MAPPING COUNSELING STRATEGIES: A SCOPING REVIEW OF HEALTHCARE PROVIDERS' COUNSELLING SKILLS FOR FACILITATING MODERN CONTRACEPTIVE USE IN FAMILY PLANNING
Main Article Content
Keywords
Client-Centered Counseling, Healthcare providers, Modern contraceptives, Training
Abstract
Background: The International Conference on Population and Development (ICPD) and the Bruce Quality of Care Framework underscored the significance of high-quality, person-centered contraceptive counseling. Despite various frameworks, few address the interpersonal aspects of counseling or the negative experiences faced by clients. Recent shifts towards a human rights framework emphasize quality care as an intrinsic goal, intertwining person-centered counseling with increased contraceptive prevalence, which may create conflicting priorities.
Objectives: This scoping review aims to map the strategies and skills healthcare providers use to facilitate modern contraceptive use, especially Long-Acting Reversible Contraceptives (LARC). It seeks to synthesize existing evidence on counseling strategies, evaluate their effectiveness, and highlight knowledge gaps to inform future research and policy development.
Methods: Following the PRISMA-ScR guidelines, a systematic search was conducted across PubMed, Cochrane Library, Taylor & Francis, and Google Scholar for articles published between January 2019 and July 2024. The search strategy included keywords and synonyms related to family planning, counseling, and healthcare providers. Two reviewers independently screened and selected studies based on predefined inclusion and exclusion criteria.
Results: The review identified several key strategies and skills used by healthcare providers in counseling for modern contraceptive use. Effective counseling strategies included privacy, confidentiality, respect, empathy, and trust, along with specific steps in the counseling process. The review also highlighted gaps in the literature, particularly in addressing the negative experiences of clients and the interpersonal aspects of counseling.
Conclusions: The scoping review highlights the importance of various interventions in family planning counseling, emphasizing the positive impact of educational initiatives on healthcare providers' confidence and knowledge, particularly regarding LARCs. High-quality, client-centered counseling and shared decision-making are crucial for informed patient choices and reduced discontinuation rates. Continuous professional development and training significantly enhance LARC service provision, while addressing provider biases improves empathetic care and accessibility for young people. Regular training is essential for improving contraceptive uptake and providing client-centered counseling.
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Dr. Farrah Pervaiz
Assistant Professor of Community Medicine Rawalpindi Medical University
Dr Humaira Mahmood
Professor Department of Public Health AFPGMI, NUMS
Dr. Faiza Rabbani
Reproductive Health Consultant MoNHSR&C
Dr. Shabana Saleem
DG Population MoNHSR&C
Dr. Mariyum Sarfraz
Associate Professor Health Services Academy
Dr. Muhammad Farrukh Habib
6Senior Lecturer, Health Services Management, Shifa Tameer e Millat University, Islamabad Pakistan