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Determinants of Reproductive Health Commodity Security: A Review from Clients and Healthcare System Perspectives

Motuma Adimasu Abeshu, Bekesho Geleta

Background: This review investigates the determinants of Reproductive Health Commodity Security from the perspectives of users and health care delivery system, and assesses the impact of the factors on contraceptive choice, access/obtaining and utilization.

Objective: To review the determinants of Reproductive Health Contraceptive Security from the perspectives of clients and healthcare delivery

Methods: Reports and publications were found in the peer-reviewed and grey literature through academic search engines and web searches. The studies were reviewed against a set of inclusion criteria and those that met these were explored in more depth.

Results: As many factors influence the success of family planning programs, many developing countries are far from ensuring Reproductive Health Contraceptive Security. There is high parity in contraceptive behavior among users based on their socioeconomic status, level of knowledge, attitude and beliefs towards contraception and specific methods, level of exposure to family planning information, culture of communication of contraceptives within community etc. In addition, health delivery system factors such as efficiency of the logistics system to ensure sustainable availability and access of contraceptive methods of choice, attitude and competence of providers, and convenience of service delivery environments to users strongly influence contraceptive acceptance and utilization.

Conclusion: Reproductive Health Commodity Security is an integral component of the broad health intervention package. Close scrutiny of the factors involved from perspectives of clients and healthcare system shows that socioeconomic status and knowledge, attitude and practice of clients as well as information, education and communication among the client related factors, and performance of the logistics system, providers competence and attitude, and establishment of the health delivery environments.