Assessment of Task Sharing Program in Family Planning and Reproductive Health in Assuit Governorate
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 400
- 主要终点
- Assess the effectiveness of implementing task sharing programs on the use and continuation of use of family planning services/ contraceptive methods.
研究概览
简要总结
Support client's access to reproductive and family planning services through preferred and convenient service delivery points and overcoming barriers to accessing family planning related to the shortage of healthcare provider through strengthening the contraceptive system, capacity building of the Ministry of health personnel and training of nurses and targeting weak points in the contraceptive system through research for bridging gaps in the systems .
详细描述
The Sustainable Development Goals aim to meet 75% of the global demand for contraception by 2030.To meet these goals, national programs will need to bring together many components, including social and behavior change, a gender and rights perspective, commodities, and quality service provision by adequately trained health providers .
The current unmet needs for health workers that disproportionately affect low- and middle-income countries are anticipated to remain unaddressed for the next decade . It is projected that by 2030, there will be a shortage of 15 million health workers globally . In addition, inequities in the distribution of the existing health workforce within countries, with important rural versus urban differentials in both number and qualification, are worsening the coverage of services in the most deprived, yet high demand areas.
World Health Organization like many other stakeholders evolved the concept of "task sharing," as a promising strategy for addressing the critical lack of health care workers to provide reproductive, maternal, newborn care, enhancing equity in access to birth spacing methods, to obtain the desired method from their nearest service delivery point and protection against unintended pregnancies and thereby avoid costs associated with such pregnancies and of course induced / unsafe abortion.
Task sharing involves the safe expansion of tasks and procedures that are usually performed by higher-level staff to lay- and mid-level healthcare professionals such as midwives, nurses, auxiliaries, clinical officers, and community health workers, especially for the poorer segments of the society .
Task share reflects the intention to include cadres who do not normally have competencies for specific tasks to deliver them and to thereby increase levels of health care access. Moreover, it emphasizes the need for training and continued educational support of all cadres of health workers for them to undertake the tasks they are to perform .
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 15 Years 至 49 Years(Child, Adult)
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Health providers trained on program
- •Maternity and family planning clinics where program has been implemented
- •Women will attend maternity and family planning clinics
排除标准
- •Not trained health providers on program
- •Women not attending maternity and family planning clinics
结局指标
主要结局
Assess the effectiveness of implementing task sharing programs on the use and continuation of use of family planning services/ contraceptive methods.
时间窗: during year 2023/2024
revise a hard copy of rate of contraceptive use and discontinuation rate from the report of MOHP-FP sector Management Information System (MIS) will be done to compare between the achievement in the units where the program was detected and the control units.
次要结局
- Assess the effectiveness of the program on breast examination, registration self- examination, and referral.(during year 2023/2024)
- Evaluate clients' satisfaction with family planning services provided through the program.(During year 2023/2024)
- Identify providers' knowledge, perception, barriers and performance in delivering task sharing program activities(during year 2023/2024)
研究者
Marwa Abo Elmakarem Alithy
Doctor
Assiut University
