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Citation Information

Type Thesis or Dissertation - Degree of Master of Public Health
Title Assessing facility readiness of family planning services in Ghana
Author(s)
Publication (Day/Month/Year) 2007
URL http://www.ghanaqhp.org/fileadmin/user_upload/QHP/Hess_Thesis_6May_QHP.pdf
Abstract
The purpose of this study was to assess the readiness of health facilities in Ghana to provide short-term family planning (FP) methods (i.e. oral contraceptives, male condoms and injectables). Facility readiness was assessed four indicators: staffing, infrastructure, family planning supplies, and equipment. This study involved an analysis of secondary data from two datasets. A total of 136 health facilities in Ghana were assessed. The presence or absence of a midwife was used to assess staffing levels and benchmarks were set to assess equipment and infrastructure. To assess the adequacy of supplies, existing guidelines from the Centers for Disease Control and Prevention (CDC) were used. Chi-square tests were conducted to determine if associations existed between patient caseload and the indicators for readiness. Overall findings indicated that 29% of facilities had the minimum requirements for all indicators, staff, infrastructure, supplies and equipment, to provide short-term methods of family planning. Of these 39 facilities, 14 (36%) were government hospitals, one (3%) was a mission hospital, and 24 (61%) were government health centers. There is an association between having the minimum equipment for FP and caseload (p=0.04). There was no association between the level of caseload in a facility and the likelihood of meeting the criteria for minimum infrastructure (p=0.74), or having adequate supplies for FP (p=0.11). Needs assessments should be conducted and plans for procurement should be developed for facilities that did not meet the criteria for facility readiness. These facilities should be targeted by the Ministry of Health and NGOs in future interventions to provide the support necessary to ultimately improve the quality of family planning service delivery in Ghana.

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