Integrated delivery of family planning and childhood immunisation services: a mixed methods assessment of service responsiveness

Hamon, Jessie K.; Kambanje, Misozi; Pryor, Shannon; Kaponda, Alice S.; Mwale, Erick; Burchett, Helen E. D.; Mayhew, Susannah H.; Webster, Jayne

doi:10.1186/s12913-022-07983-7

Table 4 Associations between domain ratings and key factors

From: Integrated delivery of family planning and childhood immunisation services: a mixed methods assessment of service responsiveness

Domain	Factor		Positive domain rating		N^a	p-value
Domain	Factor		%	n	N^a	p-value
Service continuity	*Element of FP counselling*
	Heard the group health talk	Yes	96.7	88	142	0.012
	Heard the group health talk	No	80.4	41	142	0.012
	Told how different contraceptive methods work	Yes	96.3	77	137	0.022
	Told how different contraceptive methods work	No	84.2	48	137	0.022
	Told about possible contraceptive side effects	Yes	97.3	72	137	0.004
	Told about possible contraceptive side effects	No	84.1	53	137	0.004
	Told when to seek follow-up services	Yes	96.7	116	137	<0.001
	Told when to seek follow-up services	No	52.9	9	137	<0.001
	Told where to seek follow-up services	Yes	96.7	109	137	<0.001
	Told where to seek follow-up services	No	66.7	16	137	<0.001
Communication	*Element of FP counselling*
	Heard the group health talk	Yes	94.5	86	141	0.001
	Heard the group health talk	No	78.0	39	141	0.001
	Asked about past use of contraceptives	Yes	100.0	43	136	0.031
	Asked about past use of contraceptives	No	82.8	77	136	0.031
	Told how different contraceptive methods work	Yes	95.0	76	136	0.004
	Told how different contraceptive methods work	No	78.6	44	136	0.004
	Told about possible contraceptive side effects	Yes	96.0	71	136	<0.001
	Told about possible contraceptive side effects	No	79.0	49	136	<0.001
	*Client characteristic*
	Exclusively uses one clinic for FP services	Yes	95.8	46	140	0.021
	Exclusively uses one clinic for FP services	No	84.8	78	140	0.021
Ease of access	*Client characteristic*
	Travelled less than 45 minutes to reach the clinic	Yes	87.0	87	142	<0.001
	Travelled less than 45 minutes to reach the clinic	No	52.4	22	142	<0.001
Counselling	*Element of FP counselling*
	Asked how many more children are desired	Yes	96.3	26	129	<0.001
	Asked how many more children are desired	No	56.9	58	129	<0.001
	Asked about past use of contraceptives	Yes	86.1	37	129	<0.001
	Asked about past use of contraceptives	No	54.7	47	129	<0.001
	Asked about problems with past contraceptive use	Yes	75.9	44	129	0.028
	Asked about problems with past contraceptive use	No	56.3	40	129	0.028
	Told about possible contraceptive side effects	Yes	76.4	55	129	0.008
	Told about possible contraceptive side effects	No	50.9	29	129	0.008
	*Client characteristic*
	Exclusively uses one clinic for FP services	Yes	80.4	37	133	0.028
	Exclusively uses one clinic for FP services	No	58.6	51	133	0.028
Confidentiality	*Element of FP counselling*
	Asked about past use of contraceptives	Yes	74.4	32	137	0.020
	Asked about past use of contraceptives	No	55.3	52	137	0.020
	Asked about problems with past contraceptive use	Yes	72.1	44	137	0.009
	Asked about problems with past contraceptive use	No	52.6	40	137	0.009
	*Client characteristic*
	Travelled less than 45 minutes to reach the clinic	Yes	67.0	65	139	0.016
	Travelled less than 45 minutes to reach the clinic	No	50.0	21	139	0.016
	Exclusively uses one clinic for FP services	Yes	81.3	39	141	0.020
	Exclusively uses one clinic for FP services	No	52.7	49	141	0.020
Choice of provider	*Element of FP counselling*
	Asked how many more children are desired	Yes	48.2	13	136	0.013
	Asked how many more children are desired	No	22.9	25	136	0.013
	*Client characteristic*
	Exclusively uses one clinic for FP services	Yes	40.4	19	140	0.027
	Exclusively uses one clinic for FP services	No	22.6	21	140	0.027

^aN varied from 146 due to missing data

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ISSN: 1472-6963

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