Search

Your search keyword '"Speizer, Ilene S."' showing total 739 results
Start Over Author "Speizer, Ilene S."
739 results on '"Speizer, Ilene S."'

44. The Effect of the Removal of User Fees for Delivery at Public Health Facilities on Institutional Delivery in Urban Kenya

Author

Calhoun, Lisa M., Speizer, Ilene S., Guilkey, David, and Bukusi, Elizabeth

Subjects
Public health -- Laws, regulations and rules, User fees -- Laws, regulations and rules, Health care services accessibility, Government regulation, Health care industry
Abstract

Objectives In 2013, Kenya removed delivery fees at public health facilities in an effort to promote equity in access to health services and address high maternal mortality. This study determines the effect of the policy to remove user fees on institutional delivery in a population-based sample of women from urban Kenya. Methods Longitudinal data were collected from a representative sample of 8500 women from five cities in Kenya in 2010 with a follow-up interview in 2014 (response rate 58.9%). Respondents were asked about their most recent birth since 2008 at baseline and 2012 at endline, including the delivery location. Multinomial logistic regression is used, controlling for the temporal time trend and background characteristics, to determine if births which occurred after the national policy change were more likely to occur at a public facility than at home or a private facility. Results Multivariate findings show that women were significantly more likely to deliver at a public facility as compared to a private facility after the policy. Among the poor, the results show that poor women were significantly more likely to deliver in a public facility compared to home or a private facility after policy change. Conclusions for Practice These findings show Kenya's progress towards achieving universal access to delivery services and meeting its national development targets. The removal of delivery fees in the public sector is leading to increased use of facilities for delivery among the urban poor; this is an important first step in reducing maternal death., Author(s): Lisa M. Calhoun [sup.1] , Ilene S. Speizer [sup.1] [sup.2] , David Guilkey [sup.1] [sup.3] , Elizabeth Bukusi [sup.4] Author Affiliations: (Aff1) 0000000122483208, grid.10698.36, Carolina Population Center, The University [...]

Published
2018
Full Text
View/download PDF

47. The more, the better: influence of family planning discussions during the maternal, newborn and child health continuum of care on postpartum contraceptive uptake and method type among young women in Ethiopia

Author

Calhoun, Lisa M., primary, Winston, Jennifer, additional, Beňová, Lenka, additional, Speizer, Ilene S., additional, Delvaux, Thérèse, additional, Shiferaw, Solomon, additional, Seme, Assefa, additional, Karp, Celia, additional, Zimmerman, Linnea, additional, and van den Akker, Thomas, additional

Published
2023
Full Text
View/download PDF

50. Choice of a family planning outlet in urban areas:The role of distance and quality of services in Kenya and Uganda

Author

Winston, Jennifer, Calhoun, Lisa M., Guilkey, David, Macharia, Peter M., Speizer, Ilene S., Winston, Jennifer, Calhoun, Lisa M., Guilkey, David, Macharia, Peter M., and Speizer, Ilene S.

Abstract

Introduction: Quality of care and physical access to health facilities affect facility choice for family planning (FP). These factors may disproportionately impact young contraceptive users. Understanding which components of service quality drive facility choice among contraceptive users of all ages can inform strategies to strengthen FP programming for all potential users of FP. Methods: This study uses data from Population Services International's Consumer's Market for Family Planning (CM4FP) project, to examine drivers of facility choice among female FP users. The data collected from female contraceptive users, the outlet where they obtained their contraceptive method, and the complete set of alternative outlets in select urban areas of Kenya and Uganda were used. We use a mixed logit model, with inverse probability weights to correct for selection into categories of nonuse and missing facility data. We consider results separately for youth (18–24) and women aged 25–49 in both countries. Results: We find that in both countries and across age groups, users were willing to travel further to public outlets and to outlets offering more methods. Other outlet attributes, including signage, pharmacy, stockouts, and provider training, were important to women in certain age groups or country. Discussion: These results shed light on what components of service quality drive outlet choice among young and older users and can inform strategies to strengthen FP programming for all potential users of FP in urban settings.

Published
2023

Catalog

Books, media, physical & digital resources
See catalog results