Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, Uganda
Background: Quality of care (QoC) of family planning (FP) affects contraceptive use, and it varies across types of urban settlement. This study assesses the difference in service delivery point (SDP) structural and process factors between formal and informal urban settlements, and the opinion of the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-08-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2021.656616/full |
| _version_ | 1819139529643130880 |
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| author | Zubair Lukyamuzi Moses Tetui Moses Tetui Moses Tetui Osvaldo Fonseca-Rodríguez Osvaldo Fonseca-Rodríguez Lynn Atuyambe Fredrick Edward Makumbi Mazen Baroudi |
| author_facet | Zubair Lukyamuzi Moses Tetui Moses Tetui Moses Tetui Osvaldo Fonseca-Rodríguez Osvaldo Fonseca-Rodríguez Lynn Atuyambe Fredrick Edward Makumbi Mazen Baroudi |
| author_sort | Zubair Lukyamuzi |
| collection | DOAJ |
| description | Background: Quality of care (QoC) of family planning (FP) affects contraceptive use, and it varies across types of urban settlement. This study assesses the difference in service delivery point (SDP) structural and process factors between formal and informal urban settlements, and the opinion of the client on the QoC in informal settlements. This is useful in creating an evidence base to advocate for better quality services for the most vulnerable in society.Methods: This was a cross-sectional survey that included SDPs of Kira municipality in Wakiso district, Uganda. Data were collected from all the service points in Kira municipality with the caretakers consented. In addition, using multi-stage sampling, 626 women of reproductive age (15–49 years) who lived in the informal settlements of Kira municipality were interviewed. Data were collected using structured questionnaires, descriptive analysis was carried out in Stata version 14.0, and Chi-square and t-tests were used to compare the informal with the formal settlements.Results: Formal settlements generally had more higher-level SDPs compared to informal settlements (value of p < 0.001). SDPs in the formal settlements provided more FP methods and had more community health workers (CHW) to support their work. Also, SDPs in the formal settlements were more likely to have long-term FP methods available and more likely to have trained personnel to insert and remove implants and IUDs compared to those in informal settlements. Additionally, more SDPs in the formal settlements provided counseling for permanent, long-term, and short-term FP methods. Of the 626 interviewed women, most of the women (68.6%) reported that they would not return to the previous FP provider or refer a friend to the same provider (72.7%).Conclusions: There is a lower quality FP services in the informal settlements with a commensurable effect on the client satisfaction with the services. Therefore, improving the quality of FP services in informal settlements should be a top priority. Improved quality of services could act as a motivation to increase the uptake of modern contraceptives in such settings. |
| first_indexed | 2024-12-22T11:24:07Z |
| format | Article |
| id | doaj.art-d441252bd6dc49c9a725000201d93793 |
| institution | Directory Open Access Journal |
| issn | 2673-5059 |
| language | English |
| last_indexed | 2024-12-22T11:24:07Z |
| publishDate | 2021-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj.art-d441252bd6dc49c9a725000201d937932022-12-21T18:27:47ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592021-08-01210.3389/fgwh.2021.656616656616Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, UgandaZubair Lukyamuzi0Moses Tetui1Moses Tetui2Moses Tetui3Osvaldo Fonseca-Rodríguez4Osvaldo Fonseca-Rodríguez5Lynn Atuyambe6Fredrick Edward Makumbi7Mazen Baroudi8Makerere University, Johns Hopkins University Collaboration (MU-JHU), Kampala, UgandaSchool of Pharmacy, Waterloo University, Waterloo, ON, CanadaDepartment of Epidemiology and Global Health, Umeå University, Umeå, SwedenDepartment of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, UgandaDepartment of Epidemiology and Global Health, Umeå University, Umeå, SwedenCentre for Demographic and Ageing Research, Umeå University, Umeå, SwedenDepartment of Community Health and Behavioural Sciences Makerere University School of Public Health, Kampala, UgandaDepartment of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, UgandaDepartment of Epidemiology and Global Health, Umeå University, Umeå, SwedenBackground: Quality of care (QoC) of family planning (FP) affects contraceptive use, and it varies across types of urban settlement. This study assesses the difference in service delivery point (SDP) structural and process factors between formal and informal urban settlements, and the opinion of the client on the QoC in informal settlements. This is useful in creating an evidence base to advocate for better quality services for the most vulnerable in society.Methods: This was a cross-sectional survey that included SDPs of Kira municipality in Wakiso district, Uganda. Data were collected from all the service points in Kira municipality with the caretakers consented. In addition, using multi-stage sampling, 626 women of reproductive age (15–49 years) who lived in the informal settlements of Kira municipality were interviewed. Data were collected using structured questionnaires, descriptive analysis was carried out in Stata version 14.0, and Chi-square and t-tests were used to compare the informal with the formal settlements.Results: Formal settlements generally had more higher-level SDPs compared to informal settlements (value of p < 0.001). SDPs in the formal settlements provided more FP methods and had more community health workers (CHW) to support their work. Also, SDPs in the formal settlements were more likely to have long-term FP methods available and more likely to have trained personnel to insert and remove implants and IUDs compared to those in informal settlements. Additionally, more SDPs in the formal settlements provided counseling for permanent, long-term, and short-term FP methods. Of the 626 interviewed women, most of the women (68.6%) reported that they would not return to the previous FP provider or refer a friend to the same provider (72.7%).Conclusions: There is a lower quality FP services in the informal settlements with a commensurable effect on the client satisfaction with the services. Therefore, improving the quality of FP services in informal settlements should be a top priority. Improved quality of services could act as a motivation to increase the uptake of modern contraceptives in such settings.https://www.frontiersin.org/articles/10.3389/fgwh.2021.656616/fullfamily planning servicesquality of health careurban healthinformal settlementsUganda |
| spellingShingle | Zubair Lukyamuzi Moses Tetui Moses Tetui Moses Tetui Osvaldo Fonseca-Rodríguez Osvaldo Fonseca-Rodríguez Lynn Atuyambe Fredrick Edward Makumbi Mazen Baroudi Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, Uganda Frontiers in Global Women's Health family planning services quality of health care urban health informal settlements Uganda |
| title | Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, Uganda |
| title_full | Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, Uganda |
| title_fullStr | Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, Uganda |
| title_full_unstemmed | Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, Uganda |
| title_short | Quality of Care in Family Planning Services: Differences Between Formal and Informal Settlements of Kira Municipality, Uganda |
| title_sort | quality of care in family planning services differences between formal and informal settlements of kira municipality uganda |
| topic | family planning services quality of health care urban health informal settlements Uganda |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2021.656616/full |
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