The Role of Midwives in Improving Compliance with Family Planning Programs in Underdeveloped Villages
##plugins.themes.bootstrap3.article.main##
Abstract
Family planning (FP) programs are essential for improving maternal and child health, particularly in underdeveloped villages where access to health services is limited. Midwives play a crucial role as frontline health workers responsible for implementing and sustaining family planning programs in these settings. This study aims to explore and describe the role of midwives in improving compliance with family planning programs in underdeveloped villages, with a focus on the types of roles performed, the level of compliance among couples of reproductive age, and the impact of midwives’ interventions on community knowledge, attitudes, and behaviors related to family planning.A descriptive research design was employed involving midwives, couples of reproductive age, and community stakeholders in selected underdeveloped villages. Data were collected through questionnaires, in-depth interviews, observations, and document reviews. Family planning compliance was measured using indicators such as consistent contraceptive use, continuation of selected methods, and regular attendance at follow-up visits. Data were analyzed using both statistical and thematic approaches. The findings reveal that midwives carry out multiple roles, including health education, individualized counseling, contraceptive service provision, follow-up care, and community outreach. These roles contribute significantly to increased knowledge, more positive attitudes toward contraception, and improved compliance with family planning programs. Higher compliance levels were observed in communities where midwives actively engaged in culturally sensitive education and continuous follow-up. Overall, the study underscores the vital role of midwives in enhancing family planning compliance and highlights the importance of strengthening midwife capacity and community-based strategies to improve family planning outcomes in underdeveloped village contexts.
##plugins.themes.bootstrap3.article.details##
Al-Sheyab, N. A., Al Nsour, M., Khader, Y. S., Yousif, H., Alyahya, M. S., Taha, H., Bardus, M., Al Kattan, M., & Amiri, M. (2021). Midwives and women’s perspectives on family planning in Jordan: human rights, gender equity, decision-making and power dynamics. Heliyon, 7(8).
Aliyu, A. A. (2018). Family planning services in Africa: The successes and challenges. In Family Planning. IntechOpen.
Alspaugh, A., Barroso, J., Reibel, M., & Phillips, S. (2020). Women’s contraceptive perceptions, beliefs, and attitudes: an integrative review of qualitative research. Journal of Midwifery & Women’s Health, 65(1), 64–84.
Bishwajit, G., Sarker, S., & Yaya, S. (2016). Socio-cultural aspects of gender-based violence and its impacts on women’s health in South Asia [version 1; peer review: 1 approved with reservations].
Botfield, J. R., Tulloch, M., Contziu, H., Phipps, H., Bateson, D., Wright, S. M., McGeechan, K., & Black, K. I. (2021). Contraception provision in the postpartum period: Knowledge, views and practices of midwives. Women and Birth, 34(1), e1–e6.
Carter, A. T. (2008). Creative providers: Counseling and counselors in family planning and reproductive health. Demographic Research, 19, 1969–2010.
Cleland, J., Bernstein, S., Ezeh, A., Faundes, A., Glasier, A., & Innis, J. (2006). Family planning: the unfinished agenda. The Lancet, 368(9549), 1810–1827.
Cleland, J., Shah, I. H., & Daniele, M. (2015). Interventions to improve postpartum family planning in low‐and middle‐income countries: program implications and research priorities. Studies in Family Planning, 46(4), 423–441.
Coleman, M., & Alonso, A. (2016). A qualitative study exploring how family planning beliefs and attitudes contribute to family planning behavior in rural, southeastern Kenya: application of the social ecological model. World Medical & Health Policy, 8(4), 364–381.
Colvin, C. J., de Heer, J., Winterton, L., Mellenkamp, M., Glenton, C., Noyes, J., Lewin, S., & Rashidian, A. (2013). A systematic review of qualitative evidence on barriers and facilitators to the implementation of task-shifting in midwifery services. Midwifery, 29(10), 1211–1221.
Furbey, R. (2008). Beyond ‘social glue’?‘Faith’and community cohesion. In Community Cohesion in Crisis? (pp. 119–138). Policy Press.
Herbert, S. (2015). Social norms, contraception and family planning. Birmingham: Governance and Social Development Resource Centre.
Herman, K., Rotunda, R., Williamson, G., & Vodanovich, S. (2014). Outcomes from a Duluth model batterer intervention program at completion and long term follow-up. Journal of Offender Rehabilitation, 53(1), 1–18.
Kabagenyi, A., Reid, A., Ntozi, J., & Atuyambe, L. (2016). Socio-cultural inhibitors to use of modern contraceptive techniques in rural Uganda: a qualitative study. The Pan African Medical Journal, 25, 78.
King, J. C. (2003). The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies. The Journal of Nutrition, 133(5), 1732S-1736S.
Nalwadda, G. K. (2012). Contraceptive use among young people in Uganda: exploration of obstacles, enablers, and quality of services. Karolinska Institutet (Sweden).
Paudel, M., Javanparast, S., Newman, L., & Dasvarma, G. (2018). Health system barriers influencing perinatal survival in mountain villages of Nepal: implications for future policies and practices. Journal of Health, Population and Nutrition, 37(1), 16.
Pinter, B. (2002). Continuation and compliance of contraceptive use. The European Journal of Contraception & Reproductive Health Care, 7(3), 178–183.
Prata, N. (2009). Making family planning accessible in resource-poor settings. Philosophical Transactions of the Royal Society B: Biological Sciences, 364(1532), 3093–3099.
Scott, V. K., Gottschalk, L. B., Wright, K. Q., Twose, C., Bohren, M. A., Schmitt, M. E., & Ortayli, N. (2015). Community health workers’ provision of family planning services in low‐and middle‐income countries: a systematic review of effectiveness. Studies in Family Planning, 46(3), 241–261.
Silumbwe, A., Nkole, T., Munakampe, M. N., Milford, C., Cordero, J. P., Kriel, Y., Zulu, J. M., & Steyn, P. S. (2018). Community and health systems barriers and enablers to family planning and contraceptive services provision and use in Kabwe District, Zambia. BMC Health Services Research, 18(1), 390.
Stanback, J., Griffey, S., Lynam, P., Ruto, C., & Cummings, S. (2007). Improving adherence to family planning guidelines in Kenya: an experiment. International Journal for Quality in Health Care, 19(2), 68–73.
Stasiulis, E., Gibson, B. E., Webster, F., & Boydell, K. M. (2020). Resisting governance and the production of trust in early psychosis intervention. Social Science & Medicine, 253, 112948.
Taiwo, P. A. (2012). Attitude of women towards family planning in selected rural communities of Ibadan.
Topsever, P., Filiz, M., Aladağ, N., Topallı, R., Ciğerli, Ö., & Görpelioğlu, S. (2006). Counselling and knowledge about contraceptive mode of action among married women; a cross-sectional study. BMC Women’s Health, 6(1), 12.
Yirgu, R., Wood, S. N., Karp, C., Tsui, A., & Moreau, C. (2020). “You better use the safer one… leave this one”: the role of health providers in women’s pursuit of their preferred family planning methods. BMC Women’s Health, 20(1), 170.
Zimmerman, L. A., Yi, Y., Yihdego, M., Abrha, S., Shiferaw, S., Seme, A., & Ahmed, S. (2019). Effect of integrating maternal health services and family planning services on postpartum family planning behavior in Ethiopia: results from a longitudinal survey. BMC Public Health, 19(1), 1448.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.