and global efforts are looking for interventions to help control rapid population growth, create an HIV-free generation, and provide adequate preventive care for those living with HIV. This dissertation cuts across these issues and can help to inform debate and policies to address these issues.
This dissertation comprises three discrete papers. Paper 1 (chapter 1) examines the effectiveness of a national scale-up of community-based distribution of family planning services on contraceptive use in Malawi’s rural areas during the period 2005-2016. The national-scale up of the intervention followed the success of a pilot of a similar intervention implemented in the period 1999-2004. As in the pilot, the scaled-up program distributed condoms and oral contraceptives and provided family planning education. Further, because education and income are important determinants of individual contraceptive use, the paper also examines whether the effectiveness of the national scale CBDs varies over these dimensions. The paper uses the Malawi Demographic and Health Surveys. The study finds that the intervention increased contraceptive use by 6.8 percentage points and the effects were greater among uneducated and low-income women.
Paper 2 (chapter 2) conducts a cost-effectiveness analysis of a trial of cash incentives aimed at increasing the uptake of services for the prevention of mother-to-child transmission (PMTCT) of HIV. The trial was conducted in the Democratic of the Congo (DRC) as part of an effort to find ways of increasing uptake of PMTCT services in sub-Saharan Africa where uptake of these services remains low. The study is conducted from the societal perspective, relies on multiple sources within and outside of the DRC for cost data, and reports economic costs in 2016 International Dollars (I$). At a threshold of 3*GDP per capita for the DRC (I$2409), the study finds that the intervention is cost-effective.
Paper 3 (chapter 3) examines the guideline concordance of the time to follow-up anal cancer screening in women living with HIV at high risk for anal cancer. In the US, the incidence of anal cancer in women living with HIV has increased significantly in the past 2-3 decades. However, early detection of anal cancer, through regular screening, can lead to effective secondary prevention of the disease. While guidelines for anal cancer screening exist, very little is known about the guideline concordance of the time to follow-up anal cancer screening in women at high risk of acquiring anal cancer. Hence this study. The study uses Medicaid Analytic eXtract files which compile claims of individuals enrolled in Medicaid—a public health insurance program largely for eligible low-income adults and the largest single payer for HIV/AIDS in the US. The study finds that time to follow-up screening is not guideline-concordant for most women living with HIV, particularly those with one of the two risk factors for anal cancer: a history of abnormal cervical test results or a history of genital warts.
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Freeman, Tyrone McKinley. "Youth input and participation in Reach for Youth's strategic planning for community-based youth and family social services." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1217402.
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This creative project was developed as a supplement to the external stakeholder assessment component of the strategic planning process that Reach for Youth, Inc. (RFY)-a nonprofit youth organization located in Indianapolis, Indiana-adopted to create its strategic plan for 2002 to 2005. It supplemented the larger strategic planning process by positively engaging youth in focus group activities using surveys, creative exercises, and questionnaires, to attain their input and feedback, as program participants and primary stakeholders in the agency. As a result, youth participation validated the overall process, substantiated RFY's interest in expanding programs, influenced identification of critical issues that formed the basis of the plan, and sparked an organizational conversation about youth participation in the agency. The youth not only provided important feedback that informed RFY's strategic plan, they also were given a meaningful opportunity to express themselves as individuals, and had their roles in and contributions to the agency affirmed.Department of Urban Planning
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Amey, Annette Lynn. "Medicaid managed care and family planning services an analysis of recipient utilization and choice of type of provider /." Available to US Hopkins community, 2003. http://wwwlib.umi.com/dissertations/dlnow/3080622.
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Mesina, Edith V. Orathai Ard-Am. "Mass media exposure on family planning : effect on contraceptive use among married youth in the Philippines /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd380/4738655.pdf.
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Yunus, Md Jutatip Archapitak. "Factors related to the acceptance of family planning methods among the married women of reproductive age in Methapukur Upazila, Rangpur district, Bangladesh /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd387/4838003.pdf.
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Sithole, Linet. "Women's right to access family planning and maternal health care services in Hwange rural district, Zimbabwe: challenges and opportunities." Doctoral thesis, Faculty of Law, 2021. http://hdl.handle.net/11427/34007.
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The significance of reproductive health and rights cannot be overemphasised. Investment in the rights of rural women, specifically their reproductive health rights, is a fundamental determinant of their empowerment and social development. Access to reproductive health services enables rural women to make informed choices in their reproductive lives. This is of paramount significance because the exercise of choice in one domain opens possibilities for choices in others. International and regional human rights treaties recognise the significance of reproductive health rights for women's wellbeing and survival and require that State Parties provide access to reproductive health services. Zimbabwe has ratified the relevant human rights treaties and has domesticated many of their provisions through the Constitution and other laws. Zimbabwe has obligations to respect, protect, promote and fulfil the right to reproductive health. Despite these obligations, rural women face a plethora of challenges in accessing reproductive health services, and their right to reproductive health continues to be infringed. The infringement is in violation of Zimbabwe's international and domestic human rights obligations. The purpose of this study was to examine and establish the challenges confronting rural women when accessing reproductive health care services in Hwange Rural District Zimbabwe. Using a phenomenology qualitative research design, data were gathered through structured face-to-face interviews with 20 women of reproductive age and five health care providers. Data from the field were bolstered with reviews of extant literature. Collected field data were thematically analysed and presented. The research findings revealed that although most of Zimbabwe's legislative, policy and institutional frameworks have provisions that comply with international obligations, the frameworks also contain restrictive provisions which perpetuate the challenges women face in accessing reproductive health care services. Furthermore, the human-rights compliant legislative and policy frameworks are often not properly implemented, thus leading to a violation of the right to reproductive health in practice. The study's empirical research revealed that in Hwange Rural District, women's capabilities to exercise their reproductive rights are limited by factors such as physical barriers like distance to the nearest health facility, availability of services, quality of care given at health facilities, poverty, religion and patriarchal tradition. A major challenge unearthed by the study was that rural women in Hwange District are not aware of their reproductive health rights. This lack of knowledge is disempowering because women who do not know their rights are not knowledgeable enough to demand their rights or defend them when violated. To redress the challenges faced by rural women, the study found that women can use judicial and extra judicial mechanisms ─ including the courts, human rights institutions, nongovernmental organisations, and civil society organisations ─ for litigation, exertion of political pressure, awareness raising and grassroots mobilisation. Such strategies are essential for ensuring that women hold the State accountable for violations of their reproductive rights. The study concludes that there is need to raise awareness on the right to reproductive health and the enacted laws and policies so as to equip women with the necessary information that will allow them to exercise their rights. It recommends that intensive human rights education programmes for both the formal and informal sector should be prioritised. It recommends the provision of adequate resourcing of various state institutions responsible for women's rights issues. Further, there should be a situational analysis of challenges faced by rural women in Zimbabwe based on the intricate factors of location within rural areas, religion, gender, human rights knowledge, culture and tradition. After such situational analysis, there is need to enact laws and policies that respond directly to the unique challenges faced by rural women, without using a ‘one size fits all' approach.
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Benjamin, Caroline Mary. "'Realisation of risk' : a central process involved in initiating referral from primary care to cancer services of women with a family history of breast cancer." Thesis, University of Liverpool, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272588.
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de, Azevedo Moreira Reis Marta. "Evaluation of healthcare management issues in the provision of clinical services for familial breast/ovarian cancer." Thesis, University of St Andrews, 2009. http://hdl.handle.net/10023/728.
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Despite there being pragmatic national guidelines for assigning risk to women with a family history of breast cancer, the evidence base is still sparse. There are three major questions: First, how can an assignment of "low" risk be made most efficiently? Second, what are the actual outcomes for higher-risk women enrolled in special surveillance programmes? Third, what are the costs and benefits of current management of members of breast cancer families? My thesis reviews the evolution of clinical services for familial breast cancer and the existing literature in the field. I describe the gathering of information from the service records of the Tayside Breast Cancer Family History Clinic and from specific research exercises that involved collaboration with other centres in the UK and abroad. My findings are as follows: 1. Histories provided by the families are not sufficient to assign risk accurately. They must be extended and verified from other records by clinical geneticists. Women assigned a low risk can be informed by post, but some may require further support. The 2004 NICE guidelines for assigning risk are fairly accurate, but may under-estimate it for some women aged 45--55 years. 2. Annual screening of young women at increased risk results in detection of most cancers at a curable stage. Women who carry BRCA1 mutations fare less well, even when tumours are detected at an apparently early stage. 3. Costs of accurate risk assessment are outweighed by savings from the better targeting of surveillance programmes. Early cancer detection in young women enrolled in these programmes achieves a substantial gain in life expectancy at a cost of £3,700 per quality adjusted life year (QALY). Prophylactic surgery for carriers of BRCA1 mutations is highly cost-effective. The thesis concludes with a discussion as to how these findings might be extended and clinical practice improved in the future.
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Suchinda, Kajonrungsilp Kennedy Larry DeWitt. "A model curriculum for parent education in Thai society." Normal, Ill. Illinois State University, 1995. http://wwwlib.umi.com/cr/ilstu/fullcit?p9633396.
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Thesis (Ed. D.)--Illinois State University, 1995.Title from title page screen, viewed May 17, 2006. Dissertation Committee: Larry D. Kennedy (chair), Robert L. Fisher, Ione M. Garcia, John R. McCarthy. Includes bibliographical references (leaves 121-129) and abstract. Also available in print.
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Adair, Lora E. "Family planning in context: sensitivity of fertility desires and intentions to ecological cues." Diss., Kansas State University, 2015. http://hdl.handle.net/2097/18935.
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Doctor of PhilosophyDepartment of Psychological Sciences
Gary Brase
Although fertility decision-making has been the source of considerable theoretical and empirical investigation, the effect of several contextual variables on individuals’ fertility decision-making processes are not yet understood. For example, are individuals more strongly influenced by social forces that are informational or normative? Also, do individuals change their fertility intentions based on their current and developmental economic conditions? Further, how ‘shared’ are reproductive decisions within a couple, are males or females more likely to get what they want? This 3-study program of research used both experimental and exploratory qualitative methods to elucidate the nature of these unresolved issues within the domain of fertility decision-making. Study 1 (N = 344, M[subscript]age = 23, SD[subscript]age =6.41, 59.3% female) found that highly motivated individuals’ fertility intentions were more susceptible to informational, compared to normative messages (the opposite was true for unmotivated participants). Study 2 (N = 249, M[subscript]age = 24, SD[subscript]age =6.10, 61.4% female) found that exposure to mortality primes up-regulated fertility intentions for individuals with “fast” life history strategies, but facilitated the down-regulation of fertility intentions for individuals with “slow” life history strategies. Interestingly, resource scarcity primes were associated with the postponement of fertility plans in individuals’ with “fast” life history strategies. Study 3 (N = 120, M[subscript]age = 21, SD[subscript]age =4.96, 50% female) found that, contrary to predictions, the similarity of couples’ gender role attitudes, career-orientations, and education levels did not significantly predict the frequency of their use of statements coded as compromise and agreement or persuasion and disagreement in their discussions regarding their future reproductive plans. Findings do suggest that individuals with higher levels of education were more likely to use persuasion and disagreement statements in their child timing and number discussions with their romantic partner, indicative of greater decision-making power in that particular social exchange. Further, men and women in study 3 were equally likely to use statements coded as compromise and agreement, persuasion and disagreement, and concession when discussing both their future fertility plans as well as their future financial plans.
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Tannenbaum, Lloyd Gordon. "Parent/Professional Perceptions of Collaboration When Viewed in the Context of Virginia's Comprehensive Services Act System of Care." Diss., Virginia Tech, 2001. http://hdl.handle.net/10919/30165.
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In 1992,Virginia created a system of care that was designed to address the needs of troubled youth and their families. Known as the Comprehensive Services Act, the legislation mandated that family and service system interactions were intended to be child-centered, family-focused, and collaborative in nature. Whether at the assessment, planning, implementation, or evaluation phase of a family's individualized service plan unfolding, strong collaborative linkages between families and professionals were encouraged. The present study focuses on determining perceptions of collaborative experiences from the point of view of parents of emotionally disturbed children who have been served by the system of care's Family Assessment and Planning Team, and the perceptions of experiences of professionals who comprise that team. In addition, the study will attempt to show a relationship between a parent's collaborative experiences and a child's treatment outcome.
Data suggest that differences exist between parents and professionals in their perceptions of collaborative experiences during the FAPT process, and that the group to which one belongs is a determining factor in shaping those perceptions. Secondly, no statistically significant relationship was found between parent perceptions of collaborative experiences and treatment outcomes of their children.
[App. C and D removed per Dean DePauw, 3/28/2014, GMc]Ed. D.
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Gulube, Thokozile Maureen. "An investigation into Kwa Mashu Family and Child Welfare Society as it interacts with other organisations in the provisions of welfare services." Master's thesis, University of Cape Town, 1992. http://hdl.handle.net/11427/15950.
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Bibliography: pages 153-156.The study investigates Kwa Mashu Family and Child Welfare Society, a welfare organization providing child welfare services to the community of Kwa Mashu. This organization interacts with other organizations that serve the interests of the child. The study investigates the Kwa Mashu Family and Child Welfare Society as it interacts with other organizations in the provision of Child Welfare Services. The study was motivated by the earnest desire of the organization to find out from the community of Kwa Mashu how the latter views the society in the midst of changing circumstances within the Township. The study is descriptive and exploratory, it explores and describes the child welfare field. It addresses the development of this field and demonstrates how the political priorities affected child welfare provision in South Africa. The study also gives a brief profile of Kwa Mashu Township in which the society operates. In the analysis of Kwa Mashu Family and Child Welfare Society special attention is given to the structure of the organization and the channels of communication within the organization and between the organization and the community. The study investigates the views and opinions of 50 community organizations operating within Kwa Mashu. The study discovered that these organizations had a variety of views about Kwa Mashu Family and Child Welfare Society. The major discovery was that although the community organizations are aware of Kwa Mashu Family and Child Welfare Society they are unaware of the services offered.
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Sedekia, Yovitha. "Family planning services in rural southern Tanzania for women who would like to delay their first birth : a mixed method study." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2018. http://researchonline.lshtm.ac.uk/4648203/.
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Background: Family planning metrics categorise women as those desiring to space or to limit future births, or according to their age. In Tanzania, we extended this categorisation to explore the family planning needs of women who want to delay their first birth. Aim: To investigate the characteristics, needs, sources of modern contraception and quality of care for women who want to delay their first birth; and to explore community and health provider’s perceptions about using modern contraception to delay first birth in Tanzania. Methods: In 2014, a mixed methods study was implemented in southern Tanzania. Methods included analysis of household survey interviews with women aged 13-49 years to determine practice, health facility data to assess provision of services, and in-depth interviews and focus group discussions for evidence of perceptions and acceptability. Results: From the survey, 4% of 2128 women aged 13-49 years were categorised as ‘delayers of first birth’. The majority were teenagers (82%) and unmarried (88%). About half were currently using modern contraception, predominantly injectables, accessed from public facilities. Forty one percent of the delayers had unmet need for modern contraception. Indicators of quality service provision were low for all women. From qualitative interviews, the majority of community members and health care providers said that the use of modern contraception to delay first birth was widely acceptable for students, young, unmarried and women in unstable marriage, but implants and intra-uterine devices and systems were perceived as inappropriate methods. A lack of consistency on the definition of ‘young’ had direct implications for access, autonomy, confidentiality and consent for young people. Conclusions: A small but important group of sexually active women desire to delay their first birth. These women have very high unmet needs for modern contraception. Routinely categorising and measuring delayers of first birth acknowledges their unique needs and could help to catalyse a policy and programmatic response.
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Ghule, Mohan Pimonpan Isarabhakdi. "Role and responsibilities of men in contraceptive practices : a study of male textile employees in Mumbal, India /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-MohanG.pdf.
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Kalerat, Pietres Yothin Sawangdee. "Unmet contraceptive need in Indonesis : an analysis of IDHS 1997 /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd372/4638507.pdf.
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Leduc, Cassandra. "The development of a family history collection tool for use in a pediatric practice a pilot study /." Waltham, Mass. : Brandeis University, 2009. http://dcoll.brandeis.edu/handle/10192/23240.
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Perez, Mary Carmen, and Desiree Violet Prendergast. "EXPLORING THE EFFECTS OF COMMUNITY RESOURCES ON CLIENT PROGRESS IN CASE PLANNING AS ASSESSED BY SOCIAL WORKERS IN CHILDREN AND FAMILY SERVICES." CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/683.
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The research study explored the impact of community resources has on client progress in their case plans as assessed by social workers in Child Welfare Services. The study site was at the Children and Family Services Agency in Central California. The data was gathered using face-to-face interviews with social workers by using a prepared interview guide, which was later transcribed for data analysis utilizing axial, and selective coding. During the Data analysis the researchers found two major themes that have an influence in the clients’ case progression and they include the following: 1.) barriers towards case plan progression and 2.) key elements to case plan progression. The termination of the study included the preparation of the study findings and was presented to the gatekeepers of the research site.
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Sutherland, Elizabeth G. Curtis Siân L. "Contraceptive behavior in the Western Chitwan Valley of Nepal effects of season, natural resource responsibility, women's status, and accessibility of family planning services /." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2006. http://dc.lib.unc.edu/u?/etd,528.
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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2006.Title from electronic title page (viewed Oct. 10, 2007). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Maternal and Child Health, School of Public Health." Discipline: Maternal and Child Health; Department/School: Public Health.
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Mullick, S. "Feasibility and effectiveness of integrating HIV prevention and testing into family planning services in North West Province, South Africa : a cluster randomised trial." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2017. http://researchonline.lshtm.ac.uk/3928324/.
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Background: South Africa has one of the highest HIV prevalence rates in the world and high contraceptive use among women aged 15–49 (65.3%). Family planning (FP) services remain a missed opportunity to integrate services for HIV. Recent reviews highlighted the lack of rigorously conducted studies of the effectiveness of integrated services. A cluster randomised trial (CRT) was conducted to evaluate the effectiveness of a model of integrating HIV into FP services compared with standard practice. The study sought to measure the effect of integrated services (Balanced Counselling Strategy Plus) on HIV testing in the previous year; use of dual protection and quality of HIV and FP care. Methods: A CRT was conducted in 12 clinics in North West province, South Africa. Structured clientprovider observations (CPOs) and client exit interviews (EIs) were conducted preintervention and one year later with FP clients aged >=18 years. Primary outcomes were condom use at last sex and testing for HIV in last year. The quality of care scores were constructed to assess HIV and FP quality of care. Analysis of effectiveness used statistical methods for CRTs. Findings: A total of 1,111 CPOs and 1,111 EIs were completed at baseline and 1,223 CPOs and 1,264 EIs at follow-up. At follow-up 33.2% of women in the intervention arm had tested for HIV in the last year compared with 21.4% in the control arm; RR=1.56 (95%CI: 1.13– 2.15; p=0.01). Condom use at last sex was 43.7% in the intervention arm and 39.4% in the control arm; RR=1.10 (95%CI: 0.85–1.43; p=0.14). Interpretation There was strong evidence of higher frequency of HIV testing among FP clients at intervention clinics. However, condom use at last sex was similar across intervention and control arms. All QOC scores were higher in intervention clinics, but there was substantial variation across clinics and these differences were not significant.
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Ndlebe, Siphokazi. "An assessment of the quality of family planning services rendered to adolescents by health workers at Mdantsane clinics, Mdantsane, Eastern Cape Province, S.A." Thesis, University of Fort Hare, 2011. http://hdl.handle.net/10353/407.
Full textAbstract:
Family planning services are rendered at no cost in all clinics in Mdantsane. Mdantsane is situated in the Eastern Cape and falls under Amathole District Municipality. The high rate of adolescent pregnancy in the area raises a question as to whether the family planning services are adequate. This issue reflects on the quality of family planning service delivery. According to Roux (1995:94), a quality service is a safe, easily available and readily acceptable service, delivered by well trained family planning personnel through well planned programmes. Aims and Objectives: To assess the quality of family planning service delivery by health providers to adolescents; determine the opinions of adolescents regarding accessibility, friendliness of staff, privacy, confidentiality, reproductive health information and resources at Mdantsane clinics from June to July 2009. Method: A questionnaire was designed to collect data. The questionnaire was administered on the adolescents utilizing the reproductive health services at eleven primary health clinics in Mdantsane. A sample consisting of 110 adolescent youth between 19 and 24 years was selected by using random sampling. A response of “yes” will indicate that the participant is satisfied with the specific item, while a response of “no” will indicate dissatisfaction with that item. A specially designed spreadsheet was developed to analyze the data. Data was analyzed by using the Microsoft Excel 2007 Version 6. Results: The results from this research study suggest that there is a definite need for improvement of adolescent reproductive health services at Mdantsane clinics. It is clear that the current available maternal and child health programmes, school health services and reproductive health services are not able to meet the adolescent sexual and reproductive needs. Conclusion: The research findings from this study indicated the constraints to good quality family planning health care service delivery. Satisfaction responses from the five categories: health facility amenities, accessibility, staff characteristics, availability of sexual and reproductive health services and availability of educational material accessibility were mostly below 70%. The responses regarding the question on the “full information about the available contraceptives”showed the least level of satisfaction. Deficiencies in physical facilities and equipment, disruptions in supplies, insufficient information provided to clients and providers‟ insensitivity to the feelings and needs of the clients are issues that discourage adolescents from utilizing contraceptive services. Recommendations: Adolescents need a safe and supportive environment that offers information and skills to equip them on all aspects related to sexual and reproductive health issues. To satisfy adolescent reproductive needs, the following key elements should be improved: accessibility of reproductive health services, friendliness of clinic staff, availability of information about reproduction and sexuality and maintenance of issues regarding confidentiality and anonymity. Quality requires the presence of trained personnel in well-equipped clinics where clients are treated courteously. To avoid issues of courtesy bias, there is a need to conduct a similar survey utilizing alternative community settings, namely homes of participants or a school.