Influence of integrated Services on Routine family planning use: a cross-sectional survey in South Sudan
Abstract:
South Sudan’s modern contraceptive prevalence
rate stands at just 2.7 percent, with an unmet need for modern family planning (FP)
at 30.8 percent (FP 2020, 2018). Multiple barriers contribute to low FP uptake in
South Sudan: inadequate data collection tools and insufficient analysis, interpretation,
and communication of data. Research from the Democratic Republic of the Congo (DRC)
shows that improved management of FP data enables stronger ownership of program
results at the health facility and community levels, empowering community members
and providers to increase FP uptake (Ho & Wheeler, 2018). The study methodology
used a cross-sectional observational design with quantitative and qualitative approaches
to data collection and analysis. Data were collected from 178 health facilities
across 17 counties in two states in South Sudan: Central Equatoria and Western Equatoria.
The purpose of the study was to explore how effectively FP data in the routine health
information system (RHIS) are analyzed, interpreted, and communicated, and it discusses
barriers to RHIS data use and ownership in two states in South Sudan, to inform
policy and programmatic decision making. The study result was over half (55.8%)
of the 172 health facilities assessed that should be collecting FP data do collect
FP data. Only 16 percent of the county health departments (CHDs) assessed, and fewer
than six percent of the health facilities assessed, carry out FP data analysis.
Two hospitals, two primary healthcare centers (PHCCs), and one primary healthcare
unit (PHCU) had the capacity to interpret analyzed FP data.
Keywords: Family planning, South Sudan,
Democratic Republic of the Congo, routine health information system and
empowering community members.
References:
[1].
https://www.researchgate.net/publication/7324930_The_Unmet_Need_for_Contraception_among_Nigerian_Women_in_the_First_Year_Post-Partum?el=1_x_8&enrichId=rgreq-66c303791c080c763d7779a87eb76f12-XXX&enrichSource=Y292ZXJQYWdlOzI1NTk1MTM0NDtBUzoxMDI1ODI5MDMxMTU3ODNAMTQwMTQ2OTA3ODU4NA
[2].
African
Union. (2013). Family planning and the demographic dividend in Africa. Retrieved
from https://www.who.int/pmnch/media/events/2013/au_policy_brief_family.pdf
[3].
Family
Planning 2020. (2018). FP2020 Core indicator summary sheet: 2017–2018 Annual
progress report. Retrieved from http://www.familyplanning2020.org/sites/default/files/South%20Sudan%202018%20CI%20Handout.pdf
[4].
Ho,
L. S. & Wheeler, E. (2018). Using program data to improve access to family planning
and enhance the method mix in conflict-affected areas of the Democratic Republic
of the Congo. Global Health: Science and Practice, 6(1), 161–177. Retrieved
from https://www.ncbi.nlm.nih.gov/pubmed/29602870
[5].
World
Bank. (2017). Population growth (Annual). Retrieved from https://data.worldbank.org/indicator/SP.POP.GROW
[6].
Laku,
R., Camino, C. M., Stoops, N., & Ali, M. (2012). Implementing a routine
health management information system in South Sudan. South Sudan Medical Journal,
February. Retrieved from http://www.southsudanmedicaljournal.com/archive/february-2012/implementing-a-routine-health-management-information-system-in-south-sudan.html
[7].
https://www.researchgate.net/publication/261743126_Contraceptive_Use_Intention_to_Use_and_Unmet_Need_during_the_Extended_Postpartum_Period?el=1_x_8&enrichId=rgreq-66c303791c080c763d7779a87eb76f12-XXX&enrichSource=Y292ZXJQYWdlOzI1NTk1MTM0NDtBUzoxMDI1ODI5MDMxMTU3ODNAMTQwMTQ2OTA3ODU4NA
[8].
https://www.researchgate.net/publication/9021353_The_inequality_of_Maternal_health_care_in_urban_sub-Saharan_Africa_in_the_1990s?el=1_x_8&enrichId=rgreq-66c303791c080c763d7779a87eb76f12-XXX&enrichSource=Y292ZXJQYWdlOzI1NTk1MTM0NDtBUzoxMDI1ODI5MDMxMTU3ODNAMTQwMTQ2OTA3ODU4NA
[9].
South
Sudan National Bureau of Statistics (SSNBSS). (2018). Dashboard. Retrieved from
http://www.ssnbss.org/
[10]. The Republic of Sudan
Ministry of Health (MOH). (2013). Family planning policy. Retrieved from
http://pdf.usaid.gov/pdf_docs/PA00JVB1.pdf
[11]. The Republic of Sudan
Ministry of Health (MOH). (2011). Health sector development plan 2011–2015.
Retrieved from http://www.gunneweg-imprint-consultants.nl/wp-content/uploads/2011/10/HSSDPL2010-2015-SOUTH-SUDAN.pdf
[12]. Uganda Program for
Human and Holistic Development. (2006, July). Lot quality assurance sampling
(LQAS): An overview. Presentation at the LQAS Conference, Kampala, Uganda. Retrieved
from http://uphold.jsi.com/Docs/Resources/Conferences/presentation_overview-lqas_2006.pdf