Influence of integrated Services on Routine family planning use: a cross-sectional survey in South Sudan

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DOI: 10.21522/TIJAR.2014.06.02.Art010

Authors : Nebiyu Lera Alaro

Abstract:

South Sudan’s modern contraceptive prevalence rate stands at just 2.7 percent, with an unmet need for modern family planning (FP) at 30.8 percent (FP 2020, 2018). Multiple barriers contribute to low FP uptake in South Sudan: inadequate data collection tools and insufficient analysis, interpretation, and communication of data. Research from the Democratic Republic of the Congo (DRC) shows that improved management of FP data enables stronger ownership of program results at the health facility and community levels, empowering community members and providers to increase FP uptake (Ho & Wheeler, 2018). The study methodology used a cross-sectional observational design with quantitative and qualitative approaches to data collection and analysis. Data were collected from 178 health facilities across 17 counties in two states in South Sudan: Central Equatoria and Western Equatoria. The purpose of the study was to explore how effectively FP data in the routine health information system (RHIS) are analyzed, interpreted, and communicated, and it discusses barriers to RHIS data use and ownership in two states in South Sudan, to inform policy and programmatic decision making. The study result was over half (55.8%) of the 172 health facilities assessed that should be collecting FP data do collect FP data. Only 16 percent of the county health departments (CHDs) assessed, and fewer than six percent of the health facilities assessed, carry out FP data analysis. Two hospitals, two primary healthcare centers (PHCCs), and one primary healthcare unit (PHCU) had the capacity to interpret analyzed FP data.

Keywords: Family planning, South Sudan, Democratic Republic of the Congo, routine health information system and empowering community members.

References:

[1].      https://www.researchgate.net/publication/7324930_The_Unmet_Need_for_Contraception_among_Nigerian_Women_in_the_First_Year_Post-Partum?el=1_x_8&enrichId=rgreq-66c303791c080c763d7779a87eb76f12-XXX&enrichSource=Y292ZXJQYWdlOzI1NTk1MTM0NDtBUzoxMDI1ODI5MDMxMTU3ODNAMTQwMTQ2OTA3ODU4NA

[2].      African Union. (2013). Family planning and the demographic dividend in Africa. Retrieved from https://www.who.int/pmnch/media/events/2013/au_policy_brief_family.pdf

[3].      Family Planning 2020. (2018). FP2020 Core indicator summary sheet: 2017–2018 Annual progress report. Retrieved from http://www.familyplanning2020.org/sites/default/files/South%20Sudan%202018%20CI%20Handout.pdf

[4].      Ho, L. S. & Wheeler, E. (2018). Using program data to improve access to family planning and enhance the method mix in conflict-affected areas of the Democratic Republic of the Congo. Global Health: Science and Practice, 6(1), 161–177. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/29602870

[5].      World Bank. (2017). Population growth (Annual). Retrieved from https://data.worldbank.org/indicator/SP.POP.GROW

[6].      Laku, R., Camino, C. M., Stoops, N., & Ali, M. (2012). Implementing a routine health management information system in South Sudan. South Sudan Medical Journal, February. Retrieved from http://www.southsudanmedicaljournal.com/archive/february-2012/implementing-a-routine-health-management-information-system-in-south-sudan.html

[7].      https://www.researchgate.net/publication/261743126_Contraceptive_Use_Intention_to_Use_and_Unmet_Need_during_the_Extended_Postpartum_Period?el=1_x_8&enrichId=rgreq-66c303791c080c763d7779a87eb76f12-XXX&enrichSource=Y292ZXJQYWdlOzI1NTk1MTM0NDtBUzoxMDI1ODI5MDMxMTU3ODNAMTQwMTQ2OTA3ODU4NA

[8].      https://www.researchgate.net/publication/9021353_The_inequality_of_Maternal_health_care_in_urban_sub-Saharan_Africa_in_the_1990s?el=1_x_8&enrichId=rgreq-66c303791c080c763d7779a87eb76f12-XXX&enrichSource=Y292ZXJQYWdlOzI1NTk1MTM0NDtBUzoxMDI1ODI5MDMxMTU3ODNAMTQwMTQ2OTA3ODU4NA

[9].      South Sudan National Bureau of Statistics (SSNBSS). (2018). Dashboard. Retrieved from http://www.ssnbss.org/

[10].  The Republic of Sudan Ministry of Health (MOH). (2013). Family planning policy. Retrieved from http://pdf.usaid.gov/pdf_docs/PA00JVB1.pdf

[11].  The Republic of Sudan Ministry of Health (MOH). (2011). Health sector development plan 2011–2015. Retrieved from http://www.gunneweg-imprint-consultants.nl/wp-content/uploads/2011/10/HSSDPL2010-2015-SOUTH-SUDAN.pdf

[12].  Uganda Program for Human and Holistic Development. (2006, July). Lot quality assurance sampling (LQAS): An overview. Presentation at the LQAS Conference, Kampala, Uganda. Retrieved from http://uphold.jsi.com/Docs/Resources/Conferences/presentation_overview-lqas_2006.pdf