Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand.
Institute of Social and Medical Studies, Hanoi, Vietnam.
BMC Womens Health. 2023 Oct 16;23(1):537. doi: 10.1186/s12905-023-02699-0.
This research investigated the determinants of the number of family planning consumers in Kenya, Nigeria and Uganda, with a focus on outlet's and provider's characteristics which are important factors influencing the choice of using contraceptive methods but largely unexplored in previous literature.
We utilized a unique panel survey on outlet's in Kenya (n = 1,321), Nigeria (n = 1,255) and Uganda (n = 842), which is part of the Consumer Market for Family Planning conducted in between 2019 and 2020, for the analysis of the pooled data (n = 3,418) and individual country. Random effects Poisson regressions were performed.
The pooled data results showed that the expected number of consumers were significantly lower in Nigeria and Uganda than in Kenya, and that working experience (provider's characteristics), types of stores, duration of providing family planning services, participations in community outreach and host community events, and sign of family planning services (outlet's characteristics) were significant determinants of the number of customers. The results for each country revealed interesting similarities and differences in the determinants across the three countries.
This study sheds light on the relationship between the number of family planning customers and outlet's and provider's characteristics, thus providing informative evidence-based to on-going debates on the coverage of family planning services, which is still insufficient in developing countries. As a result, the government's family planning expenditures should instead prioritize small, private enterprises such as pharmacies or drug stores. Furthermore, it is critical to focus on several critical tasks to improve the qualities of outlets and providers to attract customers, such as ensuring that they are eye-catching, advertising FP services, have professional credentials, fulfil providers' obligations to counsel contraceptive users, provide long-term services and community care, and have female providers.
本研究调查了肯尼亚、尼日利亚和乌干达计划生育消费者数量的决定因素，重点关注对选择避孕方法有重要影响但在以往文献中尚未充分探讨的网点和提供者特征。
我们利用了一项在肯尼亚（n=1321）、尼日利亚（n=1255）和乌干达（n=842）的网点进行的独特的、关于网点的面板调查，该调查是 2019 年至 2020 年期间开展的计划生育消费者市场调查的一部分，用于对汇总数据（n=3418）和个别国家进行分析。采用随机效应泊松回归进行分析。
汇总数据结果表明，与肯尼亚相比，尼日利亚和乌干达的预期消费者数量明显较低，而工作经验（提供者特征）、商店类型、提供计划生育服务的持续时间、参与社区外展和社区活动以及计划生育服务的标志（网点特征）是客户数量的重要决定因素。每个国家的结果都揭示了三个国家在决定因素方面的有趣相似之处和差异。
本研究阐明了计划生育消费者数量与网点和提供者特征之间的关系，从而为计划生育服务覆盖范围的持续辩论提供了信息依据，而在发展中国家，计划生育服务的覆盖范围仍然不足。因此，政府的计划生育支出应优先考虑药店或药店等小型私营企业。此外，必须注重几项关键任务，以提高网点和提供者的质量，吸引客户，例如确保它们引人注目、宣传 FP 服务、拥有专业证书、履行提供者向避孕药具使用者提供咨询的义务、提供长期服务和社区关怀以及拥有女性提供者。
