The Effect of Performance-based Financing of Home Visitation in Overcoming Barriers to the Use of Modern Methods of Contraception in the Kumbo East Health District, Cameroon
Thomas Obinchemti Egbe, Emmanuella Talla, Gregory Edie Halle-Ekane, Julius Atashili, Mary Bih Suh Atanga
International Journal of TROPICAL DISEASE & Health · pp. 1–12 · Published 30 Mar 2016
10.9734/IJTDH/2016/25077Abstract
Background: The use of modern methods of contraception (MMC) still remains a challenge in much of Sub-Saharan Africa including Cameroon. Performance-based Financing (PBF) home visitation was introduced in the Kumbo East Health District (KEHD), Cameroon, to increase the use of modern methods of contraception. Objective: To determine the comparative advantage, on the one hand, of PBF home visits, and, on the other hand, the absence of such home visits, in overcoming barriers to the use of modern methods of contraception (MMC) in the Kumbo East Health District (KEHD), in Cameroon. Materials and Methods: This was a cross-sectional study carried out in the KEHD during the period February 1 – May 31, 2015. A multistage cluster sampling method was used to recruit 262 and 221 women aged 15-49 in the intervention and non-intervention health areas respectively. A structured closed-ended questionnaire was used. Data was analyzed using STATA at 95% confidence interval, power of 80% and design effect of 2. Statistical significance was set at P<0.05. Results: The average age of women was similar in both groups: 30.40 (SD 8.57) in the intervention group and 30.49 (SD 7.84) in controls. Computing logistic regression showed that home visitation had an effect on both groups in terms of where women heard about MMC (OR 13.64, 95% CI: 3.31-56.03) and (aOR 14.95, 95% CI: 3.52-62.16). Women in health areas with home visits were 2.34 times more likely to have cultural approval to use MMC than their counterparts without home visits (OR 2.34, 95% CI: 1.37-3.99) and (aOR 2.29, 95% CI: 1.33-3.94). Women in health areas with home visitation were less likely to have disapproval from their partners to use MMC (OR 0.48, 95% CI: 0.32-0.73) and (aOR 0.47, 95% CI 0.31-0.71) Conclusion: PBF home visitation was effective in overcoming barriers to the use of modern methods of contraception.
Cited by 0
No indexed citations yet.
Related research
- Nurses Attitude and Barriers toward Utilization of Standardized Nursing Language in Sokoto State, Nigeria — shares topic coverage
- Nursing Students’ Perceptions of Barriers to Standard Hand Hygiene Practice Amidst COVID-19 in the Tamale Teaching Hospital of Ghana: A Study conducted on First Degree Rotation Nurses of University for Development Studies — shares topic coverage
- Domiciliary Care Service at a Tertiary Centre — shares topic coverage
- Nurses’ Perception, Barriers and Associated Factors towards Hand Hygiene Practices for Prevention of Healthcare Acquired Infections in the Intensive Care Units — shares topic coverage
- Assessment of the Effectiveness of Community Health Promoters in Hypertension Care in Imenti North Sub-County, Kenya — shares topic coverage
Article metrics
Real usage data collected on this platform.
0
Page views
0
PDF downloads
0
Outbound clicks
0
Citations
Views by country
Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".
No views recorded yet.
Traffic sources
Referring site, by host.
No traffic recorded yet.
Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.