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. 2016 Aug 31:1:19.
doi: 10.1186/s40834-016-0030-5. eCollection 2016.

Effect of performance based financing home visiting on the use of modern methods of contraception in the kumbo east health district, Cameroon

Thomas Obinchemti Egbe  1 , Julius Atashili  2 , Emmanuella Talla  3 , Mary Bih Suh Atanga  4
Affiliations

Effect of performance based financing home visiting on the use of modern methods of contraception in the kumbo east health district, Cameroon

Thomas Obinchemti Egbe et al. Contracept Reprod Med. .

Abstract

Background: The use of modern methods of contraception (MMC) as defined by the World Health Organization still remains a challenge in most of Sub-Saharan Africa. Performance Based Financing (PBF) home visit was introduced in 2012 to increase the use of those modern methods in the Kumbo East Health District (KEHD), Cameroon.We determined the utilization rates of MMC in areas in the KEHD with PBF home visits compared with those areas with no home visits.

Methods: This was a cross sectional study carried out in the KEHD during the period February 1 to May 31, 2015. A multistage cluster sampling method was used to recruit 262 and 221 women aged 15-49 years in the intervention and nonintervention health areas, respectively. A structured, closed ended questionnaire was used.

Results: The average age of women was similar in both groups 30.40 (SD 8.57); median 30 years in the intervention group and 30.49 (SD 7.84); median 30 years in controls. Most participants in the intervention health area (60.3 %) used modern methods of contraception compared to 46.6 % of those in the control group (aOR: 1.75 %; 95 % CI: 1.212.53) and the most commonly used MMC was medroxyprogesterone in the intervention group and condoms in the control area.

Conclusion: Utilization of MMC was significantly higher in the area with PBF home visits than in areas without that service. While this indicates that the intervention has benefit, there may be other contributing factors.

Keywords: Medroxyprogesterone acetate; Modern methods of contraception; Performance based financing; Utilization; Women of childbearing age.

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References

    1. AfricaFiles | Sub-Saharan Africa’s maternal death rate down 41 per cent [http://www.africafiles.org/article.asp?ID=26434] Accessed 17 May 2012.
    1. Maternal Mortality in Sub-Saharan Africa: Steps Towards Millennium Developmental Goals - viewcontent.cgi [http://digitalcommons.hsc.unt.edu/cgi/viewcontent.cgi?article=1764&conte...] by IU Eghieye - 2014.
    1. Stephenson R, Baschieri A, Clements S, Hennink M, Madise N. Contextual influences on modern contraceptive use in sub-Saharan Africa. Am J Public Health. 2007;97:1233–1240. doi: 10.2105/AJPH.2005.071522. - DOI - PMC - PubMed
    1. Gakidou E, Vayena E. Use of modern contraception by the poor is falling behind. PLoS Med. 2007;4:e31. doi: 10.1371/journal.pmed.0040031. - DOI - PMC - PubMed
    1. Kelodjouea S. Trends and Determinants of Unmet Need for Family Planning in Cameroon: The Role of Socio-Cultural Context. Sociology. 2015;5:39–52.

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