Assessment of Status of Long Acting and Permanent Family Planning Services in Mekelle Town, Tigray Regional State
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Date
2008-07
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Addis Abeba Universty
Abstract
Despite the reality of a high unmet need, Contraceptive prevalence in the country
is very low with only 15% of married women using any type of contraception.
Besides to this, the knowledge and practice of family planning is limited to the
usage of short- term contraceptive methods. So the objective of this study is to
assess the status of long acting and permanent family planning services
provision. A cross-sectional descriptive study that involved exit interviews with
clients, health care providers, observations on clients-provider interactions,
assessment of the availability of necessary resources for provision of LAPMs,
and service statistics review was conducted from April to June 2008 in six health
service delivery points in Tigray regional state of Mekelle town. Four hundred
twenty two FP clients and ten health care providers were interviewed while
observation on 481 client-health care provider interactions was conducted. About
269(92.4%) clients wanted their next birth after two to six years. currently
392(92.9%) and 30(7.1%) of clients are using injectable and pill respectively. Of
the total clients 312 (73.9%) and 99(23.5%) were using the method for spacing
and limiting respectively. About 10(20.4%), 3 (6.1%), 2 (4%) and 1 (2%) of new
clients were informed about implants, IUCD, and female and male sterilization
respectively. about 183(87.6%) of the clients stated the provider let them ask the
questions and among these 175(95.6%) the providers responded to their
questions satisfactorily. Of the 10 health care providers interviewed six had
received training in counseling and providing implants with in the last five years.
Four of the providers did not feel that they had knowledge and skills necessary to
do LAPM services. Four and five facilities reported running out of pills and
implants in last six months respectively. Several constraints in the provision of
LAPM service are identified and needs to be improving through training,
coordination and maintaining adequate resources.
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Assessment of Status of Long Acting