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Family planning methods

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https://www.readbyqxmd.com/read/28631406/a-cross-sectional-analysis-of-kenyan-postabortion-care-services-using-a-nationally-representative-sample
#1
Michael M Mutua, Thomas N O Achia, Beatrice W Maina, Chimaraoke O Izugbara
OBJECTIVE: To assess quality of postabortion care (PAC) offered by Kenyan healthcare facilities. METHODS: A cross-sectional survey was conducted using data from the Incidence and Magnitude of Unsafe Abortions study, conducted among 326 PAC-providing healthcare facilities throughout Kenya from March 13 to June 30, 2012. Descriptive results with weighted proportions and an ordered probit model were used. RESULTS: Overall, 408 (41.8%) first-trimester PAC cases were treated using appropriate technology versus 826 (82...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28628582/revolving-loan-fund-a-novel-approach-to-increasing-access-to-long-acting-reversible-contraception-methods-in-community-health-centers
#2
Megan L Evans, Janis L Breeze, Jessica K Paulus, Audra Meadows
OBJECTIVE: The aim of this study was to assess the impact of a revolving loan fund (RLF) on timing of device insertion and long-acting reversible contraception (LARC) access among a high-risk urban population at 3 Boston community health centers. DESIGN: Three health centers were identified to implement a RLF. Each clinic received $5000 from the RLF to purchase LARC devices. Data collected through medical record review retrospectively 1 year prior to start of the RLF and prospectively for 1 year thereafter included patient demographics, type of LARC selected, patient's date of documented interest in a LARC device, and date of insertion...
June 16, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28622376/client-and-facility-level-determinants-of-quality-of-care-in-family-planning-services-in-ethiopia-multilevel-modelling
#3
Gizachew Assefa Tessema, Mohammad Afzal Mahmood, Judith Streak Gomersall, Yibeltal Assefa, Theodros Getachew Zemedu, Mengistu Kifle, Caroline O Laurence
INTRODUCTION: Over the last two decades, while contraceptive use has improved in Ethiopia, the contraceptive prevalence rate remains low. In addition to socio-demographic and cultural factors, the quality of care in Family Planning (FP) services is an important determining factor of FP utilization. However, little research exists on the determinants of quality of care in FP services in Ethiopia. This study aims to identify the client and facility level determinants of quality of care in FP services in Ethiopia...
2017: PloS One
https://www.readbyqxmd.com/read/28620974/evaluation-of-the-nigerian-urban-reproductive-health-initiative-nurhi-program
#4
(no author information available yet)
Gaps remain in understanding whether family planning (FP) programs can change urban women's FP behaviors. Even less is known about what works among poor urban women. This article presents results of the impact evaluation of the Nigerian Urban Reproductive Health Initiative (NURHI). Findings are based on recently collected longitudinal data from women and facilities in six cities in Nigeria. Over the four-year follow-up period, there was an increase of about ten percentage points in modern method use. Impact evaluation analyses using fixed-effects regression methods indicate that both demand- and supply-side program activities increased modern method use...
June 16, 2017: Studies in Family Planning
https://www.readbyqxmd.com/read/28620604/medical-students-knowledge-of-fertility-awareness-based-methods-of-family-planning
#5
Peter G Danis, Sally A Kurz, Laura M Covert
OBJECTIVE: Traditional medical school curricula have not addressed fertility awareness-based methods (FABMs) of family planning. The objective of this study was to assess (1) 3-year medical students' knowledge of FABMs of family planning, (2) their confidence in utilizing that knowledge in patient care, and (3) to implement focused education on FABMs to improve knowledge and confidence. METHODS: Third-year medical students at one institution in the United States were given a 10-question assessment at the beginning of their OB-GYN rotation...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/28619034/evaluation-of-two-intervention-models-on-contraceptive-attitudes-and-behaviors-among-nulliparous-women-in-shanghai-china-a-clustered-randomized-controlled-trial
#6
Yuan He, Ning Zhang, Jue Wang, Na He, Yan Du, Jing-Xin Ding, Ying Zhang, Xiao-Tian Li, Jian Huang, Ke-Qin Hua
BACKGROUND: With increasing acceptance of premarital sex among young Chinese women, the rates of unintended pregnancies and induced abortions are becoming alarmingly high, suggesting the needs of educating women with adequate contraceptive knowledge and providing them with accessible contraceptive services. Previous studies have shown that knowledge and attitudes towards contraception could be modified through intervention strategies. This study aimed to evaluate the effects of two community intervention models on modifying contraceptive attitudes and behaviors among nulliparous women...
June 15, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28617045/assessing-attachment-in-school-aged-children-do-the-school-age-assessment-of-attachment-and-family-drawings-work-together-as-complementary-tools
#7
Rebecca Carr-Hopkins, Calem De Burca, Felicity A Aldridge
AIMS: Our goal was to identify an assessment package that could improve treatment planning for troubled children and their families. To assess the validity of our tools, we tested the relations among the School-Age Assessment of Attachment, the Family Drawing and children's risk status. We used the Dynamic-Maturational Model of Attachment and Adaptation to interpret the assessments in the hope of identifying a gradient of risk, and explore whether a new coding method improved the validity of Family Drawings and their utility as a tool to complement the School-Age Assessment of Attachment...
June 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28617015/using-implementation-science-to-guide-the-integration-of-evidence-based-family-interventions-into-primary-care
#8
Justin D Smith, Jodi Polaha
This article is a demonstration of how an implementation-science (IS) framework can be coupled with the measurement of implementation outcomes to effectively integrate evidence-based family interventions in primary care. The primary care environment presents a number of challenges for successfully integrating such interventions. However, IS methods can improve the prospect of successfully implementing a new intervention while simultaneously and rigorously evaluating the impact on salient outcomes. We used our experiences across 2 pilot trials in which the family check-up (Smith, Montaño, Mauricio, Berkel, & Dishion, 2016), an evidence-based family intervention, was integrated into primary care...
June 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28613174/mulog-or-how-to-apply-gaussian-denoisers-to-multi-channel-sar-speckle-reduction
#9
Charles-Alban Deledalle, Loic Denis, Sonia Tabti, Florence Tupin
Speckle reduction is a longstanding topic in synthetic aperture radar (SAR) imaging. Since most current and planned SAR imaging satellites operate in polarimetric, interferometric or tomographic modes, SAR images are multi-channel and speckle reduction techniques must jointly process all channels to recover polarimetric and interferometric information. The distinctive nature of SAR signal (complex-valued, corrupted by multiplicative fluctuations) calls for the development of specialized methods for speckle reduction...
June 8, 2017: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
https://www.readbyqxmd.com/read/28604507/visits-to-registered-nurses-an-opportunity-to-increase-contraceptive-access-in-california
#10
Emese C Parker, Kevin Kong, Leslie A Watts, Eleanor B Schwarz, Philip D Darney, Heike Thiel de Bocanegra
BACKGROUND: In 2013, California passed Assembly Bill (A.B.) 2348, approving registered nurses (RNs) to dispense patient self-administered hormonal contraceptives and administer injections of hormonal contraceptives. The Family Planning, Access, Care and Treatment (Family PACT) program, which came into effect in 1997 to expand low-income, uninsured California resident access to contraceptives at no cost, is one program in which qualified RNs can dispense and administer contraceptives. AIMS: The aims of this study were to (a) describe utilization of RN visits within California's Family PACT program and (b) evaluate the impact of RN visits on client birth control acquisition during the first 18 months after implementation of A...
June 10, 2017: Nursing Research
https://www.readbyqxmd.com/read/28601368/quality-and-content-of-patient-provider-communication-about-contraception-differences-by-race-ethnicity-and-socioeconomic-status
#11
Christine Dehlendorf, Nora Anderson, Eric Vittinghoff, Kevin Grumbach, Kira Levy, Jody Steinauer
INTRODUCTION: Research in family planning has shown that contraceptive counseling has an influence on women's family planning outcomes, but also that women are often dissatisfied with the counseling they receive. Little is known about how contraceptive counseling is conducted in the United States. We describe both the content and interpersonal quality of provider communication during family planning visits, as well as assess whether disparities in counseling exist by patient race/ethnicity and socioeconomic status...
June 7, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28597475/program-considerations-for-integration-of-nutrition-and-family-planning-beliefs-around-maternal-diet-and-breastfeeding-within-the-context-of-the-nutrition-transition-in-egypt
#12
Justine A Kavle, Sohair Mehanna, Ghada Khan, Mohamed Hassan, Gulsen Saleh, Cyril Engmann
In Egypt, rising maternal overweight and obesity is consistent with the transition to westernized diets and a growing reliance on energy-dense, low nutrient foods. Although the first 1,000 days of life are the focus of many programmes designed to prevent many forms of malnutrition, little attention has been paid to maternal dietary practices and weight gain during pregnancy. This study used in-depth interviews with pregnant women (N = 40), lactating women (N = 40), and nonlactating women (N = 40) to gain an understanding of behaviours, perceptions, and cultural beliefs in relation to maternal dietary intake during pregnancy, lactation, and nonlactation; weight gain during pregnancy; birth spacing; and family planning...
June 8, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28596121/one-year-continuation-of-copper-or-levonorgestrel-intrauterine-devices-initiated-at-the-time-of-emergency-contraception
#13
J N Sanders, D K Turok, P A Royer, I S Thompson, L M Gawron, K E Storck
OBJECTIVE(S): This study compares one-year intrauterine device (IUD) continuation among women presenting for emergency contraception (EC) and initiating the copper (Cu T380A) IUD or the levonorgestrel (LNG) 52 mg IUD plus 1.5 mg oral LNG. STUDY DESIGN: This cohort study enrolled 188 women who presented at a single family planning clinic in Utah between June 2013 and September 2014 and selected either the Cu T380A IUD or LNG 52 mg IUD plus oral LNG for EC. Trained personnel followed participants by phone, text, or email for twelve months or until discontinuation occurred...
June 5, 2017: Contraception
https://www.readbyqxmd.com/read/28593052/scaling-up-contraceptives-use-in-the-division-with-lowest-contraceptives-use-in-bangladesh-sources-methods-and-determinants
#14
Gulam Muhammed Al Kibria, Vanessa Burrowes, Sharmin Majumder, Atia Sharmeen, Rifath Ara Alam Barsha, Shakir Hossen
BACKGROUND: Total fertility rate (TFR) is high and at a static level for the last two decades in Bangladesh. Reduction of fertility by increasing contraceptives use could reduce maternal and neonatal mortality. To achieve the targeted contraceptive prevalence rate (CPR) of Family Planning 2020 (FP2020) Initiative, it is important to increase CPR in all regions of the country. However, it is lower in Sylhet Division compared to other divisions in Bangladesh. This study looked into the methods, source and determinants of contraceptives use in this division...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28593014/a-qualitative-study-on-barriers-to-achieving-high-quality-community-based-integrated-dementia-care
#15
Yoshihisa Hirakawa, Chifa Chiang, Atsuko Aoyama
Introduction: High-quality, community-based dementia care requires a comprehensive, holistic approach. This study aimed to identify the barriers to achieving efficient cooperation and coordination among medical professionals, care managers, and medical social workers, and to improve the management model of community-based, integrated dementia care. Methods: We collected qualitative data through three focus group discussions at JA Konan Kosei Hospital. Thirteen participants (four directors of nursing service departments, three chief nurses, four medical social workers, and two care managers) were recruited for the discussions...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28592445/lymphocyte-galactocerebrosidase-activity-by-lc-ms-ms-for-post-newborn-screening-evaluation-of-krabbe-disease
#16
Hsuan-Chieh Liao, Zdenek Spacil, Farideh Ghomashchi, Maria L Escolar, Joanne Kurtzberg, Joseph J Orsini, Frantisek Turecek, C Ronald Scott, Michael H Gelb
BACKGROUND: Deficiency of the lysosomal enzyme galactosylcerebrosidase (GALC) causes Krabbe disease. Newborn screening for Krabbe disease is ongoing, but improved methods for follow-up analysis of screen-positive babies are needed to better advise families and to optimize treatment. We report a new assay for the enzymatic activity of GALC in lymphocytes. METHODS: T lymphocytes were isolated from venous blood by magnetic bead technology. The assay used a close structural analog of the natural substrate and LC-MS/MS to quantify the amount of product with the aid of a chemically identical internal standard...
June 7, 2017: Clinical Chemistry
https://www.readbyqxmd.com/read/28592013/-reliability-and-validity-of-warning-signs-checklist-for-screening-psychological-behavioral-and-developmental-problems-of-children
#17
X N Huang, Y Zhang, W W Feng, H S Wang, B Cao, B Zhang, Y F Yang, H M Wang, Y Zheng, X M Jin, M X Jia, X B Zou, C X Zhao, J Robert, Jin Jing
Objective: To evaluate the reliability and validity of warning signs checklist developed by the National Health and Family Planning Commission of the People's Republic of China (NHFPC), so as to determine the screening effectiveness of warning signs on developmental problems of early childhood. Method: Stratified random sampling method was used to assess the reliability and validity of checklist of warning sign and 2 110 children 0 to 6 years of age(1 513 low-risk subjects and 597 high-risk subjects) were recruited from 11 provinces of China...
June 2, 2017: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/28591975/an-overview-of-home-based-primary-care-learning-from-the-field
#18
Sarah Klein, Martha Hostetter, Douglas McCarthy
ISSUE: Homebound and functionally limited individuals are often unable to access office-based primary care, leading to unmet needs and increased health care spending. GOAL: Show how home-based primary care affects outcomes and costs for Medicare and Medicaid beneficiaries with complex care needs. METHODS: Qualitative synthesis of expert perspectives and the experiences of six case-study sites. FINDINGS AND CONCLUSIONS: Successful home-based primary care practices optimize care by: fielding interdisciplinary teams, incorporating behavioral care and social supports into primary care, responding rapidly to urgent and acute care needs, offering palliative care, and supporting family members and caregivers...
June 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/28588978/improving-ebola-infection-prevention-and-control-in-primary-healthcare-facilities-in-sierra-leone-a-single-group-pretest-post-test-mixed-methods-study
#19
Ruwan Ratnayake, Lara S Ho, Rashid Ansumana, Hannah Brown, Matthias Borchert, Laura Miller, Thomas Kratz, Shannon A McMahon, Foday Sahr
BACKGROUND: Accomplishing infection prevention and control (IPC) in health facilities in Sub-Saharan Africa is challenging. Owing to poor IPC, healthcare workers (HCWs) were frequently infected during Sierra Leone's Ebola epidemic. In late 2014, IPC was rapidly and nationally scaled up. We carried out workshops in sampled facilities to further improve adherence to IPC. We investigated HCW experiences and observed practice gaps, before and after the workshops. METHODS: We conducted an uncontrolled, before and after, mixed-methods study in eight health facilities in Bo and Kenema Districts during December 2014 and January 2015...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28588047/availability-and-quality-of-family-planning-services-in-the-democratic-republic-of-the-congo-high-potential-for-improvement
#20
Dieudonné Mpunga, J P Lumbayi, Nelly Dikamba, Albert Mwembo, Mala Ali Mapatano, Gilbert Wembodinga
OBJECTIVE: To determine the availability and quality of family planning services within health facilities throughout the Democratic Republic of the Congo (DRC). METHODS: Data were collected for the cross-sectional study from April 2014 to June 2014 by the Ministry of Public Health. A total of 1,568 health facilities that reported data to the National Health Information System were selected by multistage random sampling in the 11 provinces of the DRC existing at that time...
June 6, 2017: Global Health, Science and Practice
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