Bailey W, Wynter H H, Lee A, Jackson J, Oliver P, Munroe J, Lyew-Ayee A, Smith S, Clyde M
Department of Obstetrics and Gynaecology, U.W.I., Jamaica.
West Indian Med J. 1996 Mar;45(1):18-21.
In order to improve the effectiveness and subtainability of the family planning programme, the National Family Planning Board has devised a strategy to shift users to longer-acting methods and increase the role of the private sector. To design interventions, a better understanding of existing services was thought to be necessary. This study examines the distribution of family planning service delivery points in Jamaica and the services offered by the public and private sectors through an examination of records and questionnaire interviews. The study found that, because of the concentration of private sector providers-the main outlets for longer-acting methods-in urban areas, rural areas had poor access to these methods. Because rural areas are not attractive to private sector providers, the public sector should recognize the need to continue to serve these areas.
为提高计划生育项目的有效性和可持续性，国家计划生育委员会制定了一项战略，促使使用者转向长效避孕方法，并增强私营部门的作用。为设计干预措施，认为有必要更好地了解现有服务。本研究通过查阅记录和问卷调查，考察了牙买加计划生育服务提供点的分布情况以及公共部门和私营部门提供的服务。研究发现，由于私营部门提供者（长效避孕方法的主要供应渠道）集中在城市地区，农村地区难以获得这些方法。由于农村地区对私营部门提供者缺乏吸引力，公共部门应认识到继续为这些地区提供服务的必要性。
