Family Provision Research Articles

The influence of incentives on community health worker motivation in the provision of family planning. A case of Msalala and Shinyanga Districts, Tanzania

Community health workers (CHWs) are essential in the provision of a wide range of services, including family planning. In Tanzania, deployment of CHWs has largely been supported by non-governmental organizations (NGOs) who often determine their incentives. A mix of incentives is required to increase CHW motivation and, ultimately, performance. This qualitative study aimed to explore how incentives influence CHW motivation in the provision of family planning services in Msalala and Shinyanga districts. The study included focus group discussions and in-depth interviews with 21 CHWs, 12 supervisors and eight policy makers and NGO representatives. Transcripts were coded and narratives were written on types of incentives, motivating and demotivating factors. The study revealed that although CHW motivation was related to feelings of accomplishment and respect from the community, financial incentives were found equally important for motivation. While most CHWs received non-financial incentives, CHWs had unequal access to financial incentives. Key informants confirmed that there was no coordination on incentives at district level. Some CHWs reported demotivation because of misconceptions and unacceptance of family planning in the community and irregular supply of contraceptives. Results from this study show that motivation of voluntary CHWs in Msalala and Shinyanga districts is currently sub-optimal, because of inequity in access to (financial) incentives. There is a need for better coordination and standardization of CHW incentives. Advocacy is needed to increase funding for CHWs’ deployment and remuneration. This would increase CHW motivation and ultimately performance, also in the field of family planning.

Privatanleger als Beschleuniger urbaner Wohnkrisen. Bedeutung und Motive von Privatanlegern auf Wohnungsmärkten abseits der Metropolen am Beispiel Salzburg

So far, the increased emergence of financial investments on the housing markets has mainly been examined in metropolises or on a national level. Research focused primarily on institutional actors. The investigation of financial investments in housing space in cities below the metropolitan level and by individuals has so far been neglected. In the present study, I therefore focus on the manifestation of financial investments of private investors in housing markets outside the metropolises using a mixed-method approach of quantitative land register and data analysis as well as qualitative expert interviews. The paper shows that apart from the metropolises, the utilization of housing into an investment object is mainly carried out by private actors. They invest less out of speculation and in the expectation of an increase in value, but rather for private retirement or family provision and, above all, to secure value. This form of investment in housing also leads to serious consequences for other market players. The entire housing market is gradually focusing on this new type of investor. Real estate has therefore increasingly become a form of investment for many.

Review of Biological Needs Fulfillment in Human Rights Review in Class IIA Penitentiary Serang

Married convicts need the right to fulfill their biological needs to maintain mental and physical health as well as their household, and prevent sexual deviant behavior. Indonesian prisons only focus on overcoming overcapacity, and tend to ignore the biological needs of prisoners, especially since the Class IIA Serang prison is mostly inhabited by married inmates. The fulfillment of biological needs is important, but so far this problem has not been facilitated because it is not regulated in regulations. The purpose of this study was to determine the fulfillment of the biological needs of prisoners in the review of human rights for prisoners at the Class IIA Serang Penitentiary and to find out the obstacles and efforts to fulfill the biological needs of prisoners in the review of human rights for prisoners at the Class IIA Serang Penitentiary. This study uses a normative juridical method through a qualitative approach. Data collection techniques used, namely literature study, interviews and observations. The results show that currently the Class IIA Serang Prison is experiencing overcapacity, the provision of a place to fulfill biological needs in the Class IIA Serang Prison is not implemented due to the absence of regulations, but the Class IIA Serang Prison has an alternative to meet the biological needs of its inmates. This writing results in an analysis of the mechanism for fulfilling sexual needs in Correctional Institutions through alternative models of the romance booth and the provision of Family Visiting Leave which is expected to reduce problems in Correctional Institutions.

Combining Legal and Economic Theory. An Interdisciplinary Approach to Dutch and Polish Family Provisions in Succession Law

Although testamentary freedom is an important principle in succession law, legislators and judges across the world have recognized the importance of certain family members by granting them mandatory claims in the inheritance of their deceased relative (in spite of wishes of the deceased). This article focuses on these rights. The goal is to introduce the Dutch framework of imperative succession law and to demonstrate the possibilities of combining the legal and economic discipline to deepen knowledge on these provisions. Whilst examples will focus upon succession law, the concepts will be described in a general manner. This might inspire researchers to apply a similar interdisciplinary approach in other fields of law. The imperative provisions that currently exist for family members in the Netherlands can be divided into two types of claims. The first is the legitime, a fixed claim for children of the deceased. The second type are the other statutory entitlements that cover a specified range of situations in which judges have freedom in deciding upon the requests of family members. However, this discretion raises many questions on the way judges should handle such claims. A combination of law and economics can aid in describing and interpreting the law, for example by defining the need for support that is often required for a successful claim. By relying on economic data and theory, judges can come to a more consistent and substantiated way of establishing the need for support. The interdisciplinary methodology can also improve comparative legal research. The functional approach that is common in comparative legal research, assumes that law fulfills certain functions. Economic figures provide an objective basis that demonstrates what functions a law fulfills and to what extent this is done efficiently. This information can be used to compare the functioning of laws in different countries.

Maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia.

BackgroundMaternal satisfaction is an essential indicator of the quality and the efficiency of the health care systems. At a time when efforts are being made globally to reduce maternal and neonatal mortality and morbidity, assessing maternal satisfaction is essential. There is a dearth of studies on maternal satisfaction with intrapartum care, particularly in the study area. This study aimed to assess maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia.MethodsA facility-based cross-sectional study with a systematic random sampling technique was conducted from May1-30/ 2020. Data were entered into EpiData version 4.6 and analyzed using a statistical package for the social sciences version 25. Bivariate and multivariable logistic regression were employed. In multivariable logistic regression analysis, level of statistical significance was declared at variables with p < 0.05 and the strength of the association was measured by an adjusted odds ratio and 95% confidence interval.ResultOf the total 394 participants, 111 (28.2%) [95% CI: 23.9, 32.5] of postpartum women were satisfied with the intrapartum care. Place of residence [AOR: 1.934; 95% CI (1.183, 3.162)], planned status of the pregnancy [AOR: 2.245; 95% CI, (1.212, 4.158)], number of antenatal care visit [AOR: 2.389; 95% (1.437, 3.974)] and duration of labour [AOR: 2.463; 95% (1.378, 4.402)] were factors significantly associated with maternal satisfaction with intrapartum care.ConclusionThe proportion of maternal satisfaction with intrapartum care was low. Therefore, designing strategies to enhance maternal satisfaction by strengthening adherence to antenatal care visits, provision of family planning to prevent unplanned pregnancy, and strict utilization of partograph to prevent prolonged labour and childbirth-related complications are crucial.

DETERMINANTS OF UNMET NEED FOR FAMILY PLANNING METHODS AMONG MARRIED WOMEN OF REPRODUCTIVE AGE IN OMBADA LOCALITY, KHARTOUM STATE, SUDAN. 2019

Introduction:The unmet need for family planning reflects the gap between womens reproductive intentions and their contraceptive behavior. Its a useful indicator for tracking progress towards the target of achieving universal access to reproductive health. Aim:This study aimsat measuringthe level of unmet need for family planning in Ombada locality to identify the determinants that affectutilization of FP methodsand to assessthe readiness of the public health facilities to the provision of FP services. Methods:The study was a descriptive cross-sectional health facility and community-based studyusinga multistage sampling technique.The study collected data from married women of reproductive age (15-49 years)and from the public health facilities providingfamily planning services in the study area using structured questionnaire and checklist respectively. The data were analyzed using the Statistical Package for Social Sciences version20. Results:Currently users for family planning methods were (21.55%). The total unmet need for family planning was high and measured as (39.26%), while the total demand for family planning was (60.8%). Factors such as age, age at marriage, living children, knowledge about family planning methods and discussion with husband were found to be significantly related to the high total unmet need. Major reasons for the non-use of family planning methods were husband/family objection, fear of side effects and a lack of knowledge about family planning methods. Assessment of health facilities revealed poor infrastructure readiness. Conclusion: Women in the surveyed locality are still not empowered regarding their reproductive health choices, as they are still under the control of husbands and families concerning the use of contraceptive methods. In addition, the lack of counsellingcomponent, which was the weakest link in the provision of family planning services, lead to voluntary or un-voluntary avoid of using FP methods, or adopting unprofessional sources or methods as alternatives. Thus, policymakers and directorates managers have to carefully consider such findings when planning for FP interventions.

Experiences, Preferences, and Needs of Adolescents and Urban Youth in Contraceptive Use in Conakry, 2019, Guinea.

Introduction: The use of contraceptive methods is very low in Guinea, particularly among adolescents and young people. The purpose of this study is to analyze the experiences and expectations of adolescents and young people regarding the use of contraceptive methods in 2019 in Conakry, Guinea.Methods: We conducted a 6-month qualitative and descriptive study. Data were collected through individual in-depth interviews and focus group discussions with adolescents and young people, health providers and health policy makers. Two approaches of deductive and inductive analysis were used to synthesize the main insights from the data.Findings: Twenty-six participants were included in this study. Adolescents and young people have personal, family and community experiences that positively or negatively influence their contraceptive needs and preferences. Positive experiences include the relative cost of injectable forms, perceived absence of side effects of implants, proven efficacy and duration of action of the modern method used (implants and injectable form). Negative experiences included cost of implants remain high (15 Euros), perceived side effects including weight gain, pill compliance, method indiscretion, and low sensation of sexual pleasure for the condom. The preferences of the young participants were dominated by Implants and injectable forms that better meet their contraceptive needs. In terms of needs, the expectations expressed revolved around needs related to the health system, including sex education, reduction in the cost of some contraceptives (implants), availability of contraceptive methods, and equity in the provision of family planning services to adolescents and young people.Conclusion: Exploring the contraceptive experiences, needs and preferences of adolescents and young people reveals decision-making dilemmas. Adolescents and young people expressed their experiences in terms of the cost of preferred contraceptives (implants), side effects, proven efficacy, and duration of action. However, their decisions are still influenced by availability, equity in service delivery, and the involvement of parents and religious leaders in sex education. Decision-makers should then place particular emphasis on improving health service delivery, adolescent sexual and reproductive health, availability of preferred contraceptive methods at affordable cost, and a program on sexuality education with the involvement of parents and religious leaders and the promotion of condom use.

Utilization of Extended Postpartum Family Planning among Post-Delivery Women in Mvomero District, Morogoro-Tanzania

This study aimed at examining factors associated with the use of Extended Postpartum Family Planning (EPPFP) methods among post delivery women in Mvomero District, Morogoro, Tanzania. Based on cross-sectional design, the data collection activity was conducted on March 2020 to 256 post delivery women who delivered a child between January 1, 2019 and January 31, 2020. Purposive and convenience sampling were used to get respondents of the study. Data were collected using questionnaire. Through SPSS tool, descriptive analyses comprising of Pearson’s chi squire test was employed to establish association between independent and dependent variables. The prevalence of extended postpartum family planning utilization was 46%, the utilization of EPPFP was significantly associated with awareness of the reason for EPPFP use (P-value=0.013), awareness of EPPFP method (P-value=0.014), awareness of EPPFP side effects (P-value= 0.024), counselling sessions (P-value=0.000), menses resumption (P-value=0.010), duration of sexual activity (P-value=0.011) and history of previous pregnancy (P-value=0.000). Prevalence of EPPFP utilization among post delivery women is still low in Mvomero district. Enhancement of the utilization of EPPFP during the postpartum period needs effective response by stakeholders through provision of family planning education particularly during all maternal and child health contacts.

The delivery of paediatric neuropsychological rehabilitation in the Covid-19 pandemic: A survey from the UK Paediatric Neuropsychological Rehabilitation Specialist Interest Group (PNRSIG)

The Covid-19 pandemic has driven a radical shift in practice for services to be able to provide remote neuropsychological interventions for children, young people and their families. This survey aimed to understand the changes in the delivery of paediatric neuropsychological rehabilitation during and after the first national lockdown. It sought to explore what could be learned from experiences across services in the UK. Thirty-six members of the PNRSIG responded to the survey questions. These questions addressed change in the delivery methods of individual work with children, young people and families as well as work with schools. The survey included respondents’ qualitative reflections on the adaptation to services. The discussion describes the implications for the future of service delivery with particular consideration of the access implications of remote service provision for vulnerable children and families.

Attitudes and Practices of Healthcare Professionals and Clinical Medical Students on Contraception: A Cross-Sectional Study in Cape Coast, Ghana.

Background Healthcare providers play a major role in the implementation of family planning policies. In Ghana, there has been a conscious effort to improve the knowledge of preservice and practicing health professionals on family planning. However, there have been concerns about the appropriateness of the attitudes and practices of these health cadres and, hence, their propensity to become barriers to the uptake of contraception in the general population. This study is aimed at assessing the attitudes and practices of healthcare workers and clinical-year medical students in contraceptives use, advocacy, and service provision. Methods A cross-sectional survey was conducted among health workers and clinical-year medical students from January 1 to June 30, 2018. Variables assessed included sexual activity status, previous and current contraceptive use, and satisfaction with contraceptive use among others. Data from 400 self-administered, structured questionnaires comprising close- and open-ended questions was entered in SPSS version 22 and analysed using same. The variables assessed were presented as means, frequencies, and percentages. Results About 58% of the respondents were sexually active. Half of the participants (50.2%) had used a form of contraception before, with condoms and other barrier methods being the most preferred (67.7%). However, only 18% of respondents were on a form of contraceptive at the time of the survey. Four out of five (82.6%) of the users of these contraceptives were satisfied with their past use. A little over half of the participants had discussed contraception with their partners. Over four-fifths of participants thought family planning was beneficial and were willing to encourage others to use a method of family planning. Majority (63.7%) of the participants had had formal training in family planning, but only 72 (18%) were actively involved in the provision of family planning services. Conclusions Although the attitudes of the health workers and trainees toward family planning were excellent generally, only a few were using a method of contraception at the time of the survey despite the fact that most of them were sexually active. There is a need to intensify communication on behaviour change towards contraception among health professionals and clinical-year medical students in order to strengthen their role as change agents in an effort to improve community uptake.

Navigating the terrain of moral distress: Experiences of pediatric end-of-life care and bereavement during COVID-19.

Parents of seriously ill children worry about their vulnerable child contracting COVID-19, whether their child's palliative care providers will be able to continue to provide the same quality of care to their child, and who can be with the child to provide comfort. For providers, shifts in healthcare provision, communication formats, and support offerings for families facing distress or loss during the pandemic may promote providers' moral distress. This study aimed to define the ways that the COVID-19 pandemic has impacted end-of-life care and approach to bereavement care in pediatric palliative care (PPC). The Palliative Assessment of Needed DEvelopments and Modifications In the Era of Coronavirus (PANDEMIC) survey was developed to learn about the PPC experience during COVID-19 in the United States. The survey was posted with permission on seven nationally focused Listservs. A total of 207 PPC team members from 80 cities within 39 states and the District of Columbia participated. In the majority of hospitals, admitted pediatric patients were only allowed one parent as a visitor with the exception of both parents or nuclear family at end of life. Creative alternatives to grief support and traditional funeral services were described. The high incidence of respondents' depicted moral distress was often focused on an inability to provide a desired level of care due to existing rules and policies and bearing witness to patient and family suffering enhanced by the pandemic. The COVID-19 pandemic has had a profound impact on the provision of end-of-life care and bereavement for children, family caregivers, and PPC providers. Our results identify tangible limitations of restricted personal contact and the pain of watching families stumble through a stunted grieving process. It is imperative that we find solutions for future global challenges and to foster solidarity in PPC.

Legal Component of Public Policy in the Field of Public Health in the Aspect of Providing Social Support for Vulnerable Sections of the Population

The author’s legal support of the components of the structural-functional model (SFM) of medical care for children with bronchopulmonary dysplasia (BPD) is given in this article, in particular regarding social support for families in which children with disabilities are raised, which is aimed at strengthening social protection, individualization of the worker schedule and employment, expanding the availability and cheapening of food products, patient-oriented social assistance and improving the economic condition of persons with children with disabilities, other urgent problems of patients with BPD. The Law of Ukraine number 544-VIII «On Employment» renewed the rights of citizens with additional guarantees in employment, and provided these guarantees, and with respect to the target contingent of the SFM, it strengthens the social protection of parents, the establishment of a shorter working time or part-time or non-working week only for women who raise a disabled child, individualization of working time in the care of a sick family member. It is envisaged to ensure fairness in taxation in accordance with EU Council Directive number 2006/112, and in relation to the target contingent of the SFM — the reduction in the cost of food for special nutrition for children. It is also ensured that social justice is implemented in the pension provision of the parental family and, in relation to the target contingent of the SFM, is the improvement of the economic condition of persons with disabled children. A comprehensive reform of the health care system has been defined to create a network of state and communal institutions with a sufficient level of independence, which in relation to the target contingent, the SFM implements approaches aimed at creating a patient-oriented system that can provide medical care in an institution. In order to improve the legislative and regulatory support during 2014–2019, directions for the implementation of the legislative initiative were identified. Socio-medical assistance has been improved: social protection of parents with dependent children under 6 years of age has been strengthened, working hours have been individualized when taking care of a sick family member, food products have been cheapened for special nutrition of children, the creation of a patient-oriented care system has been substantiated, the economic state of persons supporting children has been improved while increasing the mutual responsibility of parents in material assistance and other, which improved the regulatory and legal support of this component of the SFM of medical care for children with BDL.

The Influence of Social Demographic Factors on the Use of Extended Post-Partum Family Planning Methods Among Post-Delivery Women in Tanzania

Extended Post-Partum Family Planning (EPPFP) refers to the prevention of unplanned and/or closely spaced pregnancies from six (6) weeks to 12 months period after childbirth. It is revealed that 61% of women in the world do not use effective contraception within 24 months postpartum to prevent unplanned pregnancy. This study examined the influence of social demographic factors on the use of Extended Post-Partum Family Planning (EPPFP) methods among post-delivery women from four selected health care facilities in Tanzania. 255 post-delivery women aged 15-49 years who delivered a child between January 1, 2019 and January 31, 2020 were subjected to a facility-based cross-section study design through convenience sampling. Data were analyzed by SPSS version 20; multiple regression analyses were done to establish the relationships between social demographic factors and the use of Extended Post-Partum Family Planning (EPPFP) methods. It was found that there is a significant relationship between social demographic factors and the use of Extended Post-Partum Family Planning (EPPFP). The study recommends provision of family planning education to the community through mass and social media.

PECULIARITIES OF CHALLENGING A DEBTOR-CITIZEN TRANSACTION: TRENDS IN LEGISLATION AND LAW ENFORCEMENT PRACTICE

The purpose of this article is to study the theoretical and practical aspects of the procedure for challenging transactions in the framework of bankruptcy proceedings of individuals, identifying trends in regulation and law enforcement practice in this area. To achieve it such tasks are set as: the analysis and study of the procedure and grounds for challenging transactions of the debtor-citizen, the identification and characterization of the features of the application of provisions of family law in challenging transactions of the debtor-citizen, the establishment of peculiarities of challenging transactions of the debtor-inheritor. The conducted work allowed to establish the relationship of the rules on bankruptcy of individuals with the general provisions of the legislation on insolvency, the norms of family and inheritance law. The study of the contestation of debtor-citizen transactions allowed to identify general and special rules, to develop a proposal to adjust the terms of claims for contestation of transactions by creditors. The interrelation of norms of family law and provisions of bankruptcy law in terms of meaning, legal consequences and peculiarities of challenging extrajudicial agreements on the division of marital property and the establishment of alimony obligations was established. Attention is drawn to the legal positions of the Plenum of the Supreme Court of the Russian Federation on the possibility of combining spouses' insolvency cases. It is noted that these aspects are reflected only in the explanatory act of the highest court. It is concluded that the regulation of social relations connected with the contestation of transactions of the debtor-inheritor is lacunae. It emphasizes the debatable nature of the issues of admissibility of the debtor's transactions by the heirs and the application of the consequences of invalidation of the transaction. It is determined that the proper legal regulation and law enforcement of norms of contestation of debtor-citizen transactions should ensure the efficiency of formation of the bankruptcy estate and contribute to the satisfaction of creditors' claims.

Demand- and supply-side factors associated with the use of contraceptive methods in Pakistan: a comparative study of demographic and health surveys, 1990\u20132018

BackgroundA remarkable decline in fertility rates has been observed in many countries, with a primary determinant being an increase in the use of contraceptives. However, the birth rate in Pakistan is still higher compared to the other countries of the region. Therefore, this study aims to assess the effect of demand- and supply-side factors associated with the use of contraceptive measures in Pakistan.MethodsSecondary data analysis of four data series of the Pakistan Demographic and Health Surveys (PDHS 1990–1991, 2006–2007, 2012–2013 and 2017–2018) were used. The data includes ever-married women aged 15–49 years who had given birth in the previous five years and participated in the family planning module of the PDHS. A total of 25,318 women were included in the analysis. Data were analysed by investigating the associations between independent variables (demand- and supply-side factors) and the use of contraceptive measures through unadjusted odds ratios (OR) and adjusted OR (AOR).ResultsThe results among demand-side factors indicated that in 2012–2013, women without media exposure were less likely to use contraceptives and the trend remains almost constant for 2017–2018 (AOR = 0.664, 95% CI 0.562–0.784) in 2012–2013 and (AOR = 0.654, 95% CI 0.483–0.885) in 2017–2018. However, they still show a lower likelihood of using contraceptives without media exposure. The results among supply-side factors indicated that absence of transport (2012–2013) and limited visits by family planning workers over the previous 12 months (2006–2007, 2012–2013 and 2017–2018) remained significant factors for not using contraceptive methods.ConclusionsThe results of the study indicate that certain demand- and supply-side factors are associated with the use of contraceptive measures in Pakistan. It highlights the need for the provision of family planning resources and further structural factors, particularly in remote areas.

Experiences of children with special educational needs and disabilities and their families in the United Kingdom during the coronavirus pandemic

PurposeThe purpose of this paper is to outline the experiences of children with special educational needs and disabilities (SEND) and their families during the coronavirus pandemic.Design/methodology/approachThis paper draws on research gathered and collated by three different organisations working with families of children and young people with SEND.FindingsThere were a number of common findings across all three surveys. In particular: the rapid collapse of external support for children and families; the reduction/withdrawal of support exacerbated the stress and exhaustion already experienced by many families; it proved very difficult to establish home learning and get adequate support from schools; there was little government recognition of families’ vulnerability and need for support; and, paradoxically, a significant minority of children and families reported increased well-being.Originality/valueFindings carry clear implications both for the provision of child and family support during any further lockdowns and, more generally, in respect of government policy and funding of family support.

Embedding Anti-Oppression and Anti-Racism Perspectives in the Field of Child and Youth Care: A Case for Rearticulating Relational Care

The field of Child and Youth Care continues to expand and the foundational theories that have been central to the development of the field continue to de adapted. However, the increasing diversity of Canada's populations requires the inclusion of multiple theoretical frameworks that can address the needs of the children, youth and families that we encounter. This paper examines the ways in which anti-oppression and anti-racism perspectives can be included as an aspect of CYC thought and practice, with particular relevance to service provision for African Canadian families.

Family–teacher partnerships: families' and teachers' experiences of working together to support learners with disabilities in South Africa

Family and teacher partnerships have an important role to play in the education of learners with disabilities. The South African Schools Act of 1996 has made provision for families to play a pivotal role in the school governing body, whether their child has a disability or not. National and international research shows that strong family–teacher partnerships improve children's academic performance as well as the family's quality of life. This study explores families' and teachers' co‐operative experiences of supporting learners with disabilities in special and full‐service schools in South Africa. Data were drawn from 39 individual interviews with teachers and five focus group discussions with 27 family members of learners with disabilities. The findings show both positive and negative interactive experiences regarding communication, extending learning from school to home, power dynamics and advocacy, and commitment. Consideration of these aspects will contribute to improving education for learners with disabilities.

Emergency Food Provision for Children and Families during the COVID-19 Pandemic: Examples from Five U.S. Cities.

As lockdown and school closure policies were implemented in response to the coronavirus, the federal government provided funding and relaxed its rules to support emergency food provision, but not guidance on best practices for effectiveness. Accordingly, cities developed a diverse patchwork of emergency feeding programs. This article uses qualitative data to provide insight into emergency food provision developed in five cities to serve children and families. Based on our qualitative analysis, we find that the effectiveness of local approaches appears to depend on: (i) cross‐sector collaboration, (ii) supply chains, and (iii) addressing gaps in service to increased risk populations.

Integration of Catholic Values and Professional Obligations in the Provision of Family Planning Services

Religious leaders of the Catholic church created guidelines for practicing medicine, that involve reproductive care restrictions that may conflict with professional obligations. To explore how Catholic obstetrician-gynecologists integrate their religious values and professional obligations related to family planning services. In this qualitative investigation, in 2018, US-based obstetrician-gynecologists were recruited through an online survey and were invited to participate in audio-recorded telephone interviews using a semistructured interview guide. Participants were obstetrician-gynecologists who self-identified as Catholic and reported providing reproductive health care as follows: (1) provide natural family planning only (low practitioners), (2) provide additional contraceptive methods (moderate practitioners), and (3) provide family planning services including abortion (high practitioners). The study purposively sampled those with higher self-reported religiosity. Data were analyzed from November 2018 to February 2019. The primary outcome was understanding how participants describe integration of Catholic values with family planning service provision. The telephone interviews explored their integration of Catholic values and professional obligations, and 3 coders analyzed the responses using grounded theory. Among the 34 Catholic obstetrician-gynecologists interviewed (27 women [79.4%]), there were 10 low, 15 moderate, and 9 high practitioners from 19 states. Participants' description of morality was consistent with Albert Bandura's Social-Cognitive Theory of Moral Thought and Action. The findings were used to create a modified framework. Within each group of physicians, 3 themes demonstrating their reconciliations between Catholic values and professional obligations emerged; each of these themes reflected one of the medical ethical principles of autonomy, beneficence, nonmaleficence, or justice. All 10 low practitioners primarily promoted natural family planning approaches to avoid iatrogenic risks and none provided abortion, reflecting nonmaleficence. Alternatively, moderate practitioners focused on nonmaleficence by offering contraception to prevent abortions. High practitioners primarily promoted patient autonomy by separating religious doctrine from medical practice. All had concerns for beneficence. In each group, 1 of the 4 medical ethical principles was underrepresented. In this qualitative analysis, Catholic obstetrician-gynecologists establish their family planning care provision practices by emphasizing certain moral and/or ethical principles over others. These findings highlight how physician morality in the realm of family planning service provision often involves certain religious and/or professional reconciliations. Understanding the dilemmas Catholic obstetrician-gynecologists face can guide professional development efforts and inform ongoing discussions about conscientious objection and provision.