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Providing Family Planning Services at Primary Care Organizations after the Exclusion of Planned Parenthood from Publicly Funded Programs in Texas: Early Qualitative Evidence.
Health Services Research. 2017 Oct 20;OBJECTIVE: To explore organizations' experiences providing family planning during the first year of an expanded primary care program in Texas. DATA SOURCES: Between November 2014 and February 2015, in-depth interviews were conducted with program administrators at 30 organizations: 7 women's health organizations, 13 established primary care contractors (e.g., community health centers, public health departments), and 10 new primary care contractors. STUDY DESIGN: Interviews addressed organizational capacities to expand family planning and integrate services with primary care. DATA EXTRACTION: Interview transcripts were analyzed using a theme-based approach. Themes were compared across the three types of organizations. PRINCIPAL FINDINGS: Established and new primary care contractors identified several challenges expanding family planning services, which were uncommon among women's health organizations. Clinicians often lacked training to provide intrauterine devices and contraceptive implants. Organizations often recruited existing clients into family planning services, rather than expanding their patient base, and new contractors found family planning difficult to integrate because of clients' other health needs. Primary care contractors frequently described contraceptive provision protocols that were not evidence-based. CONCLUSIONS: Many primary care organizations in Texas initially lacked the capacity to provide evidence-based family planning services that women's health organizations already provided. (c) Health Research and Educational Trust.
Joicfp Review. 1985 Oct; 10:28-31.Umati is a nongovernmental and nonprofit voluntary family planning organization which pioneered family planning activities in Tanzania in 1959. Umati was also assigned a role in the MCH program to ensure that the family planning component be given equal priority with the other components of the health program. Umati assists the Ministry of Health in its efforts to increase awareness of the advantages of family planning and responsible parenthood; gives advice on service delivery as well as assists the Ministry of Health in its task of training family planning service providers; and assists the Ministry of Health in the procurement and distribution of contraceptives and equipment. Umati is supported by the International Planned Parenthood Federation (IPPF). The integrated project aims to compensate for some of the deficiencies inherent in the MCH program. The project should respond to other community needs in order to attract and sustain the interest and active participation of community members. Parasite control and nutrition have been selected as priority health concerns. The integrated project must belong to the community. The following channels are being utilized on the local level: the local steering committee; the project volunteers; the Family Planning Association of Tanzania; MCH unit of the government; the government environmental sanitation unit; primary schools; religious institutions; the village government; and information, education and communication. The project should be evaluated and should be flexible.