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Top 5 Lahatsoratra momba ny fandrindrana ny fianakaviana 2019

This post summarizes the top 5 lahatsoratra momba ny fandrindrana ny fianakaviana 2019 from the Fahasalamana maneran-tany: Siansa sy fanao (GHSP) gazety, mifototra amin'ny mpamaky.

We’ve rounded up the top 5 lahatsoratra momba ny fandrindrana ny fianakaviana 2019 from the Fahasalamana maneran-tany: Siansa sy fanao (GHSP) gazety. GHSP is our no-fee, open-access journal dedicated to advancing knowledge on what works (and doesn’t) in global health programs. These are the articles that most caught our readers’ attention this year.

contraceptive implants
Photo by Reproductive Health Supplies Coalition on Unsplash

#5 Are Procured Quantities of Implants Adequate and Appropriate? Modeling Procurement, Inventory, and Consumption of Contraceptive Implants During Rapid Uptake

Donors and others have expressed concerns that countries may have purchased too many contraceptive implants in their efforts to improve access to long-acting methods. Procuring more implants than needed would have resulted in overstocks and wastage. This study looked at data from nine countries to assess how accurate orders were between 2010 SY 2017.

Of the nine countries included in the study:

  • Three came close to purchasing accurate quantities (Ethiopia, Pakistana, and an anonymized country)
  • Four had not ordered enough (Burkina Faso, Ghana, Kenya, ary Tanzania)
  • Two had ordered too many (Uganda and another anonymized country)

The study showed that rapid increases in implant orders generally did not result in overstocks.

Authors: Akhlaghi, Heaton, and Chandani

Jona 2019 issue | Original Article

Woman working in recycling field in Dhaka, Bangladesh
A woman works at a recycling field in Dhaka, Bangladesy. © 2018 Badal Sarker, Courtesy of Photoshare

#4 Unintended Consequences of mHealth Interactive Voice Messages Promoting Contraceptive Use After Menstrual Regulation in Bangladesh: Intimate Partner Violence Results From a Randomized Controlled Trial

This study evaluated the effect of automated interactive voice messages promoting contraceptive use among women in Bangladesh who had undergone menstrual regulation. The intervention did not increase contraceptive use, but the main focus of this article was to explore the effects of the intervention on intimate partner violence (IPV). The researchers took precautions to minimize risk of harm, such as letting the women listen to a sample message at enrollment and asking them if receiving similar messages on their phone was acceptable to them. Na izany aza, the intervention appeared to have an unintended consequence of increasing self-reported IPV. When women were asked about such violence using a direct, closed-ended question that named specific acts of violence, 11% of participants in the intervention group reported physical violence during the 4-month study period compared with 7% of those in the usual care group. When asked using an open-ended question—Did anything happen to you as a result of you being in this study? Good or bad?”—there were no differences between groups.

The study highlights the need to take into account possible negative impacts when designing and evaluating mHealth interventions. It also suggests that direct, closed-ended questions should be used to measure IPV instead of open-ended questions.

Authors: Reiss, Andersen, Pearson, et al.

septembre 2019 issue | Original Article

CHW in Uganda discusses FP choices with clients
A community health worker in Uganda refers to a wall chart to discuss family planning options with her client. ©2016 Laura Wando, WellShare International Uganda, Courtesy of Photoshare

#3 Association Between the Quality of Contraceptive Counseling and Method Continuation: Findings From a Prospective Cohort Study in Social Franchise Clinics in Pakistan and Uganda

The Method Information Index (MII) measures the quality of contraceptive counseling. It ranges from 0 ny 3 based on a client’s answer to whether her provider told her about other methods, potential side effects, and what to do if she has side effects. Little is known, na izany aza, about its association with method continuation rates. Using data from nearly 2,000 social franchise clients in Pakistan and Uganda, this study investigated the relationship between reported baseline MII and the risk of method continuation over 12 VOLANA. The study found that baseline MII scores were positively associated with method continuation rates.

Learn more about the Method Information Index.

Authors: Chakraborty, Chang, Bellows, et al.

ny diabe 2019 issue | Original Article

IBP round table discussion about FP tools
IBP members participate in a round table discussion about new family planning and reproductive health tools during the IBP Regional Meeting in New Delhi, India in February 2018. © Sarah V. Harlan, CCP

#2 Leveraging a Partnership to Disseminate and Implement What Works in Family Planning and Reproductive Health: The Implementing Best Practices (IBP) Initiative

The Sustainable Development Goals and other global health initiatives have recognized the importance of collaboration and partnership for moving their agendas forward. But what does strong collaboration and partnership look like? This commentary explores achievements of the Implementing Best Practices (IBP) fandraisana an-tanana. Noforonina tamin'ny 1999 with support from the World Health Organization, the U.S. Sampan-draharaha misahana ny fampandrosoana iraisam-pirenena, and the United Nations Population Fund, the IBP Initiative is an example of a longtime partnership dedicated to supporting the dissemination and use of evidence-based family planning and reproductive health guidelines, fitaovana, and practices. The commentary also discusses how partners can leverage IBP to achieve global development goals.

Authors: Thatte, Cuzin-Kihl, Velez May, et al.

ny diabe 2019 issue | Commentary

Couple with their infant in Nigeria
A couple with their infant, from Karu village on the outskirts of Nigeria’s capital Abuja, discuss their journey to family planning use. © 2012 Akintunde Akinleye/NURHI, Courtesy of Photoshare

#1 Provider Bias in Family Planning Services: A Review of Its Meaning and Manifestations

Provider bias can sometimes be a barrier to providing family planning clients a broad choice of contraceptive methods, but it must be clearly defined and understood to be effectively addressed. At nearly 3,000 full-text accesses since its publication just three short months ago, this review provides an overview of what provider bias in family planning is, how widespread it is, its underlying causes, ary ahoana no ahafahana miatrika izany amim-pahombiazana. The authors propose coming to agreement on a clear definition of provider bias as a starting point to measure the problem and the effectiveness of interventions to address the problem. Their proposed definition, “attitudes and subsequent behaviors by providers that unnecessarily restrict client access and choice, often related to either client and/or contraceptive method characteristics,” summarizes common themes from the literature they reviewed.

Authors: Solo and Festin

septembre 2019 issue | Programmatic Review & Analysis

Misoratra anarana amin'ny Vaovao Malaza!
implants fanabeazana aizana
Ruwaida Salem

Senior Program Officer, Johns Hopkins Center for Communication Programs

Ruwaida Salem, Senior Program Officer ao amin'ny Johns Hopkins Center for Communication Programs, manana saika 20 traikefa an-taonany eo amin'ny sehatry ny fahasalamana manerantany. Amin'ny maha-mpitarika ny ekipa ho an'ny vahaolana amin'ny fahalalana sy ny mpanoratra ny Building Better Programs: Torolalana amin'ny dingana amin'ny fampiasana ny fitantanana fahalalana amin'ny fahasalamana manerantany, izy no mamolavola, fitaovana, ary mitantana fandaharan'asa fitantanana fahalalana hanatsarana ny fidirana sy ny fampiasana ny fampahalalana momba ny fahasalamana manan-danja eo amin'ireo matihanina ara-pahasalamana manerana izao tontolo izao. Manana Master of Public Health avy amin'ny Johns Hopkins Bloomberg School of Public Health izy, Bachelor of Science in Dietetics avy amin'ny Oniversiten'i Akron, ary mari-pahaizana diplaoma amin'ny famolavolana traikefa mpampiasa avy amin'ny Kent State University.

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