Citizens’ satisfaction of family planning services in UgandaIn 2012, Forum for Women in                                   ...
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Citizen Report Card data chart on family planning in uganda


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Citizen Report Card data chart on family planning in uganda

  1. 1. Citizens’ satisfaction of family planning services in UgandaIn 2012, Forum for Women in Recommendation The report card provides valuable feedback to improveDemocracy [FOWODE] a women’s family planning services and provides importantrights national non-partisan information to guide policy makers and other keyorganisation, commissioned a study in stakeholder to address the key challenges in effectiveGulu and Luwero districts to measure delivery of family planning services.citizens’ satisfaction with FamilyPlanning (FP) services using a Citizens’Report Card (CRC). By collecting Forum for women in Democracy in 2012 commissioned a Citizen’s Report Card (CRC) study in Gulu and Luwero Ministry of Health • Devise strategies for targeting men to support family planning through use of mass media,feedback on the quality and adequacy districts to measures the levels of citizens satisfaction, access and utilization of family planning services, community dialogue, scaling up integrated outreach services and use of fellow men as peer mobilizers.of public services from actual users,the CRC provides a rigorous basis and • Promote the use of alternative family planning methods with fewer side effects such as rhythm/a proactive agenda for communitiesand civil society organizations to Problem and Grievances redress moon beads. • Increase funding for family planning education Use of modern family planning methods in Uganda hasengage in a dialogue with government consistently increased over the last decade from 14% and advocacy to change people’s attitudes and 21%and service providers to improve Had a problem while at health facility. Major behaviour. in 2001 to 26 % in 2011. • Recruit more health workers especially those thatthe delivery of public services (PAC, problems included Lack of FP commodities, handle family planning issues.2012). The tool not only facilitates impolite staff absence of health worker, bribesprioritization of reforms and correctiveactions but also provides a benchmark 43 % of modern family planning users in Uganda discontinued using the method within 12 months. or pay for services. National Medical Stores • Increase procurement and supply of family planningon the quality of public services as commodities used by men, especially condoms andenjoyed by citizens. 7% Paid some money to access family planning services 68% of these reported to have paid for injectables surgical kits for vasectomy and those used by women with fewer side effects such as moon beads and surgical kits for sterilization.One way of improving reproductive Only 23 % of women practice birth control. and majority of these [90%] paid to a care in Uganda is to ensure that Health Facilitiesfamily planning services are accessible • Increase on community sensitization and outreachand affordable. The Ministry of Health Access and Utilisation Quality and Reliability Satisfaction activities in a bid to popularize family planning methods at community level.(MoH) has put in place maternal • Partner with relevant partners such as villagemortality reforms which include Households Satisfaction with family planning services health teams, community development workers Majority [90%] received theimproving family planning services. that visited a and Community Based Organizations to mobilize required services whenever theyIn line with these efforts, the use of health center 81% people to effectively participate in family planning visited a health center programmes.modern methods of family planning for FP services • Carry out proper investigation /testing beforehas consistently increased over the provision of a family planning method to get a morepast decade, growing from 14 per cent suitable one in a bid to reduce side-effectsof married women in 2001 to 26 per • Sensitise people on the side effects of family 17% planning and how they can manage them.cent in 2011 (UBOS, 2012). However, Households that 2% • Improve on provision of information on availability ofcontraceptive prevalence rates are still free family planning services at government health did not seek satisfied dissatisfied neither-nor satisfiedvery sparse. Although women want facilities. FPservicesto reduce the number of children thatthey have, only one fifth of married Civil Society Organizations 690 households surveyed in Guluand Luwero • Should lobby government for increased funding for Only 11% reported that the 20%women (23 percent) practice birth of those dissatisfied cited bad attitude of health family planning services.control due to many factors including:misconceptions about family planning; 57% visited the health center during the last one year [63% of these were women]. Half of them [50%] sought for injectable contraceptives. health facility carried out outreach services on family workers, 18% were dissatisfied with long hours of wait, 10% inadequate information and 8% health • Undertake community sensitization on the importance of family planning through the use oflack of information; limited access; Choice is influenced by inability to be detected by husbands. Whereas planning within their villages the mass media and community dialogues. facility being too far.costs; limited decision-making 20% of these went with their partners. • Deliberately target men in their family planningpower on reproductive choices; and, campaigns through the use of Information, 75% waited for less Education and Communication materials and massopposition from male partners (NCG,2012). 75% of the surveyed households did not know when the government health facility received family planning thhour to get served while at the health center media • Develop health information packages about the commodities. rights of men and their responsibilities in family planning. Source: Citizen Report Card on Family Planning produced by Forum for Women in Democracy in 2012. WEB| | E-mail: Forum for Women in Democracy