Evaluation of the Offer of Family Planning Services in a Rural Area of The Bamboutos Division in the West Region of Cameroon: A Cross Sectional Study

Félix Essiben, Pierre Marie Tebeu, Arielle Lando, Charlotte Tchente Nguefack, Rostand Njiki Dounou, Robinson Mbu Enow

Abstract


ABSTRACT
Background and aim. The rate of utilization of contraceptive methods in Cameroon is low. The western region has a high fecundicity index and among the women in union using any contraception (30.2%), only 32.5% of them are using a modern method. This study aimed at improving the offer of family planning (FP) services by identifying factors limiting its expansion. Methods. We conducted a descriptive cross-sectional study from 1st January to 31st December 2011 in the Bamboutous health district of the West region of Cameroon. We included exhaustively public and private health institutions. The characteristics of health institutions, providers and various FP services offered were obtained from registers and interview of health care providers. Data was analyzed using Epi info software version 3.5.1. Results. Of the 68 health facilities in the Bamboutous health district, 25 (36.8%) offered FP services. Among them, 18 were public (72%), 21(84%) had been existing for over 5-years period and the service offer was integrated (88%). There was often no pipe-borne water (72%). Eighteen of 25 FP institutions had no personnel who had ever received any formal training in FP (72%). Unmet contraceptive need was estimated at 34.7%. The different contraceptive methods received by women were more often injectables (37.3%) and implants (12.6%). Male condom represents 30.8%. Conclusion. The health services in the Bamboutous division are poorly furnished with FP activities in spite of met-needs of 65.3%. Improving on the service offer for FP as well as the training of health care providers is highly recommended.

RÉSUMÉ
Introduction. La planification familiale permet d’améliorer le bien-être des populations à travers le contrôle des naissances. Nous avons évalué l’offre de services de planning familial en zone rurale où les taux de fécondité sont les plus élevés. Méthodologie. Nous avons réalisé une étude transversale rétrospective sur une période allant du 1er janvier au 31 Décembre 2011 dans les districts de santé des Bamboutos à l’ouest du Cameroun. Nous avons inclus de façon exhaustive les formations sanitaires publiques et privées dispensant des services de planning familial. Les caractéristiques des formations sanitaires, des prestataires de soins et les offres de services de planning familial ont été colligés à partir des registres et de l’interview des prestataires de soins. Les logiciels Epi info version 6 et SPSS version 16 ont été utilisés pour analyser les résultats. Résultats. Des 68 formations sanitaires des Bamboutos, 25 (36,8%) disposaient d’un service de PF. La plupart des services étaient dans les structures publiques (72%), existaient depuis moins de 5 ans (84%), étaient des services intégrés (88%), n’avaient pas de l’eau courante (72%). 68% du personnel de PF n’avaient reçu aucune formation en PF. Les besoins non couverts en contraception moderne étaient de 34,7%. Les méthodes contraceptives féminines étaient injectables dans 37.3 % des cas et des implants dans 12.6% des cas. La prévalence contraceptive des préservatifs masculins était de 30.8%. Conclusion. L’offre de contraception dans les Bamboutos n’est pas satisfaisante. La prévalence contraceptive est faible du fait de l’insuffisance en équipements et en personnel formé en PF.


Keywords


family planning, contraception, Bamboutos, Cameroon

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