Fullerton Judith, Fort Alfredo, Johal Kulmindar
American College of Nurse Midwives, Department of Global Outreach, College of Health Sciences, School of Nursing, University of Texas at El Paso, 1101 N Campbell Ave, El Paso, TX 79902-0581, USA.
Midwifery. 2003 Mar;19(1):17-26. doi: 10.1054/midw.2002.0334.
to assess the impact on the provision of family planning (FP) services when FP providers were also trained to provide additional, selected, reproductive health services.
case/comparison study.
twenty-four FP service delivery points in which training in sexually transmitted infection prevention and control services or post-abortion care services had been initiated (case facilities), were compared to 19 control facilities in which similar provider training had not yet been targeted. All settings were located in the Eastern Region of Ghana.
service statistics for three study years (1996-1998) were reviewed. Structured interviews with providers, managers and clients provided qualitative data concerning impact and satisfaction.
case facilities which had integrated these additional reproductive health (RH) services experienced consistently higher numbers of clients and the total number of clients receiving FP services increased over time. There was also a statistically significant increase in continuing FP clients within case facilities. In contrast, the number of FP clients serviced in the comparison area remained basically unchanged over time.
interviews conducted with providers and managers in both types of settings indicated strong support for receipt of training to provide these integrated services and a request for additional training in an even broader array of RH and adult/child services. Clients also perceived the benefit of additional RH services and perceived these services to be of high quality.
expanding the repertoire of clinical skills of FP providers, enabling these practitioners to render RH services that augment basic FP services, has the potential to increase the number of new and continuing FP clients, and increases the satisfaction of both providers and consumers with respect to these services.
评估当计划生育（FP）服务提供者也接受培训以提供其他选定的生殖健康服务时，对计划生育服务提供的影响。
病例/对照研究。
将已开展性传播感染预防与控制服务或流产后护理服务培训的24个计划生育服务提供点（病例机构），与19个尚未针对类似提供者培训的对照机构进行比较。所有机构均位于加纳东部地区。
回顾了三个研究年份（1996 - 1998年）的服务统计数据。对提供者、管理人员和客户进行的结构化访谈提供了有关影响和满意度的定性数据。
整合了这些额外生殖健康（RH）服务的病例机构，客户数量持续增加，接受计划生育服务的客户总数随时间推移而增加。病例机构中持续接受计划生育服务的客户数量也有统计学上的显著增加。相比之下，对照地区接受计划生育服务的客户数量随时间基本保持不变。
在两种类型的机构中对提供者和管理人员进行的访谈表明，他们大力支持接受提供这些综合服务的培训，并要求提供更广泛的生殖健康及成人/儿童服务方面的额外培训。客户也认识到额外生殖健康服务的益处，并认为这些服务质量很高。
扩大计划生育服务提供者的临床技能范围，使这些从业者能够提供增强基本计划生育服务的生殖健康服务，有可能增加新的和持续接受计划生育服务的客户数量，并提高提供者和消费者对这些服务的满意度。
