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Curationis

On-line version ISSN 0379-8577

Curationis vol.33 n.2 Pretoria Jan. 2010

 

RESEARCH ARTICLE

 

Perceptions of clients regarding family planning service delivery in a clinic of the Greater Johannesburg Metropolitan Council

 

 

A KellnerI; K JoosteII; W JacobsIII

IMCur. Department of Nursing, University of Johannesburg
IIProfessor, Department of Nursing, University of Johannesburg
IIILecturer, Department of Nursing, University of Johannesburg

Correspondence

 

 


ABSTRACT

Unwanted pregnancies with their negative impact on both women and children occur on an ongoing basis in Gauteng, South Africa. One way to prevent unwanted pregnancies is to use a reliable contraceptive method available free of charge from primary health care clinics providing family planning services throughout Gauteng Province. A literature review was completed on women and access to family planning services and an interview schedule (questionnaire) was developed. The purpose of this study was to describe guidelines to meet the expectations of clients accessing family planning services provided by a clinic in Region F, Area 28 of the Greater Johannesburg metropolitan council. This quantitative, exploratory, descriptive and comparative study measured the gaps between the expectations of participants on service delivery and the extent to which these expectations were met. A convenience sample was conducted and consisted of 50 women of reproductive age (ages 15 to 49) attending the family planning clinic. Pre-testing of the instrument was conducted. Structured interviews with a interview schedule were conducted before and after women attended a family planning service. Inferential statistics indicated that there was a significant gap between the client expectations of family planning service delivery and the extent to which these expectations were met. Of the sixty-four items where women indicated the extent of their expectations the findings on only three items were not statistically significant. These gaps were addressed by proposing managerial guidelines to be implemented by the nurse manager in charge of the facility, on which this article will focus. Validity and reliability principles were ensured in the study. Ethical principles were adhered to during the research process.

Key words: Women, reproductive age, family planning


 

 

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Bibliography

ANON 2005: Wider choices. A summary of newer contraceptive alternatives for Irish women. The world of Irish nursing. June :51.         [ Links ]

OUTON, J 2001: The practice of social research. Cape Town: Oxford University Press.         [ Links ]

BRAAM, T (Ed). 2002: National termination of pregnancy statistics. Barometer, 7(10):11        [ Links ]

BRINK, HIL 2001: Fundamentals of research methodology for health care professionals. Cape Town: Juta.         [ Links ]

BURNS, N & GROVE, SK 1993: The practice of nursing research. New York: WB Saunders.         [ Links ]

BURNS, N & GROVE, SK 1995: Understanding nursing research. Philadelphia: WB Saunders.         [ Links ]

BURNS, N & GROVE, SK 2005: The practice of nursing research. Conduct, critique and Utilization. Firth edition. Philadelphia: Elsevier Saunders.         [ Links ]

CHAMPION, JD; SHAIN, RN & PIPER, J 2004: Minority adolescent women with sexually transmitted diseases and a history of sexual or physical abuse. Issues in mental health. 25: 293-316.         [ Links ]

COETZEE, D & MOYS, A(Ed).1999: Trainers manual for the management of a person with sexually transmitted disease. Pretoria: Department of Health.         [ Links ]

DE FREITAS, G 2007: Adolescents' knowledge of contraception in a selected area in Angola. Pretoria: University of South Africa.         [ Links ]

DE VOS, AS 1998: Research at grass roots. A primer for the caring professions. Pretoria: Van Schaik.         [ Links ]

DICKSON, K; ASHTON, J; PLEANER, M; MOLEKO, W & MANGOTCHI, M (Editors) 2005: Going for gold, a clinic guide to the National Adolescent Friendly Initiative, Second edition. Johannesburg: Reproductive health research unit.         [ Links ]

DOH, 2000: National contraceptive policy guidelines within a reproductive health framework. Pretoria: Government Printers.         [ Links ]

DOH, 2001a: Termination of pregnancy updates Department of Health: Pretoria. Available from: www.doh.gov.za, (Accessed 2 September 2004).         [ Links ]

DOH, 2001b: The primary health care package for South Africa. A set of norms and standards. Pretoria: Government printers.         [ Links ]

DOH, 2004a: National contraceptive service delivery guidelines: Republic of South Africa. Pretoria: Department of Health        [ Links ]

DOH. 2004b: Strategic priorities for the national health system 2004-2009. Pretoria: Department of Health.         [ Links ]

EGAN, G 1998: The skilled helper. A problem management approach to helping. Sixth Edition. Pacific Grove: Brooks/ Cole.         [ Links ]

EHLERS, VJ; MAJA, T; SELLERS, E & GOLOLO, M 2000: Adolescent mothers' utilization of reproductive health services in the Gauteng province of the Republic of South Africa. Curationis. 23(3):43-53.         [ Links ]

EVIAN, C 2000: Primary AIDS care. Third Edition. Houghton: Jacana.         [ Links ]

FHI 2004: Maximizing access to Quality Family Planning and Reproductive Health Services. Family Health International. Available from: http://ww.mi.org/en/RH/Pubs/Briefs/Factsheet5.htm, (Accessed 23 June 2006).         [ Links ]

FLEISCHMAN, KG; HARDEE, K & AGARWAL, K 2002: When does it makes sense to consider integrating STI and HIV services with family planning services? International family planning perspectives. 28(2): 105 - 112.         [ Links ]

GUILLEBAUD, J 1994: Contraception your questions answered. Edinburgh: Churchill Livingston.         [ Links ]

HATCHER, RA; TRUSSEL, J; STEWART, GK; KOWAL, D; GUEST, F; CATES, W & POLICAR MS 1994: Contraceptive technology. New York: Irvington Publishers.         [ Links ]

HATCHER, RA; RINEHART, W; BLACKBURN, R; GELLER, JS & SHELTON, JD 2001: Essentials of contraceptive technology. Baltimore: John Hopkins University.         [ Links ]

HEALTH SYSTEMS TRUST 2002: News. Available from: http://www.healthlink.org.za/news, (Accessed 25 October 2008).         [ Links ]

HEALTH SYSTEMS TRUST 2007: Health Statistics. Available from: http://www.healthlink.org.za/healthstats, (Accessed 25 October 2008).         [ Links ]

HELLERSTEDT, WL & RADEL, EE 2004: Sexual activity and sexual health of adolescents. UCE. 20(2): 29-32.         [ Links ]

JARVIS, S 2005: Long-acting reversible contraception: new guidelines form NICE. Nurse prescribing. 3(6): 253-256.         [ Links ]

JHPIEGO, 1998(a): Family planning programs: Benefits of good quality. Population reports, Series Journal, 37(1)1-4. Available from: (http://www.infoforhealth.org/pr/j47/j47chapl_2.shtml, (Accessed 2 July 2007).         [ Links ]

KIRBY, S 2006: YFS business plan. Sandton: LoveLife.         [ Links ]

KOLS, AJ & SHERMAN, JE 1998: Family planning programmes: Improving quality. Population reports. 26(3): November 1998.         [ Links ]

KRUGER, WM & STEYN, PS 2006: Contraception for first-time users: a problem-orientated guide to product selection and safe prescription. Professional nursing today. 10(3): 12-18.         [ Links ]

LESTER, C & ALLAN, A. 2005: Teenage sexual health needs: asking the consumers. Health Education. 106(4):315-328.         [ Links ]

LETE, I 2006: How to prescribe...s?. The European Journal of contraception and reproductive health care, pp. 13-26.         [ Links ]

MEDICAL RESEARCH COUNCIL 2001: Contraceptive prevalence rate. Available from: http://www.gov.za/facts, (Accessed on 2 September 2004).         [ Links ]

METCALF, T 2004: Sexual health: meeting adolescents' needs. Nursing standard. 18(46):40-43.         [ Links ]

MULLER, M; BEZUIDENHOUT, MC & JOOSTE, K 2006: Health care services management. Kenwyn: Juta.         [ Links ]

PARAHOO, K 1997: Nursing Research. Houndsmills. Macmillan Press.         [ Links ]

POWLSON, M (Ed) 2004: Medical and Service Delivery Guidelines for Family Planning. Third edition. London: IPPF medical publications, 435p.         [ Links ]

PRAXIOM 2008: ISO 9001 2008 Gap analysis tool. Available from: http://www.praxiom.com/iso-gap.htm, (Accessed 1 October 2008).         [ Links ]

RAMCHANDRAN, D 2007: Developing a continuing client strategy, Population reports. Series J, No 55, Baltimore, John Hopkins Bloomberg School of public health, March 2007.         [ Links ]

RHRU, 2000a: Sexual and Reproductive Heath Services. Facilitators guide, Johannesburg: Wits University.         [ Links ]

RHRU, 2000b. Sexual and Reproductive Health course, module 1 Framework for the provision of Sexual and Reproductive Heath Services. Facilitators guide, Johannesburg: Wits University.         [ Links ]

RUDY, S; TABBUTT-HENRY, J; SCHAEFER, & McQUADE, P 2003: Improving client-provider interaction. Population reports. Series Q, ( 1 ): 4-6.         [ Links ]

SOANES, C; SPOONER, A; HAWKER, S. (Editors). 2001: Oxford dictionary, thesaurus and wordpower guide. Cape Town: Oxford University Press.         [ Links ]

SMIT, PJ & CRONJE J de J 2002: Management principles. A contemporary edition for Africa. Second edition. Landsdowne: Juta.         [ Links ]

TECHTARGET 2007: What is a gap analysis? Available from:http://searchio-midmarket.techtarget.com/sDefinition0sid83_gci831294,00.html, (Accessed 1 October 2008).         [ Links ]

UNIVERSITY OF SASKATCHEWAN 2008: Definition of Primary Health Care. Available from: http://www.medicine.uask.ca/research/health-research/primary-health-care, (Accessed on 19 September 2008).         [ Links ]

UNITED NATIONS, 2008: The millennium development goals report. New York: United Nations.         [ Links ]

VENUGOPAL, ST & UPADHYAY, UD 2002: Birth spacing - three to five saves lives. Population reports. 30(3): 1-23.         [ Links ]

WHO. 2000a: Improving the quality of family planning service delivery. Available from http://www.who.int/re-productive-health/familyplanning/delivery.html, (Accessed 2 September 2004).         [ Links ]

WHO, 2000b: Safe motherhood newsletter, 28(1):6.         [ Links ]

WHO 2003: Family planning. Improving the quality of family planning service delivery. Department of Reproductive Health and Research, Word Health Organization. 1 p. Available from: http://www.who.int/reproductive-health/familyplanning/delivery/html, (Accessed 2 September 2006).         [ Links ]

WHO 2005: Integrating STI/RHI care for reproductive health Sexually Transmitted and other Reproductive Tract Infections a guide to essential practice, Geneva: World Health Organization.         [ Links ]

WHO 2008: Selected practice recommendations for contraceptive use. Available from:http://www.who.int/rhs_02_07/rhr_02_07_8.html, (Accessed on 30 June 2006).         [ Links ]

 

 

Correspondence:
Prof K Jooste
Department of Nursing
University of Johannesburg
Auckland Park, 2006
Tel: (011)559-2857
E-mail: kjooste@uj.ac.za

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