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Integrating reproductive and child health services enables access to modern contraception in Sierra Leone
- Source :
- The International journal of health planning and management. 34(2)
- Publication Year :
- 2018
-
Abstract
- BACKGROUND From mid-2015, reproductive and child health interventions were integrated into a routine 6-month contact point: vitamin A supplementation, nutrition counseling with the mother's participation in the preparation of a complementary food, and confidential family planning counseling with provision of modern forms of contraceptives. By mid-2017, these services had reached 28% of health facilities nationwide. OBJECTIVE To evaluate awareness and uptake of modern contraception and complementary feeding practices. METHODS All health facilities were visited, and the health worker "in-charge" were interviewed to ascertain their training status and supply chains. Within each catchment, community mothers of children 6 to 23 months of age were interviewed. RESULTS Interviews were conducted with 321 "in-charges" and 670 mothers. Advantages and different types of contraception were understood by 99.0% of mothers, and 52.7% reported they were utilizing depot injections, hormonal implants, or oral contraceptive pills (45.1%, 34.6%, and 20.6% of users, respectively). Uptake was higher among Christians (62.1%) versus Muslims (48.6%) and among those with secondary/tertiary (61.5%) or primary education (60.5%) versus no education (43.3%) (P
- Subjects :
- Child Health Services
Primary education
Psychological intervention
Health Services Accessibility
Sierra leone
Sierra Leone
Food group
03 medical and health sciences
Young Adult
Surveys and Questionnaires
Medicine
Humans
Contraception Behavior
Reproductive health
business.industry
030503 health policy & services
Health Policy
Infant
Feeding Behavior
Breast Feeding
Contraception
Family planning
Pill
Female
Reproductive Health Services
0305 other medical science
business
Nutrition counseling
Demography
Subjects
Details
- ISSN :
- 10991751
- Volume :
- 34
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The International journal of health planning and management
- Accession number :
- edsair.doi.dedup.....7b738c8b02db94fa5ddf8a0d51ecd855