Download to read offline
Overview of Family P Situation in Ghana.ppt
- 2. FP-A Pivotal Servicein RH A component of Reproductive Health Also a component of Safe Motherhood Cuts across most components of RH ◦ Post Abortion Care, Comprehensive Abortion Care ◦ STI/HIV/AIDS Prevention and Management ◦ Infertility ◦ Adolescent and Male Services
- 3. High unmetneed 35% 2008 GDHS report Unmet need refers to: - women who do not want to get pregnant for the next 2 or 3 years(spacing) -or women who do not want to have any more children(limiting) but are not using any method. • 26.4% 2011 MICS
- 4. Logistics Management • Loss,Wastage and Expiry of commodities • Regions’ inability to estimate requirements • Intraregional stock out of some commodities • Inability of regions to capture enough data from the private sector
- 5. Reports Data entryissues -Inaccurate -Incomplete -Poor quality -Poor reporting on Emergency Contraception -Reports on LAM lumped together with natural methods
- 6. Service delivery • Availabilityof Clinical Methods -limited access especially in rural areas -Inadequate trained providers -lack of commodities Provider bias resulting in -few selected commodities at the clinic -newly trained CHNs posted to such clinics having limited knowledge & skills about other methods
- 7. Provider attitudestowards the young and sexually active -Sometimes rude and unfriendly -Due to lack of training in providing adolescent health services
- 8. Service delivery • Clinicworking hours not always convenient for clients -rural women available mainly in the evenings -market women • Missed Opportunities -Post partum family planning -Post abortion care family planning -Child welfare clinics, General OPD
- 9. Emergency Contraception Inadequateknowledge of some service providers EC not available at most health facilities Some providers do not talk about it Provider bias especially against unmarried young women Providers not always available to provide the service- during weekends, night, funerals etc when EC is needed the most Non reporting
- 10. Distribution of Commodities Systemic problems in transport, reporting and re- supply sometimes result in facility-level stock-outs The process of collecting fees from clients and accounting for them at different levels complicates regular distribution of contraceptives
- 11. Monitoring and supervision Atall levels is insufficient due to: -Competing activities -Lack of time -Inadequate funds -Inadequate knowledge and skills
- 12. Rumours andMisconceptions Fear of side effects
- 13. Expand the cadresof family planning service providers Policy is being revised Need to include implant insertion and removal in training manual of CHNs Need to have more preceptors to train students in the facilities
- 14. Improve data management -Trainingin the use of DHIMS -OJT for newly posted staff -Validate data before entry/Quarterly -Regular check on data in the DHIMS to ensure completeness, accuracy etc -Data entry into the DHIMS PHNs, CHNs -Provide feedback at all levels -Emergency contraception should be available and documented
- 15. Commodity distribution -Regular monitoringand supervision -Closely monitor progress and do active problem- solving in the system -Revise current system for collection and distribution to increase efficiency and timeliness in flow of products to lower levels -Quarterly Physical Count of Commodities to reduce stock out and expiry
- 16. Management Leadership andcommitment at all levels The need to follow plans as much as possible Partnership with DA, NGOs, Community etc Integration with other health interventions Innovations- working hours suitable to clients home visits to provide services etc
- 17. Improve community accessto information & Services • Increase FP awareness among policy makers and the general public -Annual family planning week celebrations at national,regional & district levels -Community durbars .provide adequate & accurate information .dispel myths and rumours, fear of side effects .Outreach clinics Nationwide promotion of FP esp. long term methods
- 18. Capacity building Trainingof nurses and midwives in clinical methods Develop and expand the cadres of family planning service providers Training and supporting providers and practitioners in the use of SOP for managing commodities Training of family planning service providers in effective counseling Regular contraceptive updates
- 19. Increase community accessto FP Support districts and communities to reduce urban- rural differences in unmet need for FP -Strengthen FP in CHPs -The use of CBD -Better collaboration with partners -District Assembly -Free FP Services and its inclusion into the national Health Insurance benefit package
- 20.
Editor's Notes
- #11 M&S could provide us with the opportunity to do OJT