Title:
Access and Quality of Long Acting Family Planning Services from NGO Supported Family Planning Outlets in Nepal
Authors:
Sharma, Geeta
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
ix, 107
Language:
En
Subject:
Health and Poverty
Keywords:
Access, Quality, LARC, Nepal, NGO funded, outlets
Abstract:
Background: The unmet need for FP services is 25.2% in Nepal (2014). High-unmet need is one of the biggest challenges for successful family planning programme in Nepal. The Government of Nepal (GON) made strategy to collaborate with International Non-Governmental Organisations (I/NGO) and private sectors for comprehensive Family Planning service. Objective: This study aimed to explore the access to and quality of LARC service provided by NGO supported FP-outlets in Nepal. Methods: This study is done through literature review and qualitative field study. An adopted framework from Bruce and Jain T. Bertrand guided the study. A purposively selected sample participants, Managers, service providers and clients were interviewed in Kavrepalanchowk and Makawanpur districts in Nepal. Findings: The LARC service from these outlets are concentrated in urban settlements; mostly in the district headquarters. Distance to the outlet is a barrier to access LARC. Management aspects and opening hours varied by supporting NGO. Multiple ways are in place to establish contact with clients. Some administrative rules and regulations are hindering the expansion of outlets. NGOs are organizing outreach camps to increase the access. LARC service from the outlet is of good quality in perception of providers and clients. Gap in some aspects of quality—complete information to clients; issue in service report, availability of all choice of methods is identified. A good relationship between the GON and NGOs is observed. Conclusion and recommendation: In spite of the contribution from NGO supported outlets and perceived better quality of LARC service provision, its access is limited to clients from urban settlements around the location of these outlets. Minimize duplication of support, and flexible rules and regulations to increase the number of outlets, arrangement of flexible hour of service, creating strong reporting mechanism, integration of LARC in outlets with other health services, improvement in counseling and a study to explore the impact of NGO support for LARC are recommended.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Nepal
Region:
South Asia
Training:
Master of Science in Public Health (MScPH)
Category:
Research
Right:
© 2017 Sharma
Document type:
Thesis/dissertation
File:
QAE7w46khh_20180404132252902.pdf