Longitudinal Evaluation of the Tupange Urban Family Planning Program in Kenya.
Longitudinal Evaluation of the Tupange Urban Family Planning Program in Kenya.
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DOI：
10.1363/43e4117
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发表时间：
2017-06-01
影响因子：
4.4
通讯作者：
Winston J
中科院分区：
文献类型：
--
作者：
Benson A;Calhoun LM;Corroon M;Lance P;O'Hara R;Otsola J;Speizer IS;Winston J
肯尼亚的生育率和避孕药具使用率长期以来一直波动不定。2011年启动了多方面的Tupange方案，作为城市生殖健康倡议的一部分，以增加现代计划生育方法的使用。2010年对实施Tupange的五个肯尼亚城市的15-49岁妇女进行了访谈，并于2014年再次进行访谈，以获得有关其避孕药具使用和接触Tupange方案组成部分的信息。固定效应模型估计，以确定程序曝光和使用现代计划生育方法之间的关联。进行了分析，以确定计划组成部分的相对成本效益。在四年的随访期间，使用现代避孕药具的妇女比例从45%上升到52%，使用长效或永久方法的比例从6%上升到19%。固定效应模型表明，现代方法的使用与听到Tupange相关的当地广播节目，并与社区卫生工作者（CHW）讨论计划生育略有关联;在研究期间未婚或未生育的女性中，现代方法的使用与居住在计划设施附近有关。当地电台节目是最具成本效益的方案组成部分，其次是接近图潘格设施和与社区卫生工作者的讨论。在肯尼亚和其他撒哈拉以南非洲地区，寻求更多使用现代计划生育方法的城市生殖健康方案应考虑多方面的方法，包括CHW活动、地方广播节目和改善供应环境。
Levels of fertility and contraceptive use have long fluctuated in Kenya. The multicomponent Tupange program, part of the Urban Reproductive Health Initiative, was initiated in 2011 to increase use of modern family planning methods. Women aged 15–49 in the five Kenyan cities where Tupange was implemented were interviewed in 2010 and reinterviewed in 2014 to obtain information on their contraceptive use and exposure to components of the Tupange program. Fixed-effects models were estimated to identify associations between program exposure and use of modern family planning methods. Analyses were performed to determine the relative cost-effectiveness of program components. During the four-year follow-up period, the proportion of women using modern contraceptives increased from 45% to 52%, and the proportion of users who were using long-acting or permanent methods rose from 6% to 19%. The fixed-effects model indicated that modern method use was associated with having heard Tupange-related local radio programming and marginally associated with having discussed family planning with a community health worker (CHW); among women who were unmarried or did not give birth during the study period, modern method use was associated with living near program facilities. Local radio programming was the most cost-effective program component, followed by proximity to Tupange facilities and discussions with CHWs. Urban reproductive health programs seeking to increase use of modern family planning methods in Kenya and other Sub-Saharan African settings should consider multicomponent approaches that include CHW activities, local radio programming and improvements to the supply environment.
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影响因子：
4.8
作者：
Fotso, Jean Christophe;Speizer, Ilene S.;Lumumba, Vane
通讯作者：
Lumumba, Vane
影响因子：
3.5
作者：
Montgomery, MR;Hewett, PC
通讯作者：
Hewett, PC
影响因子：
2.4
作者：
ROBINSON, WC
通讯作者：
ROBINSON, WC
DOI：
10.1098/rstb.2009.0166
发表时间：
2009-10-27
期刊：
Philosophical transactions of the Royal Society of London. Series B, Biological sciences
影响因子：
--
作者：
Ezeh AC;Mberu BU;Emina JO
通讯作者：
Emina JO
DOI：
10.1363/3005804
发表时间：
2004-06-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Erulkar, AS;Ettyang, LIA;Muyonga, A
通讯作者：
Muyonga, A