Community-based health service approach for effective family planning


health service approach for effective family planning

S.S. Özalp 

Osmangazi University Faculty of Medicine,

Department of Obstetrics and Gynecology, Eskisehir, Turkey



planning (FP) is one of several primary health measures that can be delivered

safely, effectively, and cheaply through community-based health services

(CBHS). The aim of this presentation is to discuss CBHS model for effective FP. Design

and Methods: Two projects that were implemented by using the CBHS model are

discussed. The aim of the first project was to inform men on FP and sexually

transmitted diseases (STD) and therefore to contribute to the improvement of

family health by exhibiting a model of well established relationship between

the volunteers and governmental organizations (Ozalp S., Hassa H., Koral S., Cevikbilen T., Satiroglu H.: The project

on health education of men on family planning and sexually transmitted diseases

in the province of Balikesir, Turkey. 7th Congress of the European Society

of Contraception, 10-13 April, 2002, Genova, Italy). Education was given by 24

male community workers who were trained by conferences, group meetings and

panels. Information, education and communication materials were developed and

distributed. The members of the local and national mass media were informed on

the project activities as well as reproductive and sexual health and their

support was ensured. The aim of the second project was to mobilize the

community’s own resources, and women leaders and field supervisors were

selected and trained to take part in fieldwork (Ozalp S., Koral S., Topkara N.:

The influence of community-based health service approach on effective

contraceptive choice in a slum area of Ankara, Turkey. Contraceptive Choices

and Realities, eds, van Lunsen RHW, Unzeitig V, Creatsas G. The Parthenon

Publishing Group, New York. 2000, p. 221-227). There were 10.557 married women

in the area and %98.4 were reached. Results:

In the first project total of 12.945 men were informed through personal talks

by the male community workers. At the end of the project, the ratio of those

who reported to use the FP methods were increased from 57.8 to % 79.2%. In the

second project, as a result of information/motivation during house visits, 36%

of women using modern methods were raised to 74.6%. Conclusion: From the first project, it was found that

well-organized man to man education was very effective in male involvement for

family planning and STD prevention. In the second project, majority of the

women were educated on family planning, motivated to use an effective method

and change of behavior was accomplished. Both projects were financially

supported by international donors. When the financial support ceases, the

continuation and evaluation of the activities become a problem in CBHS model.


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