Provision of Family Planning Services in Tanzania: A Comparative Analysis of Public and Private Facilities
), Evert Ketting(2), Switbert R. Kamazima(3), Ruerd Ruben(4),
(1) Nairawebs Design
(2)
(3)
(4)
Corresponding Author
Abstract
Adherence to the policy guidelines and standards is necessary for family planning services. We compared public and private facilities in terms of provision of family planning services. We analyzed data from health facility questionnaire of the 2006 Tanzania Service Provision Assessment survey, based on 529 health facilities. Majority of public facilities (95.4%) offered family planning services, whereas more than half of private facilities (52.1%) did not offer those. Public facilities were more likely to offer modern contraceptives as compared to private facilities. However, private facilities were more likely to offer counseling on natural methods of family planning [AOR = 2.12 (1.15-3.92), P 0.001]. Public facilities were more likely to report having guidelines or protocols for family planning services and various kinds of visual aids for family planning and STIs when compared to private facilities. This comparative analysis entails the need to enforce the standards of family planning services in Tanzania (Afr J Reprod Health 2012; 16[4]:140-148).
RésuméL’adhérence à des lignes directrices et des normes est nécessaire pour les services de planification familiale. Nous avons comparé les établissements publics et privés en matière de prestation de services de planification familiale. Nous avons analysé les données tirées du questionnaire de l’enquête sur l’évaluation de la prestation de service en Tanzanie de 2006, basée sur 529 établissements de santé. La majorité des établissements publics (95,4%) assuraient des services de planification familiale, alors que plus de la moitié des établissements privés (52,1%) ne les assuraient pas. Les établissements publics sont plus susceptibles d'offrir des contraceptifs modernes par rapport à des installations privées. Toutefois, les établissements privés étaient plus susceptibles de rendre des conseils sur les méthodes naturelles de planification familiale [AOR = 2,12 (1,15 à 3,92), P 0,001]. Les établissements publics étaient plus susceptibles de déclarer avoir des conseils ou des protocoles pour les services de planification familiale et de divers types de supports visuels pour la planification familiale et les IST, par rapport à des établissements privés. Cette analyse comparative implique la nécessité de respecter les normes de services de planification amiliale en Tanzanie (Afr J Reprod Health 2012; 16[4]:140-148).
Keywords: Family planning, sexually transmitted infections, public facility, private facilityReferences
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