Okour Abdulhakeem M, Saadeh Rami A, Zaqoul Mona
Department of Public Health & Community Medicine, Jordan University of Science & Technology, Irbid, Jordan.
Sultan Qaboos Univ Med J. 2017 Nov;17(4):e436-e443. doi: 10.18295/squmj.2017.17.04.010. Epub 2018 Jan 10.
Counselling plays a key role in enhancing reproductive services, providing contraception-related information and supporting long-term family planning for women of childbearing age. This study aimed to evaluate family planning counselling sessions in selected governmental and private clinics in northern Jordan.
This cross-sectional study was conducted between January and June 2016 in Irbid, Jordan. A total of 200 women attending two private clinics affiliated with the Jordanian Association for Family Planning and Protection (JAFPP) and six governmental clinics were invited to participate in the study. Counselling sessions were attended by an independent observer and evaluated with regards to their compliance with the standard Greet, Ask, Tell, Help, Explain, Return (GATHER) framework.
A total of 198 women participated in the study (response rate: 99.0%), including 80 women (40.4%) from JAFPP clinics and 118 (59.6%) from governmental clinics. In total, 42.9% of the counselling sessions were deemed adequate, with providers applying 80% or more of the GATHER framework, while 26.8% of the sessions were deemed semi-adequate and 30.3% were considered inadequate. Counselling services provided in the governmental clinics were significantly less adequate than those provided in JAFPP clinics ( <0.001).
The quality of counselling services in governmental family planning centres in Jordan needs to be improved to ensure that women receive the highest possible level of care. Healthcare policymakers should therefore focus on developing and supporting effective family planning counselling services in northern Jordan.
咨询在加强生殖服务、提供避孕相关信息以及支持育龄妇女长期计划生育方面发挥着关键作用。本研究旨在评估约旦北部部分政府诊所和私立诊所的计划生育咨询服务情况。
这项横断面研究于2016年1月至6月在约旦伊尔比德进行。总共邀请了200名在约旦计划生育与保护协会(JAFPP)下属的两家私立诊所以及六家政府诊所就诊的妇女参与研究。咨询服务由一名独立观察员进行观察,并根据其对标准的问候、询问、告知、帮助、解释、回访(GATHER)框架的遵循情况进行评估。
共有198名妇女参与了研究(应答率:99.0%),其中80名妇女(40.4%)来自JAFPP诊所,118名(59.6%)来自政府诊所。总体而言,42.9%的咨询服务被认为是充分的,即服务提供者应用了80%或更多的GATHER框架,而26.8%的服务被认为是半充分的,30.3%被认为是不充分的。政府诊所提供的咨询服务明显不如JAFPP诊所提供的服务充分(<0.001)。
约旦政府计划生育中心的咨询服务质量需要提高,以确保妇女获得尽可能高水平的护理。因此,医疗保健政策制定者应专注于在约旦北部发展和支持有效的计划生育咨询服务。