A Qualitative Assessment of Healthcare Providers’ Insights towards Utilization of Symptothermal Method to Ameliorate Unmet Need for Family Planning among Women in Kisumu County, Kenya

Authors

  • Catherine Erosie Igben-Pender Maseno University, Kenya
  • Peter Omemo Maseno University, Kenya
  • Gideon Ng’wena Maseno University, Kenya

DOI:

https://doi.org/10.47941/ijhmnp.2211

Keywords:

Healthcare Provider, Family Planning, Qualitative Assessment, Symptothermal Method, Unmet Need.

Abstract

Purpose: To attain the Sustainable Development Goals (SDGS) 3- target 3.7, that highlights the need to improve women’s sexual and reproductive health status through means including family planning, information and education, a safer family planning method that could ameliorate unmet need for family planning, is urgently required. Healthcare providers’ knowledge and perception of natural family planning might influence decision of women interested in Symptothermal method (STM). We investigated healthcare providers’ factors influencing utilization of STM as a strategy to ameliorate unmet need for family planning among women in Kisumu County, Kenya.

Methodology: Focus group discussion technique was used involving 14 healthcare providers and 8 STM users purposively selected. Phenomenology approach to enquiry which aims to investigate experiences from the perspective of the participants was adopted. Reflexive Thematic analysis was used. Data were transcribed and the thematic codes categorized were applied to assess all focus group transcripts. Dedoose 9.2.005 software was used for the analysis.

Findings: Three themes were identified. Disclosure of untapped demand emerged as a significant insight, with healthcare providers admitting their previous oversight of the role of STM as part of other family planning methods. To ensure the successful integration of STM in healthcare facilities, healthcare providers identified training and community awareness as primary strategies. A major challenge identified was limited dissemination of information to clients, with healthcare providers often prioritizing and promoting contraceptive methods in which they are more confident.

Unique contribution to theory, practice and policy: Comprehensive training would play a pivotal role in fostering a thorough understanding of STM among service providers. This understanding would instill confidence in healthcare providers, empowering them to effectively convey information to clients with assurance and clarity.

Downloads

Download data is not yet available.

Author Biographies

Catherine Erosie Igben-Pender, Maseno University, Kenya

Department of Public Health, School of Public Health and Community Development

Peter Omemo, Maseno University, Kenya

Department of Public Health, School of Public Health and Community Development

Gideon Ng’wena, Maseno University, Kenya

Department of Medical Physiology, School of Medicine

References

World Health Organization. 2018 Edition New 2018. 2018.

Steward K, Raja A. Physiology, Ovulation And Basal Body Temperature. StatPearls. 2023;

Shroff FM. “What is the Sympto-Thermal Method? Offering Patients an Alternative Birth Control Option.” JOJ Nurs Heal Care. 2017;3.

Manhart MD, Duane M, Lind A, Sinai I, Golden-Tevald J. Fertility awareness-based methods of family planning: A review of effectiveness for avoiding pregnancy using SORT. Osteopath Fam Physician. 2013;5:2–8.

Hornby AS, Ashby M, Wehmeier S. Oxford advanced learner’s dictionary of current English. 2005;119.

Yolanda, W. (2014). what is perception in psychology?... - Google Scholar.

Ochako R, Mbondo M, Aloo S, Kaimenyi S, Thompson R, Temmerman M, et al. Barriers to modern contraceptive methods uptake among young women in Kenya: A qualitative study Global Health. BMC Public Health. 2015;15.

Mwaisaka J, Gonsalves L, Thiongo M, Waithaka M, Sidha H, Agwanda A, et al. Exploring contraception myths and misconceptions among young men and women in Kwale County, Kenya. BMC Public Health. 2020;20.

Igben-Pender CE, Omemo P, Ng’wena G. Issue: 4. Int J Heal Sci Res [Internet]. 2024 [cited 2024 Apr 11];100:2249–9571. Available from: https://doi.org/10.52403/ijhsr.20240416

Cleland J, Harbison S, Shah IH. Unmet need for contraception: issues and challenges. Stud Fam Plann. 2014;45:105–22.

Sedgh G, Hussain R. Reasons for contraceptive nonuse among women having unmet need for contraception in developing countries. Stud Fam Plann. 2014;45:151–69.

Darroch JE, Sully E, Biddlecom A. Adding It Up: Investing in Contraception and Maternal and Newborn Health, 2017-Supplementary Tables. 2017;

Bishwajit G, Tang S, Yaya S, Feng Z. Unmet need for contraception and its association with unintended pregnancy in Bangladesh. BMC Pregnancy Childbirth. 2017;17.

KNBS and ICF (2023). Kenya Demographic and Health Survey 2022. Key Indicators Report. Nairobi, Kenya, and Rockville, Maryland, USA: KNBS and ICF - Google Search.

Department of Health & Sanitation- kisumu (2019).‘Kenya Health Information System (KHIS)’Kenya Health Information System <https://hiskenya.org/dhis-web- pivot>. - Google Search.

Ministry of Health, Division of Family Health, Family Planning Program (2018). National Family Planning Guidelines for Service Providers 6th Edition. Nairobi, Kenya: RMHSU, Oct 2018. Print.. - Google Search.

2015-2016) UGA (70th sess. :, Goals UD of E and SAD for SD. Transforming our world : the 2030 Agenda for Sustainable Development. UN,; 2015.

Perez Capotosto M, Jurgens CY. Exploring Fertility Awareness Practices Among Women Seeking Pregnancy. Nurs Womens Health. 2020;24:413–20.

County Government of Kisumu (2019). Kisumu-County-Urban-Institutional-Development- Strategy-CUIDS-2018-2019-final.pdf.https://www.kisumu.go.ke/wp- content/uploads/2019/08/onal Family Planning Guidelines for Service Providers 6th Edition. Nairobi, Kenya: R.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Heal Care [Internet]. 2007 [cited 2024 Apr 10];19:349–57. Available from: https://dx.doi.org/10.1093/intqhc/mzm042

Cleland JA. The qualitative orientation in medical education research [Internet]. Korean J. Med. Educ. 2017 [cited 2024 Apr 8]. p. 61–71. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465434/

Braun V, Clarke V, Hayfield N, Terry G. Answers to frequently asked questions about thematic analysis. Univ Auckl Themat Anal [Internet]. 2019 [cited 2024 Apr 8];1–23. Available from: https://www.psych.auckland.ac.nz/en/about/thematic-analysis.html

Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13.

Haghenbeck-Altamirano FJ, Ayala-Yáñez R, Herrera-Meillón H. [Family planning methods based on fertility awareness]. Ginecol Obstet Mex. 2012;80:276–84.

Morelli, B.J., Callaghan, K., & Duane, M (2016). Survey of New York State Family Physicians Regarding Natural Family Planning Beliefs and Practices. NYSAFP, 24– 26. - Google Search.

Downloads

Published

2024-08-27

How to Cite

Igben-Pender, C. E., Omemo, P., & Ng’wena, G. (2024). A Qualitative Assessment of Healthcare Providers’ Insights towards Utilization of Symptothermal Method to Ameliorate Unmet Need for Family Planning among Women in Kisumu County, Kenya. International Journal of Health, Medicine and Nursing Practice, 6(6), 14–30. https://doi.org/10.47941/ijhmnp.2211

Issue

Section

Articles