Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1985-12-18
pubmed:abstractText
This study examines contraceptive use among clients at the three clinics providing family planning services in Dakar, Senegal in early 1983. Most clients first became interested in family planning following the birth of a child, and most are interested in spacing future pregnancies, although one-third state that they want no more children. The clinic itself was found to be an important determinant of the type of contraceptive used, with only the government-operated clinic providing a balance between IUDs, oral contraceptives, and barrier methods. Nearly half of the clients interviewed said that a lack of knowledge about contraception is the reason for the low contraceptive prevalence rates among Senegalese women; another frequently cited reason was the opposition of the husband. Most clients reported the broadcast media to be the best means of providing family planning information to potential acceptors.
pubmed:keyword
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pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0039-3665
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
271-8
pubmed:dateRevised
2004-11-17
pubmed:otherAbstract
PIP: This study examines contraceptive use among clients at the 3 clinics providing family planning services in Dakar, Senegal in early 1983. At each of 3 clinics, all family planning clients seen during January and Februrary of 1983 were interviewed with regard to their sociodemographic characteristics, reproductive histories, knowledge and attitudes relating to family planning, patterns of contraceptive use, and the reason for the current visit. Clients returning to a clinic for resupply of or information concerning a previously accepted method were included in the study. A total of 1219 family planning clients were interviewed. 709 women were seen at the government-operated Protection Maternelle et Infantile (PMI) de Medina; 281 at the Association Senegalaise de Bien-etre familial (ASBEF) Clinic (funded by IPPF) and 229 at the private Clinique de la Croix Bleue. At each of the 3 clinics most women were using either traditional spacing practices or no method at all prior to their initial visit; returning clients have since adopted or switched to effective modern methods. Of particular interest are the methods provided to women coming for the 1st time to 1 of the 3 clinics. Individual client factors appear to play a small role in the provision of contraceptives at the 3 clinics surveyed. At the PMI de Medina Clinic, 69% of 1st-time clients received condoms or female barrier methods; very few received the pill or an IUD. Nearly 1/5 of the 1st time visitors received no method at all, only information relating to family planning. On the other hand, 2/3 of the initial-visit clients at the ASBEF clinic and all those at the Croix Bleue were given IUDs. It is evident that contraceptive dispensation at the 3 clinics is not tailored to the particular needs and reproductive intentions of the client population, but rather to method availability and orientation of the respective clinic personnel. Clients' choice of using the PMI Clinic was made because they knew of no other centers to obtain contraceptive services or because services were free there. Comparatively few said that the clinic had been recommended to them or that it provided the best services. On the other hand, recommendations of others and the quality of services were both given as important reasons among ASBEF and Croix Bleue clients. When asked how family planning information could best be made available to Senegalese couples, 54% of the women seen at the Croix Bleue clinic felt that it should be provided by medical personnel. Most of the clients at the other 2 clinics favored the broadcast media. Lack of knowledge about contraceptive methods and husband's opposition are thought to be the most important reasons for nonuse, together accounting for 75% of the responses. To develop the distribution of family planning services in Senegal, future program activities must focus on establishing additional family planning clinics or other distribution centers in urban areas; enhancing information, education and communication programs; and, realizing that preparation for increased service delivery must be made in both the public and private sectors.
pubmed:meshHeading
pubmed:articleTitle
Vanguard family planning acceptors in Senegal.
pubmed:publicationType
Journal Article