Balanced Counseling Strategy Research Articles

The Effect of Balanced Counseling Strategy and Audiovisual on Postpartum Mother's Interest in Using Postpartum Contraception at the Samboja Health Center

Postpartum contraceptive coverage rates are still low in both Indonesia and East Kalimantan. The coverage of postnatal family planning at the Samboja Health Center in 2022 is 43.2% and in 2021 it is 47.86%. Methods: This research method is a Quasi experimental design with a one group pretest and post test design. Results: Most of the mothers' interest in using postpartum contraception before being given a balanced counseling strategy along with audiovisuals had a low interest of 88.5%, after the intervention the respondents' interest increased to a high of 92.3% in postpartum mothers at the Samboja Health Center. Discussion: the use of audiovisual in the Balanced Counseling Strategy has the advantage that audiovisual can provide complete and easily accepted information so that it can encourage mothers' interest in using postpartum family planning. Conclusion: Balanced Counseling Strategy with Audiovisual in increasing postpartum women's interest in using postpartum contraception.

The role of job aids in supporting task sharing family planning services to community pharmacists and patent proprietary medicine vendors in Kaduna and Lagos, Nigeria

BackgroundCPs and PPMVs are an important source of modern contraceptives in Nigeria, yet many lack the requisite knowledge and skills to capably provide these services. This skills gap might be addressed through targeted family planning (FP) training. This study measures family planning knowledge retention of CPs and PPMVs after receiving training in FP counseling and services in Kaduna and Lagos States, in Nigeria.MethodsIn a quasi-experimental longitudinal design without a comparison group, 559 CPs and PPMVs who were enrolled in the IntegratE project between January and December 2019, completed a self-administered questionnaire to assess their knowledge related to the provision of FP counseling, and injectable and implant contraceptive services at three points in time: 1) before the training; 2) immediately after the training; and 3) 9-months after the training in Kaduna and Lagos states, Nigeria. Adjusted multivariate logistic regression analysis was used to assess the effect of provider characteristics and receipt of job aids on FP knowledge retention 9 months after the training. 95% confidence intervals and p-values were used to assess statistical significance.ResultsMajority of study participants were females (60.3%) and between 30 and 49 years old (63.4%). The study revealed the importance of jobs aids as influence on knowledge retention. CPs and PPMVs who reported having the Balanced Counseling Strategy plus (BCS+) counseling cards, were more likely to retain knowledge (AOR: 2.92; 95% CI: 1.01–8.40, p-value = 0.05) at 9 months follow-up. Similarly, in terms of knowledge of injectable contraceptives, CPs and Tier 2 PPMVs who reported receiving the Medical Eligibility Criteria (MEC) Wheel were 2.1 times more likely to retain knowledge of injectable contraceptives 9-months later on (95% CI: 1.14–3.99, p-value = 0.02).ConclusionCommunity Pharmacists and Proprietary Medicine Vendors had good retention of family planning knowledge, especially when combined with job aids. Training and providing them with job aids on FP will therefore support task shifting and task sharing on family planning services provision in Nigeria.

Design, adaptation, and diffusion of an innovative tool to support contraceptive decision-making: Balanced Counseling Strategy Plus

Contraceptive decision-making is highly complex, and family planning (FP) clients choose methods according to a host of personal, interpersonal, and context-specific considerations. These include concerns about side effects, confidence in their ability to adhere to daily or monthly use, efficacy of methods, partner support, and HIV vulnerability. FP decision support tools can support FP clients and providers to engage in a joint decision-making process to ensure clients make informed choices about contraception. For more than two decades, the Balanced Counseling Strategy (BCS) and Balanced Counseling Strategy Plus (BCS+) decision support tools have been used in lower- and middle-income countries, informed by implementation science research and iterative updates and refinements to reflect new developments in contraceptive technology and HIV prevention strategies. To inform the development and scale-up of future FP decision support tools, this article describes the development, evaluation, and proliferation of BCS and BCS+.

Design, adaptation, and diffusion of an innovative tool to promote shared contraceptive decision-making: Balanced Counseling Strategy Plus

Contraceptive decision-making is highly complex, and family planning (FP) clients choose methods according to a host of personal, interpersonal, and context-specific considerations. These include concerns about side effects, confidence in their ability to adhere to daily or monthly use, efficacy of methods, partner support, and HIV vulnerability. FP decision support tools can support FP clients and providers to engage in a joint decision-making process to ensure clients make informed choices about contraception. For more than two decades, the Balanced Counseling Strategy (BCS) and Balanced Counseling Strategy Plus (BCS+) decision support tools have been used in lower- and middle-income countries, informed by implementation science research and iterative updates and refinements to reflect new developments in contraceptive technology and HIV prevention strategies. To inform the development and scale-up of future FP decision support tools, as well as share lessons from translating implementation science results to practice, this article describes the development, evaluation, and proliferation of BCS and BCS+.

EFFECT OF BALANCE COUNSELING STRATEGY TOWARDS KNOWLEDGE AND ATTITUDE IN CONTRACEPTION AMONG PREGNANT WOMEN

Abstract Background: The use of postpartum contraception is ideally used after delivery under 42 days. Data obtained from the BKKBN of East Java Province, the achievement of unmet need in Surabaya is 13.31% of the unmet need target of 10.44%. The Balanced Counseling Strategy is a family planning counseling method that is practical, interactive, client-friendly, and encourages the client’s active participation. The purpose of this research is to know the effect of using BCS on improving the knowledge and attitudes of pregnant women about family planning. Method: In this quasy experimental research, pre-post with control group designed was implemented. Quota sampling is used to choose responden. Questionaire is used for research instrument. Data analysis used Paired t-test, Wilcoxon Signed Rank Test and Mann-Whitney Test. Results: Thirty nine of pregnant women are studied. The intervention group has increased knowledge scored 16,64 (p-value = 0,003) though the control group score 5.11 (p-value = 0,030) that is showed that there is significant different between two grups with p-value 0,045. The intervention group has increased attitudes scored 1,95 (p-value = 0,003) though the control group 0,11 (p-value = 0,650) that is showed that there is significant different between two grups with p-value 0,015. Conclusion: Counseling using Balanced Counseling Strategy can increase knowledge and attitude of pregnant women about family planning and more effective than pregnancy-class methods at Tanah Kalikedinding of Public Health 2019.

Development Of Strategic Methods For Family Balanced Counseling (SKB KB) On The Selection Of Potential Acceptance Contraception Tools In Makassar

Family planning is a strategy to reduce maternal mortality, especially mothers with 4T conditions. Counseling plays an important role in achieving quality family planning services. A balanced counseling strategy (SKB) began to be developed and adapted for use in 2016, to strengthen postpartum family planning counseling services (KBPP). The purpose of this study was to determine the effect of the Family Planning Balanced Counseling Strategy (SKB-KB) on the choice of contraceptives at Kassi-Kassi Community Health Center Makassar City. The type of research used is Quasi Experimental (quasi-experimental). This study conducted an intervention in both groups by assessing before and after treatment / counseling. One group intervened with the SKB-KB method, while the other group intervened with the ABPK method. Data were analyzed using the chi square test with a significance level of p <0.05. The results showed that the SKB-KB method had an influence on the choice of contraceptives between the intervention group and the control group (p: 0.0008; α 0.05).

The effect of balanced counseling strategy family planning against attitude, subjective norm, and intentions on the use of modern contraception behavior in the Singgani Public Health Center work area of Palu city

ObjectiveThere is a declining trend in the use of modern contraception in the community. The stagnation of family planning services is due to the lack of optimal family planning counseling. Family Planning Balanced Counseling Strategy (FP-BCS) is a family planning counseling that is practical, interactive, and encourages client participation. This study aimed to analyze the influence of the FP–BCS on attitudes, subjective norms, and intentions on modern contraception in the working area of Singgani Health Center, Palu, Indonesia. MethodThis research was a quasi-experimental with non-randomized pretest-posttest along to control group design. The sample of the study was third-trimester pregnant women who did antenatal care in the working area of the Singgani Community Health Center. The total sample was 17 respondents for each group; intervention group (treated by Maternal and Child Health (MCH) book and FP-BCS) and control group (treated by MCH Book without FP-BCS). The influence of FP-BCS toward attitudes, subjective norms, and intentions on modern contraception was statistically analyzed using the Wilcoxon Signed Rank Test, McNemar, Mann–Whitney, and Chi-Square. ResultThe Wilcoxon Signed Rank Test and McNemar analysis on the intervention group showed an increase in attitude (p=0.000), subjective norms (p=0.000), and intention (p=0.000). The control group showed an increase in intention (0.031), subjective norms (p=0.005), but there was no increase in attitude (p=0.081). The Mann-Whitney and Chi-Square analysis showed differences in attitudes (p=0.000), subjective norms (p=0.021), and intentions (p=0.010) between groups, which were given an FP-BSC and those not given an FP-BCS. ConclusionAll in all, it is expected that Family Planning-Balanced Counseling Strategy will be an option in providing family planning counseling.

The influence of balanced counseling strategy on mother toward use of post partum family planning

This study aimed to analyze influence of balanced counseling strategies on the use of immediate PPFP. This research is pre experiment with only posttest control group design. Samples were third trimester pregnant women, respectively 25 experimental and control group were selected purposively, analyzed by chi-square test. There was an effect of BCS on the use of PPFP, there was an effect of using PPFP at age above 20 years, parity≥2, low secondary education, sufficient knowledge and husband's support (p-value<0.005). It was concluded that BCS in third trimester pregnant women and repeated post partum had an effect on the use of PPFP especially mothers with age, parity, sufficient knowledge and mothers who received support from their husbands. It is expected that pregnant women will get BCS and continue post partum to increase coverage of PPFP use.

An integrated community health worker intervention in rural Nepal: a type 2 hybrid effectiveness-implementation study protocol

BackgroundEvidence-based medicines, technologies, and protocols exist to prevent many of the annual 300,000 maternal, 2.7 million neonatal, and 9 million child deaths, but they are not being effectively implemented and utilized in rural areas. Nepal, one of South Asia’s poorest countries with over 80% of its population living in rural areas, exemplifies this challenge. Community health workers are an important cadre in low-income countries where human resources for health and health care infrastructure are limited. As local women, they are uniquely positioned to understand and successfully navigate barriers to health care access. Recent case studies of large community health worker programs have highlighted the importance of training, both initial and ongoing, and accountability through structured management, salaries, and ongoing monitoring and evaluation. A gap in the evidence regarding whether such community health worker systems can change health outcomes, as well as be sustainably adopted at scale, remains. In this study, we plan to evaluate a community health worker system delivering an evidence-based integrated reproductive, maternal, newborn, and child health intervention as it is scaled up in rural Nepal.MethodsWe will conduct a type 2 hybrid effectiveness-implementation study to test both the effect of an integrated reproductive, maternal, newborn, and child health intervention and the implementation process via a professional community health worker system. The intervention integrates five evidence-based approaches: (1) home-based antenatal care and post-natal care counseling and care coordination; (2) continuous surveillance of all reproductive age women, pregnancies, and children under age 2 years via a mobile application; (3) Community-Based Integrated Management of Newborn and Childhood Illness; (4) group antenatal and postnatal care; and 5) the Balanced Counseling Strategy to post-partum contraception. We will evaluate effectiveness using a pre-post quasi-experimental design with stepped implementation and implementation using the RE-AIM framework.DiscussionThis is the first hybrid effectiveness-implementation study of an integrated reproductive, maternal, newborn, and child health intervention in rural Nepal that we are aware of. As Nepal takes steps towards achieving the Sustainable Development Goals, the data from this three-year study will be useful in the detailed planning of a professionalized community health worker cadre delivering evidence-based reproductive, maternal, newborn, and child health interventions to the country’s rural population.Trial registrationClinicalTrials.gov Identifier: NCT03371186, registered 04 December 2017, retrospectively registered.

V31 Scaling up – balanced counseling strategy plus to improve quality of family planning and HIV counseling through linking counseling and testing with family planning services, Kenya and South Africa

V31 Scaling up – balanced counseling strategy plus to improve quality of family planning and HIV counseling through linking counseling and testing with family planning services, Kenya and South Africa

Providers' Compliance with the Balanced Counseling Strategy in Guatemala

The balanced counseling strategy developed in Peru improved family planning care and clients' knowledge of their contraceptive method choice, but few providers adopted it. To expand its use, an algorithm was introduced and training, job aids, and reinforcement were supplied to Ministry of Health providers, most of whom were paraprofessionals, from two areas (40 clinics) in Guatemala. Mystery clients made pretest and post-test visits to these clinics and to providers from a nonequivalent control group (40 clinics). The results showed that the strategy was used in 85 percent of the controlled consultations at the experimental clinics. Use of the strategy improved quality of care regardless of the provider's performance at baseline and regardless of ethnic or regional differences. Counseling session length increased by nine minutes, but real-client load did not change. Guatemalan clients can be expected to benefit from the strategy. The increased session length has not yet caused problems, but it may pose policy dilemmas in the future.