Published in African journal of fertility, sexuality, and reproductive health
This study determined the sociodemographic characteristics of family planning acceptors attending the 3 largest family planning clinics in Luanda, Angola. Retrospective data were obtained from 7246 women who attended the 3 clinics (Lucrecia Paim, Augusto N'Gangula, and Kilamba-Kiaxi) during 1991-92. These clinics accounted for about 30% of total ne...
Published in African journal of fertility, sexuality, and reproductive health
This study determined sexual behavior, contraceptive use, and fertility among a sample of 2191 men aged 20-54 years from Kajiado, Kakamega, Machakos, Migori, Mombasa, and Nyeri districts in Kenya. Data were obtained from focus group discussions and interviews. The 6 districts represent different ethnic, geographical, and socioeconomic statuses. Abo...
Published in African journal of fertility, sexuality, and reproductive health
Integration of sexually transmitted disease (STD) and HIV/AIDS control efforts into family planning programs in sub-Saharan Africa offers the potential to reach women of childbearing age when the risk of exposure to STDs and HIV is greatest. Such a strategy is especially important now that the AIDS epidemic has come to involve women from lower risk...
Published in African journal of fertility, sexuality, and reproductive health
The economic and social consequences of the AIDS epidemic in Africa are enormous because of the prevalence of the disease and the age structure of patients. AIDS has caused a rise in early childhood and adult mortality, leading to a younger age distribution and a less favorable dependency ratio. All epidemiological studies have shown a strong serop...
Published in African journal of fertility, sexuality, and reproductive health
Good interpersonal care is essential in all types of health care, but especially in reproductive health care. Given the personal nature of reproductive health issues and concerns, reproductive health services also need to be personal. The interpersonal nature of reproductive health care may therefore mean that clients need help dealing with their p...
Published in African journal of fertility, sexuality, and reproductive health
"The purpose of this paper is to begin a preliminary assessment of some reproductive health indicators within the context of family planning programs, using data from expanded Situation Analyses conducted in four recent African studies. The studies, conducted in 1994-1995, cover Senegal, Zanzibar (studied separately from Tanzania), Kenya, and Botsw...
Published in African journal of fertility, sexuality, and reproductive health
This study examined quality of care in delivery of services among Ministry of Health Service Delivery Points (SDPs) in Kenya in 1989 and 1995. The situation analysis focused on method availability, IEC, supervision, training, number of clients served by method, choice of methods, information provided, and integration of services. More information w...
Published in African journal of fertility, sexuality, and reproductive health
This study examined users' perceptions of service quality and compared quality of care received from maternal-child health (MCH) and family planning (FP) services in Tanzania, Kenya, and Botswana. Exit interviews were conducted among women who sought MCH and FP services at delivery points. Some delivery points had integrated services. Women seeking...
Published in African journal of fertility, sexuality, and reproductive health
A situation analysis was performed to provide a comprehensive description of the availability, functionality, and quality of family planning (FP) services and to identify strengths and weaknesses of the national program in Senegal. The 1994 situation analysis included 180 functional service delivery points (SDPs). This report documents the methods ...
Published in African journal of fertility, sexuality, and reproductive health
This article describes the essential features and examples of family planning and reproductive health (FP/RH) program efforts in sub-Saharan Africa that increase access to and quality of care in FP/RH programs. The Bruce and Jain quality-of-care framework includes six interrelated elements: choice of FP methods, information exchanged between client...
