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Related Experiment Videos

Comparing a public and private sector NFP program: implications for NFP expansion

S Girotto1, A Zanichelli, G C Stevanella

  • 1Istituto per la Regolazione Naturale della Fertilitia, INER-Italia, Largo San Nazaro, Verona, Italy.

Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
|June 1, 1997
PubMed
Summary

This study compares public and private natural family planning (NFP) services in Italy. Public NFP programs served married women seeking pregnancy, while private programs served both married and single women for pregnancy avoidance.

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Area of Science:

  • Reproductive Health
  • Public Health Policy
  • Family Planning

Background:

  • Natural Family Planning (NFP) is utilized for both achieving and avoiding pregnancy.
  • Healthcare systems and non-governmental organizations (NGOs) collaborate to provide NFP services.
  • Regional differences in NFP service delivery and client demographics exist within Italy.

Purpose of the Study:

  • To synthesize a six-year collaboration between an NFP NGO and a regional National Health Service.
  • To compare public sector NFP services with those offered in the private sector.
  • To analyze demographic and motivational differences between clients of public and private NFP programs.

Main Methods:

  • Comparative analysis of NFP service delivery models.
  • Review of a six-year collaboration between an NFP NGO and the Emilia Romagna National Health Service.

Related Experiment Videos

  • Examination of client demographics and reasons for NFP use in Emilia Romagna (public) and Veneto (private) regions.

    • Main Results:

    • Public sector NFP services were provided by midwives in health clinics; private sector services were taught by laypersons in church-based facilities.
    • Public sector clients were older, predominantly married, with 40% seeking to achieve pregnancy.
    • Private sector clients were equally married/single, often seeking pregnancy avoidance or spacing, and recruited via premarital counseling.

    Conclusions:

    • NFP service delivery models differ significantly between public and private sectors in Italy.
    • Client populations and their reproductive goals vary based on the sector providing NFP services.
    • NFP users in both regions demonstrated higher education levels than the general population.