Abstract
The main objective of the study is to analyse the role of the family planning programme implementation process as a contribution to explaining geographical differences in contraceptive prevalence rate (CPR) in Tanzania.
Data on implementation practices were collected through different documents, interviews and observations. Those data were analysed by content analysis, narrative analysis and phenomenological analysis to process stories collected in in-depth interviews, client exit interviews and from observations. The quality of the services delivered was compared in two regions (Kilimanjaro and Mara) and four local authorities, Moshi municipal council, Moshi district council, Musoma municipal council and Musoma district council.
The findings show that there were indeed differences in implementation practices between Mara region with a low-level CPR and Kilimanjaro region with a high CPR. The implementation of the family planning programme was not intergovernmental, as hypothesised. Rather it was inter-professional. The NGO’s make professional short cuts by directly training local staff in the guidelines and protocols, circumventing local planning activities. However, these services of NGO’s are distributed rather haphazardly; some regions are aided much better than others
So the general answer emerging from this study to the question why there are such differences in CPR between regions is putting the training and support of health workers in the centre. These findings suggest that in general the training and quality of personnel and the role of the NGO’s in fostering training and quality are the components that loom large in explaining differences in implementation and thus in CPR.
Data on implementation practices were collected through different documents, interviews and observations. Those data were analysed by content analysis, narrative analysis and phenomenological analysis to process stories collected in in-depth interviews, client exit interviews and from observations. The quality of the services delivered was compared in two regions (Kilimanjaro and Mara) and four local authorities, Moshi municipal council, Moshi district council, Musoma municipal council and Musoma district council.
The findings show that there were indeed differences in implementation practices between Mara region with a low-level CPR and Kilimanjaro region with a high CPR. The implementation of the family planning programme was not intergovernmental, as hypothesised. Rather it was inter-professional. The NGO’s make professional short cuts by directly training local staff in the guidelines and protocols, circumventing local planning activities. However, these services of NGO’s are distributed rather haphazardly; some regions are aided much better than others
So the general answer emerging from this study to the question why there are such differences in CPR between regions is putting the training and support of health workers in the centre. These findings suggest that in general the training and quality of personnel and the role of the NGO’s in fostering training and quality are the components that loom large in explaining differences in implementation and thus in CPR.
| Original language | English |
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| Qualification | Doctor of Philosophy |
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| Award date | 13-Apr-2017 |
| Place of Publication | [Groningen] |
| Publisher | |
| Print ISBNs | 978-94-91676-03-1 |
| Electronic ISBNs | 978-90-367-9721-4 |
| Publication status | Published - 2017 |