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Relativ recent Arhiva Comisiunii Monumentelor Istorice a fost digitalizată de către colegii de la Institutul Național al Patrimoniului în parteneriat cu Universitatea din București. Din acest uriaș tezaur documentar ne-au atras atenția câteva acte din Arhiva Comisiunii Monumentelor Istorice-secțiunea Corespondență 1919, care tratează Monumentele di...
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... For this reason, maintaining anonymity is crucial while offering family planning services. Previous studies have demonstrated that clients feel more at ease when clinicians respect their privacy during counseling sessions and tests (37). ...
Background: The use of modern contraceptives by married Ethiopian womenhas increased over the past 15 years. Despite a few studies reporting differentpredictors of satisfaction with family planning services, there is a lack ofnationwide data showing the determinants of client satisfaction with familyplanning services. Thus, this meta-analysis aimed to determine the predictorsof client satisfaction with family planning services in Ethiopia.Methods: From January 20 to March 10, 2024, a thorough search of the literaturewas conducted using PubMed, Web of Science, EMBASE, CINAHL, and GoogleScholar. The quality of the included studies was assessed using the criticalassessment checklist developed by the Joanna Briggs Institute (JBI). Thestatistical program Stata 11 was used to carry out the analysis. Using Cochran’sQ-statistic, heterogeneity was statistically assessed and measured by the I2 value.If significant heterogeneity was found across the included studies, a randomeffects model was used to assess the factors influencing client satisfaction withfamily planning services. Otherwise, a fixed-effects model was employed.Results: Independent factors influencing clients’ satisfaction with family planningservices included waiting times of less than one hour (POR = 4.37; 95% CI: 2.05,9.32), ensuring privacy (POR = 6.31; 95% CI: 2.78, 14.28), convenient opening hours(POR = 5.91; 95% CI: 1.61, 21.63), education level above primary school (AOR = 2.61;95% CI: 1.02, 6.68), being informed about side effects (AOR = 3.08; 95% CI: 1.22,7.74), and receiving adequate information (POR = 4.2; 95% CI: 1.87, 9.44).Conclusion: The findings indicate that key factors significantly influencing clientsatisfaction with family planning services include reduced waiting times, privacyprotection, convenient service hours, higher education levels, being informedabout potential side effects, and receiving comprehensive information. Theseelements are critical for improving satisfaction and should be prioritized infamily planning services. As a result, Ethiopian policymakers and decision-makers must devise plans to maximize client satisfaction with healthcareservices through client-centered care
(PDF) Predictors of client satisfaction with family planning services in Ethiopia: a systematic review and meta-analysis. Available from: https://www.researchgate.net/publication/388274023_Predictors_of_client_satisfaction_with_family_planning_services_in_Ethiopia_a_systematic_review_and_meta-analysis [accessed Feb 07 2025].
... Patients complained of being treated disrespectfully, insulted, and verbally abused by providers; they felt exempted from decision-making about their care and experienced discrimination. Previous studies have shown that patients feel more comfortable if their privacy, including needs, attitude, and concerns, are respected and guaranteed during examinations, procedures, and counseling [33,34]. Our findings reveal that patients were apprehensive about their privacy and confidentiality, which can be linked to the lack of an exclusive MVA room. ...
Despite several political commitments to ensure the availability of and access to post-abortion care services, women in sub-Saharan Africa still struggle to access quality post-abortion care, and with devastating social and economic consequences. Expanding access to post-abortion care while eliminating barriers to utilization could significantly reduce abortions-related morbidity and mortality. We describe the barriers to providing and utilizing post-abortion care across health facilities in Burkina Faso, Kenya, and Nigeria. This paper draws on three data sources: health facility assessment data, patient-exit interview data, and qualitative interviews conducted with healthcare providers and policymakers. All data were based on a cross-sectional survey of a nationally representative sample of health facilities conducted between November 2018 and February 2019. Data on post-abortion care service indicators were collected, including staffing levels and staff training, availability of post-abortion care supplies, equipment and commodities. Patient-exit interviews focused on patients treated for post-abortion complications. In-depth interviews were conducted with healthcare providers within a sample of the study health facilities and national or local decision-makers in sexual and reproductive health. Few primary-level facilities in Burkina Faso (15%), Kenya (46%), and Nigeria (20%) had staff trained on post-abortion care. Only 16.6% of facilities in Kenya had functional operating theaters or MVA rooms, Burkina Faso (20.3%) and Nigeria (50.7%). Primary facilities refer post-abortion care cases to higher-level facilities despite needing to be more adequately equipped to facilitate these referrals. Several challenges that impede the provision of quality and comprehensive post-abortion care across the three countries. The absence of post-abortion care training, equipment, and inadequate referral capacity was among the critical reasons for the lack of services. There is a need to strengthen post-abortion care services across all levels of the health system, but especially at lower-level facilities where most patients seek care first.
... Sikap dalam memberikan asuhan ditunjukkan dalam suatu asuhan yang disertai dengan soft skill yang baik. Softskill adalah atribut personal yang dimiliki oleh seseorang agar dapat berinteraksi dengan orang lain secara efektif dan harmonis (Creel, V.Sass and V.Yinger, 2002). Institusi pendidikan memiliki kewajiban untuk menanamkan softskill pada mahasiswanya, karena softskill yang ditanamkan pada periode tersebut dapat memberikan pengaruh besar pada kelanjutan kehidupan mahasiswa (Schulz, 2008). ...
Latar belakang. Perkembangan pelayanan jasa di berbagai bidang selalu diarahkan pada kebutuhan penggunanya, sebagai jawaban tuntutan kebutuhan masyarakat. Asuhan kebidanan dengan ibu sebagai pengguna utamanya, selama ini belum memenuhi kebutuhan masyarakat. Hal ini berdampak terhadap pencapaian indikator keberhasilan pelayanan ibu dan anak belum sesuai harapan. Karenanya, perlu diketahui kebutuhan masyarakat terhadap asuhan kebidanan sebagai dasar perbaikan asuhan kebidanan di Indonesia. Tujuan. Untuk mengetahui kepuasan terhadap asuhan kebidanan. Metode. Studi ini menggunakan metode survei, untuk mengetahui gambaran kebutuhan ibu terhadap asuhan kebidanan. Populasi terjangkau adalah ibu yang mendapatkan asuhan kebidanan di beberapa Puskesmas Kabupaten Kediri, Kota Bandung, Kota Padang, Jakarta, Purwokerto, Surabaya dan Tangerang. Pemilihan sampel dilakukan secara incidental sampling pada seluruh ibu yang mengunjungi poli kesehatan ibu dan anak (KIA) di Puskesmas. Instrumen yang digunakan adalah kuisioner. Data diperoleh dari Data disajikan secara deskriptif. Hasil. Berdasarkan data yang diperoleh, dari 604 ibu diketahui hanya sebesar 2% (12) ibu menyatakan puas terhadap asuhan yang diberikan bidan. Analisis lanjut per item soal berdasarkan aspek asuhan, diketahui persepsi dari aspek asuhan yang dirasa kurang adalah aspek kognitif 18%, aspek afektif 38% dan aspek skill 44%. Simpulan. Asuhan yang diberikan bidan belum menjawab kebutuhan masyarakat, terbukti dengan masih tingginya ketidakpuasan ibu terhadap asuhan kebidanan.
... These aspects either positively inclined participants to starting therapy (perceived benefits, curiosity, awareness and acceptance) or negatively inclined participants away from starting therapy (fear of labels, mistrust, wallowing in the mental state). This is in line with other research on help-seeking behavior (Creel et al., 2002;Gulliver et al., 2010). ...
The client therapy experience has been the focus of many bodies of literature in psychotherapy, even across cultures. While researchers have emphasized on the use of indigenous approaches in Indian psychotherapy, how much of this is applicable in the present scenario? The experience has become increasingly tricky to understand given the complexities arising from the influence of urbanization and westernization. Thus, the present study aimed to explore the experience of mental illness and psychotherapy in modern day India. Using the integrated, holistic idea of the person and their needs, the study conducted semi-structured interviews with ten cis-gender, urban Indian participants between 21 and 39 years of age. Data analysis using thematic analysis uncovered the global theme of “Transitional Culture Impacting the Therapeutic Experience.” The major organizing themes and basic themes have been elaborated as well. In essence, the study concludes that the increased awareness and acceptance of psychotherapy in urban India, combined with the exposure to Western methodologies, may be related to an increase in the expectations for similar therapeutic services. Implications and recommendations have been discussed.
... RHS leads youth to have safe sex life, capability to reproduce and free to decide on sexual matters [8]. Service offered for reproductive health should be friendly and assessable [9,10]. ...
Background: Unprotected sex is one of the riskiest behavior that young people can undertake, particularly in settings where HIV/AIDS is widespread. Nevertheless, reproductive health service (RHS) leads youth to have safe sex life, capability to reproduce and free to decide on sexual matters. Voluntary counselling and testing (VCT) provides an opportunity for individuals to ascertain their HIV status, then to protect and prevent both transmission to others and re-infection for themselves. Thus, the aim of the study was to assess VCT service utilization and barriers among selected students in Eritrea Institution of Technology (EIT).Methods: A cross-sectional descriptive and inferential study design were used to describe the data collected from 509 students aged 19-26 years. Data was collected using self-administered structured questionnaire after ethical approval and consent were obtained from the respective bodies. Statistical significant was considered when p value is less than or equal to 0.05. Those with significant association were further analyzed via bivariate and multivariable logistic regression using SPSS (Version 20). Results: VCT service was utilized by 26% of the participants. Out of the total participants (89.2%) who had heard about VCT service, 60.8% got their information from mass media. Despite the ample information about VCT, utilization of the service by the sexually experienced individuals was (29.3%) and found to be statistically insignificant (X 2 =-1.404, p=0.236, df= 1). Moreover, the participants who never discuss regarding sex-related issue with father and mother than those who discuss sexual matters with father and mother never utilized VCT were found to be statistically significant at X 2 =43.712 a , p<0.001, df=2) and X 2 = 24.985 a , p<0.001, df= 2, respectively. Besides, religion and discussion of sex-related issue with both parents were found to be the main predictors of VCT utilization. Conclusions: Utilization of VCT among EIT students was found to be fair. Large proportions of the participants have heard about VCT and the main source of information was mass media. However, approximately one third of participants ever utilized VCT. On the other hand, discussion about sexual matters with both parents and religion were found to be main predictors of VCT use. Therefore, interfamily discussion about sex matters is suggested in order the youth to decide safe sex and utilize reproductive health services.
... Contraceptive usage leads youth to have safe sex life, capability to reproduce and free to decide on sexual matters [12]. Service offered for RH should be friendly and assessable [13,14]. However, Undergraduate students who are living in campus without family, under peer pressure, and lack of youth friendly recreational facilities are prone to have unsafe sexual initiation [15]. ...
Background: Eighteen percent of the world's population is between the ages of 15 and 24, with 80% living in less developed countries. Similarly, in Eritrea about 33% are in adolescent age ranging 10 to 24 years. Adolescent health is a global public health concern because they are the most vulnerable group in the human stage of development. Hence, the aim of this study was to assess contraceptive usage among the selected students in Eritrea Institution of Technology (EIT). Methods: A cross-sectional descriptive and inferential study design were used to analyze the data. Data was collected from 509 students aged 19-26 years using structured self-administrated questionnaire. Bivariate and multivariable logistic regression analysis were performed to analyze the data using SPSS (Version 20). P value of less than or equal to 0.05 was considered as statistically significant. Results: The study found out about three fourth (74.0%) of the participants never used any contraceptive. However, among the 26.0% users, male condom (87.4%) was found to be the most utilized contraceptive method. The main reason for not utilizing or practicing contraceptive was never being exposed to sexual intercourse in which accounts 74.2%. Moreover, multivariable regression analysis was used to find out association if any among the variable of interest and demographic variables. Finally, sex (X 2 = 13.392 a , p=0.000<0.001, df=1), economic status (X 2 = 27.218 a , p=0.000<0.001, df =1) and having sex (AOR =3.6, p=0.000 <0.05) (X 2 = 268.348 a , p=0.000<0.01, df=1) were found statistically significant. Conclusions: Contraceptive use among EIT students was found to be low. The study found out sex, economic status, and sexual history were found to be independently predictors of contraceptive utilization. Thus, effort is needed to increase awareness of participants to utilize contraceptive methods to have save sex life.
... [11][12][13][14][15][16][17] Experiencing bias in contraceptive counseling may result in women not receiving the contraceptive method that they want and may lead to more method discontinuation long-term. [18][19][20] This analysis will quantify the presence of provider biases in contraceptive provision in Lomé, Togo during the first year of implementing Agir pour la Planification Familiale (AgirPF) program of the US Agency for International Development (USAID)/West Africa and EngenderHealth. 21 The AgirPF intervention was designed to improve access to and uptake of contraception by addressing supply-side barriers, including quality of clinic services, provider training, and availability of contraceptive resource and services. ...
Background:
Despite improvements in contraception availability, women face persistent barriers that compromise reproductive autonomy and informed choice. Provider bias is one way in which access to contraception can be restricted within clinical encounters and has been established as common in sub-Saharan Africa. This analysis assessed the prevalence of provider restrictions and the potential impact on women's method uptake in Lomé, Togo.
Methods:
This sub-analysis used survey data from provider and client interviews collected to assess the impacts of the Agir pour la Planification Familiale (AgirPF) program in Togo. The relationships between provider restrictiveness and women's receipt of their desired method of contraception were modelled using mixed effects logistic regressions looking at all women and among subgroups hypothesized to be at potentially higher risk of bias.
Results:
Around 84% of providers reported a restriction in contraceptive provision for the five contraceptive methods explored (pill, male condom, injectable, IUD, and implant). Around 53% of providers reported restricting at least four of the five methods based on age, parity, partner consent, or marital status. Among all women, there were no significant associations between provider restrictiveness and women's receipt of desired method, including among those who desired long-acting methods. In adjusted modeling, marital status was a covariate significantly associated with desired method, with married women more likely to receive their desired method than unmarried women (aOR 2.73, 95% CI 1.45-5.13).
Conclusion:
Provider reports of high levels of restrictions in this population are concerning and should be further explored, especially its effects on unmarried women. However, restrictions reported by providers in this study did not appear to statistically significantly influence contraceptive method received.
... [17][18][19][20][21] Rarely do studies seek a more in-depth understanding of client experiences with PAC services and their perceptions of quality of care, even though addressing client perspectives on quality of care has been shown to improve client satisfaction, leading to continued and sustained use of services and improved health outcomes. 22 Further, evidence suggests that trust in the health system, via client-provider interactions and relations between a health facility and the community, for example, is an important element in restoring the social contract in a post-conflict setting. 23 This article helps to address these gaps in the literature by demonstrating the feasibility of implementing good-quality, respectful PAC services in humanitarian settings, understood through the experience of PAC clients and their perceptions of quality of care. ...
... This study aimed to understand the sociodemographic composition of PAC clients and, based on existing evidence of how quality of care influences utilization of PAC and other SRH services, 22 to also understand the experiences of women who sought PAC at supported health facilities. More specifically, this analysis examines how client experiences with PAC can inform future programming. ...
... These findings are in line with existing literature on how quality of SRH services encourages careseeking behavior. 22,[33][34][35][36] Research has also demonstrated that when providers are equipped with the tools necessary to deliver services and receive supportive supervision, they are more likely to treat clients with respect and take pride in their work. 37 While participants were satisfied with services, many reported pain during the procedure, suggesting the need to ensure that providers follow the pain management protocols on which they were trained. ...
Background:
Postabortion care (PAC) is a lifesaving intervention that, when accessible and of good quality, can prevent the majority of abortion-related deaths. However, these services are only sporadically available and often of poor quality in humanitarian settings. CARE International, the International Rescue Committee, and Save the Children strengthened the Congolese Ministry of Health to provide PAC, including voluntary contraceptive services, in North and South Kivu, DRC.
Objective:
We aimed to gain understanding of the demographic and clinical characteristics of PAC clients, the experiences of women who sought PAC at supported health facilities, and the women's perceptions of the quality of care received. We also explored how client perspectives can inform future PAC programming.
Methods:
A PAC register review extracted sociodemographic and clinical data on all PAC clients during a 12-month period between 2015 and 2016 at 69 supported facilities in 6 health zones. In-depth interviews were conducted between September 2016 and April 2017 with 50 women who sought PAC in the preceding 3 months at supported health facilities. Interviews were recorded, transcribed, and translated into French for analysis. Thematic content analysis was subsequently used as the data analytic approach.
Results:
In 12 months, 1,769 clients sought PAC at supported facilities; 85.2% were at less than 13 weeks gestation. Over 80% of PAC clients were treated for incomplete abortion, and of these, 90% were treated with manual vacuum aspiration. The majority (75.2%) of PAC clients chose voluntary postabortion contraception. All but one interview participant reported seeking PAC for a spontaneous abortion, although most also reported their pregnancy was unintended. Clients were mostly made aware that PAC was available by community health workers or other community members. Experiences at the supported facilities were mostly positive, particularly in regards to client-provider interactions. Most women received contraceptive counseling during PAC and selected a modern method of contraception immediately after treatment. However, knowledge about different methods of contraception varied. Nearly all women said that they would advise another woman experiencing abortion complications to seek PAC at a supported health facility.
Conclusions:
The findings demonstrate the successful implementation of good-quality, respectful PAC in North and South Kivu. Overall, they suggest that the organizations' support of health workers, including competency-based training and supportive supervision, was successful.
... There is also a growing body of evidence to show that women's perception of quality of care is one of the key determinants of service utilization although this continues to be an often neglected aspect of assessing access to care in low and middle-income countries [8,9]. User's perception could also be affected by their personal, social and cultural circumstances [10]. Similar findings are reported specifically from Nepal [11][12][13]. ...
Background
Suboptimal quality of care and disparities in services by healthcare providers are often reported in Nepal. Experience and perceptions about quality of care may differ according to women’s socio-cultural background, individual characteristics, their exposure and expectations. This study aimed to compare perceptions of the quality of maternal healthcare services between two groups that are consistently considered vulnerable, women with disabilities from both the non-Dalit population and Dalit population and their peers without disabilities from both non-Dalit and Dalit communities.
Methods
A cross-sectional survey was conducted among 343 total women that included women with disabilities, Dalits and non-Dalits. Women were recruited for interview, who were aged 15–49 years, had been pregnant within the last five years and who had used maternal care services in one of the public health facilities of Rupandehi district. A 20-item, Likert-type scale with four sub-scales or dimensions: ‘Health Facility’, ‘Healthcare Delivery’, ‘Inter-personal’ and ‘Access to Care’ was used to measure women’s perceptions of quality of care. Chi-square test and t test were used to compare groups and to assess differences in perceptions; and linear regression was applied to assess confounding effects of socio-demographic factors. The mean score was compared for each item and separately for each dimension.
Results
All groups, women with disabilities and women without disabilities, Dalit and non-Dalit rated their perceptions and experiences of quality of care lowly in a number of items. While perceived quality of care between women with disabilities and without disabilities in the ‘Health Facility’ dimension and associated items, was found to differ (p<0.05), this difference was linked to disability status, but was not linked to caste differences. For example, differences in mean scores relating to ‘Cleanliness and Facilities’, ‘Open and Friendliness’ and ‘Compassion and Kindness’ were highly significant (p<0.001), with women with disabilities rating these as better than women without disabilities. On the other hand, women without disabilities rated the ‘Availability of cash Incentives’ more highly (p<0.01). No significant differences were found between Dalit and non-Dalit women in perceived quality of care, except in relation to ‘Cleanliness and facilities’, which Dalit women rated lower than non-Dalits (p<0.05).
Conclusions
Perceptions about the quality of care differed significantly by disability status but not by caste. All groups rated the quality of healthcare delivery, interpersonal and personal factors as well as access to services ‘low.’ Poor service user experiences and perceptions of quality of care undermine opportunities to translate increased healthcare coverage into improved access and outcomes. Greater attention is required by policy makers, health planners and providers to the improvement of quality of care in health facilities.
... All of this indicates a need for education of accurate information on an individual level on the various methods of family planning options available, the benefits and drawbacks of each, including mitigating the fear surrounding the side effects, and how these methods work in the body to prevent pregnancy. This recommendation is strongly advocated for in other research with similar populations and conclusions (Babalola, Neetu, Ajao, & Speizer, 2015;Bakibinga et al., 2016;Creel, Sass, & Yinger, 2014;Gueye et al., 2015;Mutombo et al., 2014;Naanyu et al., 2013;Sedgh & Hussain, 2014). ...
... N-HbM actively works to break this barrier by physically distributing health care services through motorbike transportation. Replicating this concept or developing health posts in the community where certain methods and educational materials are available begins to break down access barriers (Creel et al., 2014). While this study did not explicitly discuss the quality of family planning services rendered, discussion of fear that women have about not being able to change methods or remove a method early permeated the conversations. ...
... The quality of service and environment in which a woman receives care influences if she will ultimately seek care. Creating patient-centered policies that include confidentiality, convenient clinic hours, required stocking of all methods, and shared decision making will help to break down the stigma associated with seeking care (Creel et al., 2014). Finally, there is a strong need to continuously advocate at the government level for affordable and available family planning services and methods as a sustainable approach to increasing family planning use (Sedgh & Hussain, 2014). ...
Overall, about 20 percent or 8.9 million women in Kenya have unmet family planning needs. The total fertility rate as of 2014 was 3.9 births per woman, which did not meet the Kenya National Population Policy for Sustainable Development target rate of 2.5, a rate that was set to help improve the health of women and entire communities. Working with the staff from Nikumbuke-Health by Motorbike (N-HbM), focus groups and in-depth interviews were conducted in June of 2013 in four rural villages of Southeastern Kenya to elucidate the determinants of reproductive health, including the beliefs and attitudes surrounding family planning, and how these translate into behaviors. The study results indicate that there is high knowledge of contraceptive methods among the women in the communities, but this knowledge does not necessarily translate to behavior or contraceptive use. Application of the Social Ecological Model identifies mediators associated with family planning behavior and suggests areas for interventions to meet the communities’ unmet family planning needs at the intrapersonal, interpersonal, community, and societal levels. This article outlines the specific recommendations given to N-HbM to translate family planning beliefs and attitudes into behaviors, as well as discusses the global importance of designing family planning programs that improve the health of women and their communities.
