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Community-based integrated approach to changing women's family planning behaviour in Pakistan, 2014-2016


Community-based integrated approach to changing women's family planning behaviour in Pakistan, 2014-2016



Public health action 8(2): 85-90



ISSN/ISBN: 2220-8372

PMID: 29946525

DOI: 10.5588/pha.17.0097

Marco de Referencia: En Karachi, Paquistán, se llevaron a cabo encuestas antes y después de una intervención.Objetivo: Evaluar la eficacia de una estrategia comunitaria integrada, encaminada a modificar el comportamiento de las mujeres con respecto a la utilización de los anticonceptivos.Diseño: La iniciativa Sukh consiste en un enfoque en varios frentes, que comporta servicios puerta a puerta a cargo de agentes de salud comunitarios, provisión de servicios de planificación familiar y salud reproductiva de gran calidad en establecimientos del sector público y el sector privado, con asistencia telefónica permanente en materia de planificación familiar y búsqueda de la participación de los jóvenes en tutorías de preparación para la vida activa.Método: Se realizó un análisis retrospectivo de los datos de una encuesta anterior a la intervención realizada a 5141 mujeres y de 3861 mujeres en una encuesta posterior a la misma.Resultados: La tasa de prevalencia de utilización de anticonceptivos aumentó hasta un 10,7% con respecto al valor inicial (42,3% contra 53,0% en mitad del período), con un aumento de 9,2% del recurso a los métodos modernos de anticoncepción. Se observó una asociación significativa del asesoramiento puerta a puerta con el uso de métodos anticonceptivos (OR 3,4; nivel de confianza a 95% 2,9–4,1) y el recurso a los servicios de establecimientos públicos y privados para la utilización de métodos anticonceptivos modernos (OR 2,4; nivel de confianza a 95% 2,0–3,0). Sin embargo, las reuniones en grupos de apoyo y la asistencia telefónica permanente no exhibieron ninguna correlación.Conclusión: Según el estudio realizado, se aumentó el acceso a los servicios de planificación familiar y la decisión de acudir a ellos, gracias a una estrategia comunitaria que logró reducir las necesidades insatisfechas y reforzar la continuidad de la utilización de los anticonceptivos.

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