A STUDY ON THE ROLE OF COUNSELLING SERVICE AND FOLLOW-UP IN THE USE OF FAMILY PLANNING METHODS

Year 2001, Volume: 14 Issue: 4, 232 - 237, 03.12.2016

Mithat Kıyak Nuray Yolsal Sevcan Erdal

Abstract

Objective: The present study aimed to evaluate the effectiveness of counselling service and follow-up procedure for family planning in two suburban areas of the Kugukgekmece Health Education and Research District in Istanbul.
Methods: Midwives were trained in family planning by physicians. Ten women for case and 10 women for control groups were chosen for each midwife from the follow up records of fertile women, and 455 women in total who did not use any family planning methods were chosen for case and control groups. The groups were followed up monthly, as case groups were given counselling service on family planning. Control groups received only routine health service. The attitudes of women in all groups were followed for two years. Then the program was extended to the whole district, and data related to the use of family planning methods for the last five years was evaluated.
Results: Sixty seven point four percent of the women in the case groups and 43.4% of the control groups began using family planning methods when the program ended. The rate increased up to 78% for the following years and then saturated.
Conclusion: The women in the district were put in touch with family planning users, and the use of family planning methods increased. For the use of modern family planning methods more efficiently in the community, the methods should be offered free of charge and counselling service should work in harmonious coordination.
Key Words: Family planning, Family planning methods, Counselling service.

References

• Turkish Demographic and Health Survey 1998, Hacettepe University, Institute of Population Studies and Macro International Inc. Ankara: 1999: 45-104.
• Population Planning Law 557, 1965 OTTicial Bulletin oi Turkish Republic.
• Population Planning Law 2827, 1983 Official Bulletin of Turkish Republic.
• Laws and Policies Affecting Pertility: /l Decade of Change. Population Reports Series, E H7. Johns Hopkins School of Public Health, Population Information Program. Baltimore: Hov. 1984.
• Avcilar Health Center, 1982 Report of Activities, 1983.
• Akinci T, Oencer E. Knowledge of attitudes and behaviors towards family planning of married women in the age group 15-49 in region of Silivri Health Center. Istanbul Bull of Pub Health 1990; 5: 7-22.
• Bulut A, Riyak M, Hacioglu S, Yolsal H. Organization of health care in Turkey Past- Present- Future. In: Chytil, MR, ed. Int. Conf. on System Science in Health Care. Prag: Omnipress Publishing, 1992: 239-242.
• Rugukgekmece Health Education and Research Center, 1992 Report of Activities, 1993: 5
• Turkish Demographic and Health Survey, 1993, Ministry of Health, Hacettepe University, Institute of Population Studies and Macro International Inc. Ankara: 1994: 37-50.
• The 1988 Population and Health Survey. Hacettepe University, Institute of Population Studies. Ankara: 1989:46-72.
• I I. Bulut A, Yolsal IS, Kartoglu U, et al. Promotion of family planning practice through door-to- door education by non-professionals in an urban squatter area. Bull Istanbul Med. Eac. 1993; 56: I 7-24.
• Bangladesh Asia Foundation. Improving the
• Performance of TAP Subproject: Phase 3 (proposal) October 20, 1987: 30
• (Unpublished Report).
• Jain SC, Ranagaratnam R, Pauls JE. Management development in population programs, Chapel Hill, Tiorth Carolina: University of ISorth Carolina, 1981: 407.