标题：A multi-sectoral intervention model to scale up family planning services utilization at the primary health care level: evidence from a priority district, Fayoum governorate, Egypt
期刊名称：Epidemiology, Biostatistics and Public Health
印刷版ISSN：2282-0930
出版年度：2019
卷号：16
期号：2
页码：1-9
DOI：10.2427/12990
出版社：PREX
摘要：Background: Egypt is one of the most populous countries in the Middle East and Africa. Evidence from developing
countries revealed that increasing family planning use is associated with substantial declines in fertility and population
growth. The objective of this study was to assess the impact of implementing a multisectoral intervention model on the
family planning utilization at the Primary Health Care (PHC) level in a priority district, Fayoum governorate, Egypt.
Methods: A quasi-experimental design was conducted from July 2016 to September 2016. The model targeted
10 PHC units out of 23 at Tamia district, with two types of interventions; health sector and non-health sector related
interventions carried out in the intervention units and their catchment areas. The family planning utilization of the
intervention units (n=10) was compared to the control units (n=13). Additionally, the overall family planning utilization
at the district level was measured.
Results: Following the implementation of the interventions, the overall family planning utilization at the district
level showed a significant increase in mean ± Standard Error of the Mean (SEM) of new family planning clients
(44.4±11.0vs. 63.3±13.8; P= 0.006) recording 43% change. The mean ± SEM of intrauterine devices dispensed
from the intervention units significantly increased by 391% (3.5±1.0 vs. 17.2±3.3; P=0.002). Findings from the control
units didn't reveal significant increase regarding the dispense of any family planning method.
Conclusion: Mobilizing and optimizing resources use, empowering district authorities and strengthening collaboration
across sectors were key drivers of the success of this model in scaling up family planning services utilization.
关键词：multisectoral; intervention model; family planning; district; Egypt
其他关键词：multisectoral; intervention model; family planning; district;Egypt
