Top

BMC Women's Health

Published in:

Open Access 01-12-2017 | Research article

Increasing family planning in Myanmar: the role of the private sector and social franchise programs

Authors: Tin Aung, Nang Mo Hom, May Sudhinaraset

Published in: BMC Women's Health | Issue 1/2017

Abstract

Background

This study examines the influence of clinical social franchise program on modern contraceptive use.

Methods

This was a cross-sectional survey of contraceptive use among 2390 currently married women across 25 townships in Myanmar in 2014. Social franchise program measures were from programmatic records.

Results

Multivariable models show that women who lived in communities with at least 1-5 years of a clinical social franchise intrauterine device (IUD) program had 4.770 higher odds of using a modern contraceptive method compared to women living in communities with no IUD program [CI: 3.739-6.084]. Townships where the reproductive health program had existed for at least 10 years had 1.428 higher odds of reporting modern method use compared to women living in townships where the programs had existed for less than 10 years [CI: 1.016-2.008].

Conclusions

This study found consistent and robust evidence for an increase in family planning methods over program duration as well as intensity of social franchise programs.

Department of Population, Ministry of Immigration and Population. Population and Housing Census of Myanmar, 2014 [Internet]. Myanmar: UNFPA; 2014. Available from: http://countryoffice.unfpa.org/myanmar/drive/Census_Provisional_Results_2014_ENG.pdf. Accessed 5 Dec 2016.

Ministry of National Planning and Economic Development and Ministry of Health. Myanmar: multiple Indicator cluster survey 2009-2010. Nay Pyi Taw: Ministry of National Planning and Economic Development and Ministry of Health; 2011.

Ministry of Immigration and Population, Department of Population. Country Report on 2007 Fertility and Reproductive Health Survey [Internet]. Nay Pyi Taw, Myanmar: UNFPA; 2009. Available from: http://countryoffice.unfpa.org/myanmar/drive/2007_FRHS.pdf. Accessed 5 Dec 2016.

O’Connell K, Hom M, Aung T, Theuss M, Huntington D. Using and joining a franchised private sector provider network in Myanmar. PLoS One. 2011;6:e28364.CrossRefPubMedPubMedCentral

World Bank. Health expenditure, total (% of GDP) | Data [Internet]. World Bank Health Expend. 2016 [cited 2017 Jan 20]. Available from: http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS. Accessed 5 Dec 2016.

Sheehy G, Aung Y, Sietstra C, Foster A. Near the city but hard to reach: a reproductive health needs assessment in peri-urban Yangon. Cambridge, MA: CRHC; 2015.

Viswanathan R, Schatzkin E, Sprockett A. Clinical Social Franchising Compendium: An Annual Survey of Programs: Findings from 2012. [Internet]. San Francisco, California: UCSF; 2013. Available from: http://sf4health.org/sites/sf4health.org/files/wysiwyg/Social-Franchising-Compendium-2014_0.pdf. Accessed 5 Dec 2016.

Bishai D, Sachathep K, LeFevre A, Thant HN, Zaw M, Aung T, et al. Cost-effectiveness of using a social franchise network to increase uptake of oral rehydration salts and zinc for childhood diarrhea in rural Myanmar. Cost Eff Resour Alloc. 2015;13:3.CrossRefPubMedPubMedCentral

Montagu D, Sudhinaraset M, Lwin T, Onozaki I, Win Z, Aung T. Equity and the sun quality health private provider social franchise: comparative analysis of patient survey data and a nationally representative TB prevalence survey. Int J Equity Health. 2013;12:5.CrossRefPubMedPubMedCentral

10.

Lwin M, Sudhinaraset M, San A, Aung T. Improving malaria knowledge and practices in rural Myanmar through a village health worker intervention: a cross-sectional study. Malar J. 2014;13:5.CrossRefPubMedPubMedCentral

11.

Lönnroth K, Aung T, Maung W, Kluge H, Uplekar M. Social franchising of TB care through private GPs in Myanmar: an assessment of treatment results, access, equity and financial protection. Health Policy Plan. 2007;22:156–66.CrossRefPubMed

12.

Huntington D, Mundy G, Hom N, Li Q, Aung T. Physicians in private practice: reasons for being a social franchise member. Health Res Policy Syst. 2012;10:25.CrossRefPubMedPubMedCentral

13.

Ngo AD, Alden DL, Pham V, Phan H. The impact of social franchising on the use of reproductive health and family planning services at public commune health stations in Vietnam. BMC Health Serv Res. 2010;10:54.CrossRefPubMedPubMedCentral

Title: Increasing family planning in Myanmar: the role of the private sector and social franchise programs
Authors: Tin Aung
Nang Mo Hom
May Sudhinaraset
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Women's Health / Issue 1/2017
Electronic ISSN: 1472-6874
DOI: https://doi.org/10.1186/s12905-017-0400-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Increasing family planning in Myanmar: the role of the private sector and social franchise programs

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2017

Lifelong vegetarianism and breast cancer risk: a large multicentre case control study in India

Study comparing 3 hour and 24 hour post-operative removal of bladder catheter and vaginal pack following vaginal surgery: a randomised controlled trial

Effect of simvastatin on monocyte chemoattractant protein-1 expression in endometriosis patients: a randomized controlled trial

Factors associated with utilization of long-acting and permanent contraceptive methods among women who have decided not to have more children in Gondar city

Sequential E2 levels not ovarian maximal diameter estimates were correlated with outcome of cetrotide therapy for management of women at high-risk of ovarian hyperstimulation syndrome: a randomized controlled study

Effectively engaging stakeholders and the public in developing violence prevention messages