Actors associated with utilization of immediate postpartum family planning services among post delivery mothers: A case of Chaguo la Maisha program in Ilala Dares salaam
Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mzumbe University
Abstract
Introduction: Family Planning (FP) program is a key strategy for reducing maternal,
infant and child morbidity. Effective Provision of PPFP prevents unplanned
pregnancy during 12 months after delivery. Objective: The aim of this evaluation
was to evaluate factors associated with utilization of IPPFP in Ilala Municipality.
Methods: Descriptive Cross-sectional study design deployed both quantitative and
qualitative methods for data collection and analysis. Selection of six Health Facilities
used probability sampling strategies, with cluster sampling, non-probability sampling
technique was used to select 395 who were selected conveniently and were given
coded structured, translated to Kiswahili and pre-tested questionnaire to collect data.
Quantitative observation checklist was used to quantify resources availability. Data
were entered into the Microsoft excel sheet and imported into the STATA version 13
for data cleaning before analysis. Chi square test analysis was used to create the
relationship between IPPFP services and the utilization of it. For Qualitative data,
Purposive sampling methods were used to select health workers who had key
information, and used in depth interview guide. Content analysis was used to analyze
the data, transcription of the interview, formation of meaning units, condensation of
the unit followed by codes formation then themes were created to produce report.
Findings: The study findings show 79(20) % of clients were discharged with IPPFP.
Aassociation was found between IPPFP use and counseling session (p-value 0.023),
session clearly understood (p-value 0.030). Another finding which has no association
was stock out of medical supplies and equipment for IPPFP, (p-value 0.360) and
adequate room (p-value 0.332).
Conclusion: There is low utilization of IPPFP use in Ilala Municipality. Reason for
not using the service were; pain following delivery, not discussed with their husband,
fear from side effect of methods and husband not approved to use IPPFP.
Recommendation: Therefore, individual counseling, community and male
involvement should be promoted to increase IPPFP utilization.
Description
A dissertation submitted to the School of Public Administration and Management in partial Fulfillment of the Requirement for the award of the
Master of Science in Health Monitoring and Evaluation (Msc. MH&E) of Mzumbe
University.
Keywords
Family Planning, Post-delivery mothers, IPPFP utilization, Maternal infant, Child morbidity
Citation
APA