Factors towards low contraceptive uptake: does providers’ capacity matter : A case in Morogoro District Council
Date
2015
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mzumbe University
Abstract
The main objective of the study was to determine the role of providers’ capacity in enhancing contraceptive uptake. A descriptive cross sectional study design was used to a randomly selected 51 respondents of whom 26 were health providers and 25 were clients. The specific objectives were to determine magnitude of FP providers availability, to examine providers’ capacity in terms of training, skills, mentorship, experience, data generation and use for provision of FP services, to determine the magnitude of providers’ capacity for FP advocacy, to determine the degree of provider capacity in FP supply forecasting and to determine the level of provider capacity in meeting FP consumers’ choice. Findings revealed that, contraceptive uptake in Morogoro DC was 28% which was low compared to 37% of the region. Also, findings on availability of FP providers revealed that overall deficit of HCPs were 46.7% for dispensaries and 28.6% for health centers respectively. There was no statistically significant different between current contraceptive utilization and availability of health care providers with X2 Pr = 0.933>0.05 at 95% confident limit. Further findings on FP providers capacity revealed that lack of mentorship was at 66.6% for health centers and 100% for dispensaries and it was statistically significant with X2 Pr = 0.007 and correlation coefficient with P>|t| 0.006t 0.006 which is < 0.05 at 95% confident limit. Findings for FP/providers/clients decision making tool revealed that 92.31% of respondent reported that there was no tool available in their health facilities, statistically significant with X2 Pr 0.007 and correlation at P>t 0.006>0.05 at 95% confident limit. Conclusively: This research study had revealed that, consistent availability of contraceptives, health care providers, providers /clients’ decision-making tools and mentorship could enhance contraceptives uptake level in the community.
Description
A dissertation submitted to Mzumbe University as a partial fulfillment of the requirements for the award of a Master’s Degree of Health Monitoring and Evaluation (MSc.H; M&E) of Mzumbe University
Keywords
Birth control -- Tanzania -- Morogoro District, Contraceptives, Health personnel -- In-service training – Tanzania, Family planning services -- Evaluation – Tanzania, Maternal & Reproductive Health, Health Personnel & Education, Public Health & Program Evaluation, Demographics & Population Studies, Family planning, Contraceptive uptake, Maternal mortality, Infant mortality, Family planning services provider
Citation
APA