Kakoko Deodatus C, Ketting Evert, Kamazima Switbert R, Ruben Ruerd
Department of Behavioural Sciences, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Tanzania.
Afr J Reprod Health. 2012 Dec;16(4):140-8.
Adherence to the policy guidelines and standards is necessary for family planning services. We compared public and private facilities in terms of provision of family planning services. We analyzed data from health facility questionnaire of the 2006 Tanzania Service Provision Assessment survey, based on 529 health facilities. Majority of public facilities (95.4%) offered family planning services, whereas more than half of private facilities (52.1%) did not offer those. Public facilities were more likely to offer modern contraceptives as compared to private facilities. However, private facilities were more likely to offer counseling on natural methods of family planning [AOR = 2.12 (1.15-3.92), P < or = 0.001]. Public facilities were more likely to report having guidelines or protocols for family planning services and various kinds of visual aids for family planning and STIs when compared to private facilities. This comparative analysis entails the need to enforce the standards of family planning services in Tanzania.
遵守政策指南和标准对于计划生育服务至关重要。我们比较了公立和私立机构在提供计划生育服务方面的情况。我们分析了2006年坦桑尼亚服务提供评估调查中医疗机构问卷的数据，该调查基于529家医疗机构。大多数公立机构（95.4%）提供计划生育服务，而超过一半的私立机构（52.1%）不提供这些服务。与私立机构相比，公立机构更有可能提供现代避孕方法。然而，私立机构更有可能提供关于计划生育自然方法的咨询服务 [调整后比值比 = 2.12（1.15 - 3.92），P ≤ 0.001]。与私立机构相比，公立机构更有可能报告拥有计划生育服务的指南或方案以及各种计划生育和性传播感染的视觉辅助工具。这种比较分析表明有必要在坦桑尼亚加强计划生育服务标准。
