Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow up
Abstract Background Pakistan has the second highest fertility rate in South Asia and its increasing population growth presents a significant challenge for country’s path to progress and development. Modern contraceptive methods only account for a slow-rising 26% of use in Pakistan which is further l...
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3156-0 |
| _version_ | 1818476500665499648 |
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| author | Moazzam Ali Syed Khurram Azmat Hasan Bin Hamza |
| author_facet | Moazzam Ali Syed Khurram Azmat Hasan Bin Hamza |
| author_sort | Moazzam Ali |
| collection | DOAJ |
| description | Abstract Background Pakistan has the second highest fertility rate in South Asia and its increasing population growth presents a significant challenge for country’s path to progress and development. Modern contraceptive methods only account for a slow-rising 26% of use in Pakistan which is further lowest in the underserved areas (< 20%), with a high unmet need for family planning (20%). The David and Lucile Packard Foundation USA and Pakistan funded two operational research projects from 2012 to 2015, that employed a Demand-side Financing (DSF) approach testing the effectiveness of single and multi-purpose voucher schemes in increasing access and uptake of FP services and products among the women of two-lowest income quintiles in the Punjab province of Pakistan. The present paper presents a study protocol which intends to assess the longer term impact of these two voucher intervention programs among married women of reproductive age (MWRA) who received contraceptive services through vouchers. Methods This will be a mixed methods study using qualitative and quantitative approaches. A quantitative cross sectional survey will measure the contraceptive uptake among voucher users, included in the endline survey and to examine the attitudes and behaviour of women with respect to contraceptive continuation, switching and discontinuation 24 months post intervention in two districts of Chakwal and Faisalabad in Punjab province of Pakistan. Qualitative in-depth interviews will be conducted with FP service providers operating in intervention areas and with key policy makers in the public sector to examine and document the service provider perspective on sustainability on contraceptive practices and behaviour in the post project closure period within the intervention areas. Discussion Globally, there is almost negligible direct evidence on the assessment of longer-term impact of a demand-side financing programs using free or subsidized vouchers for family planning services especially during post-intervention period or when donor money runs out. The findings of this study will help fill the knowledge gap in the context of sustainability issues post-intervention and will provide information to policy makers to develop and plan contraceptive services in the target area to sustain the positive behaviour change in the population. |
| first_indexed | 2024-12-10T09:26:32Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-10T09:26:32Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
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| series | BMC Health Services Research |
| spelling | doaj.art-8ccf8ea7d3c24617a257d3ee816890bf2022-12-22T01:54:31ZengBMCBMC Health Services Research1472-69632018-05-011811710.1186/s12913-018-3156-0Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow upMoazzam Ali0Syed Khurram Azmat1Hasan Bin Hamza2Department of Reproductive Health and Research, World Health OrganizationDepartment of Uro-Gynaecology, University of GhentPublic Health ConsultantAbstract Background Pakistan has the second highest fertility rate in South Asia and its increasing population growth presents a significant challenge for country’s path to progress and development. Modern contraceptive methods only account for a slow-rising 26% of use in Pakistan which is further lowest in the underserved areas (< 20%), with a high unmet need for family planning (20%). The David and Lucile Packard Foundation USA and Pakistan funded two operational research projects from 2012 to 2015, that employed a Demand-side Financing (DSF) approach testing the effectiveness of single and multi-purpose voucher schemes in increasing access and uptake of FP services and products among the women of two-lowest income quintiles in the Punjab province of Pakistan. The present paper presents a study protocol which intends to assess the longer term impact of these two voucher intervention programs among married women of reproductive age (MWRA) who received contraceptive services through vouchers. Methods This will be a mixed methods study using qualitative and quantitative approaches. A quantitative cross sectional survey will measure the contraceptive uptake among voucher users, included in the endline survey and to examine the attitudes and behaviour of women with respect to contraceptive continuation, switching and discontinuation 24 months post intervention in two districts of Chakwal and Faisalabad in Punjab province of Pakistan. Qualitative in-depth interviews will be conducted with FP service providers operating in intervention areas and with key policy makers in the public sector to examine and document the service provider perspective on sustainability on contraceptive practices and behaviour in the post project closure period within the intervention areas. Discussion Globally, there is almost negligible direct evidence on the assessment of longer-term impact of a demand-side financing programs using free or subsidized vouchers for family planning services especially during post-intervention period or when donor money runs out. The findings of this study will help fill the knowledge gap in the context of sustainability issues post-intervention and will provide information to policy makers to develop and plan contraceptive services in the target area to sustain the positive behaviour change in the population.http://link.springer.com/article/10.1186/s12913-018-3156-0VouchersFamily planningContraceptionContinuationSwitching |
| spellingShingle | Moazzam Ali Syed Khurram Azmat Hasan Bin Hamza Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow up BMC Health Services Research Vouchers Family planning Contraception Continuation Switching |
| title | Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow up |
| title_full | Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow up |
| title_fullStr | Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow up |
| title_full_unstemmed | Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow up |
| title_short | Assessment of modern contraceptives continuation, switching and discontinuation among clients in Pakistan: study protocol of 24-months post family planning voucher intervention follow up |
| title_sort | assessment of modern contraceptives continuation switching and discontinuation among clients in pakistan study protocol of 24 months post family planning voucher intervention follow up |
| topic | Vouchers Family planning Contraception Continuation Switching |
| url | http://link.springer.com/article/10.1186/s12913-018-3156-0 |
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