Oral contraceptive pills are often available at this facility and mostly female employees use them. Like the pills, injectables are the most commonly available and widely used family planning methods at this facility. As it was witnessed from the study participants, even these days, it is difficult to get long-term and permanent FP methods at workplace clinics. Hence, the method choice would still be limited to the old ones. Family planning methods like Implants, Intrauterine devices, male sterilization and Female sterilization are rarely available at our facility-Health provider from Debre Birhan Textile Factory). Fig. 2 Types of contraceptive methods used among current contraceptive users (n=73), August 2016 Availability of contraceptives, commodities, trained providers, space and supplies and job aids at workplace clinics In this survey, we conducted a brief inventory of supplies and commodities, availability of space for family planning and trained providers at the surveyed factories and farms that have clinics using an inventory checklist (Annex 5). Among the 18 workplaces surveyed, 16 of them had clinics in their premises. Availability and utilization of FP service: It is not uncommon to observe workplaces where there are not FP services or there is poor utilization where there are services. Among the 16 workplaces that have workplace clinic in this study, only a quarter of them had one or more type of contraceptive method (excluding condom). This implies that only one-fifth of the 18 workplaces surveyed are providing any contraceptive method (Annex 6). Condom is the most widely available supply though it mayn’t necessarily mean it is availed as a FP method. A KI from Debre Birhan Textile Factory said, We do not provide any of the family planning methods including counseling services [for family planning use] but we provide female and male condom [for employees] to protect them from HIV/AIDS. Another KI from Kombolcha Textile Factory added, Male condoms are available at the entrance [of the factory] and employees can get at any time. Any employee can use the condom free of charge. The main purpose of the condom supply is, of course, to prevent the spread of HIV/AIDS. The majority of women (63.3%) are getting FP services from facilities outside the workplaces (Fig. 3). Only a quarter of them are getting services from workplace clinics.
WP1. Factory/Farm Name _________________ WP2. Factory/Farm Code__________ WP3. Interviewer’s name________________ WP4. Interviewer’s #___________ Date of interview dd/mm/yyyy___ ___ ______ ______ WP5. Type of Industry breweries and wineries WATER/soft drinks HorticalturE FRUITS AND Vegetables Leather processing Textile Construction steel and metal OTHER (SPECIFY)________________ 1 2 3 4 5 6 7 8 98 WP6. Region where the factory/farm is found Addis Ababa Oromia Amhara 1 2 3 Interview Start time : HrsMts No QUESTIONS AND PROBS CODING CATEGORIES SKIP SECTION 1: SOCIO-DEMOGRAPHICS, SEXUALITY AND Reproductive Health CHARACTERISTICS In the next few minutes, I will be asking you about some questions related to you and your family including fertility, sexuality and reproductive health issues. 101 How old are you in complete years? 102 Have you ever attended formal schooling? Yes No 1 2 If = 2104 103 What is the highest level of formal schooling you have completed? Primary Secondary Technical/vocational Higher 1 2 3 4 104 What is your religion? Orthodox Catholic Protestant Muslim Other________________________ Refused 1 2 3 4 5 99 105 What is your current marital status? Married Living in union Widowed Divorced Separated Never married/never in union 1 2 3 4 5 6 107 106 Is your husband/partner living with you now or is he staying elsewhere? Living with her Staying elsewhere 1 2 107 Have you ever given birth? Yes No 1 2 If = 2109 108 How many living children do you have currently? Number of children __________ 109 Are you pregnant now? Yes No 1 2 If =
Unsure 3 110 How long have you worked in your present job for your current workplace? Less than 6 months 6-12 months Enter years: ______ 1 2 111 Which of the following best describes your usual work schedule? Day shift Afternoon shift Night shift Rotating shifts 1 2 3 4 112 Is there a clinic in your work place? Yes No 1 2 113 What services are provided in the clinic? (Multiple answers possible) Voluntary counselling and testing Treatment of HIV Contraceptives Condoms distributed at the workplace Treatment diseases Others 1 2 3 4 5 6 114 Have you ever visited the clinic at your work place? Yes No 1 2 If = 1116 115 If “No”, why wouldn’t use of the clinic? (Multiple answers possible) I don’t know much about it I don’t trust the confidentiality The services are insufficient The services are unnecessary The services are not accessible Others 1 2 3 4 5 6 116 Have you visited the clinic at your work place in the past 1 month? Yes No 1 2 117 What were the reasons for going to the clinic? __________________________________ 118 Does the clinic provide FP and other health-related products to workers? Yes No 1 2 119 Are workers required to pay for FP and other health-related products? Yes No 1 2 120 What types of activities do you want the clinic to strengthen/ continue/ scale down? (Multiple answers possible) Staff education Providing materials (Leaflets and posters) Promoting the clinic services 1 2 3 121 Are all employees, including temporary, contract, and seasonal workers, allowed to use the clinic? Y N Permanent Workers 1 2 Temporary workers 1 2 Contract workers 1 2 Seasonal workers 1 2 SECTION 2: CONTRACEPTION Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy. 201 Which types of family planning methods (means to avoid pregnancy) have you ever heard of? PROBE to hear as many responses as possible. Withdrawal method Emergency contraception Standard Days Method Lactational Amenorrhea method Condom Pill Injectables Implants IUD Female sterilization Male sterilization Other, specify_______________ 1 2 3 4 5 6 7 8 9 10 11 98 202 Are you currently doing something or Yes 1 If = 2 206
using any method to delay or avoid getting pregnant? [DON’T ASK THIS QUESTION IF WOMAN IS PREGNANT. REFER Q114 ABOVE] No 2 203 Which method are you currently using? Circle all mentioned if combined methods are being used. Withdrawal method Emergency contraception Standard Days Method Lactational Amenorrhea method Condom Pill Injectables Implants IUD Female sterilization Male sterilization Other, specify_______________ 1 2 3 4 5 6 7 8 9 10 11 98 204 Where do you usually get the FP methods? "PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE." NAME OF PLACE) _______________________________ Workplace clinic Public health facility outside workplace Private health facility outside workplace From community health workers From Health Extension Workers Other, (Specify)_____________________ 1 2 3 4 5 98 301 205 Why you are not using the workplace clinic for FP services? Service not available Lack of trained provider Preferred method not available Lack of supplies or equipments Service not friendly Other, specify ______________________ 1 2 3 4 5 6 206 Which modern family planning services are available in your workplace clinic? PROBE FP counselling Condom Pill Injectables Implants IUD Female sterilization Male sterilization Other specify ____________________ Don’t know 1 2 3 4 5 6 7 8 98 95 207 Is there a special time arrangement at your workplace clinic for provision of FP services to workers like you or those who need it? Yes No Don’t know 1 2 95 208 What is the best time of the day for workers to get FP services at workplace the clinic? During working hours Off-working hours during week days Weekends No special arrangement needed Have no idea 1 2 3 4 5
To be read aloud: Thank you again for agreeing to participate in this interview today. As we discussed, the purpose of our conversation is to learn about family planning services in your workplace (industry or farm). The ideas and information you will provide are very important to this survey and will help us understand the service gaps in such areas and make evidence-based decision. Ask the Key Informant if he has any objection in using tape recorder. Try to clarify everything to the informant and the ethical issues to be considered in relation to confidentiality. Do you have any questions before we begin? Date of interview: (dd/mm/yyyy) _____________________________ Name of industry: __________________________________________ Region ________________ Location ___________________________ Type of industry: 1. Public 2. Private Interviewer’s name: _______________________________________ The questions in this interview will be more like a conversation. I am interested in your thoughts and opinions on the topics I’ll be asking you about. There are no right or wrong answers. I won’t be writing down all of your responses, but I may take notes some times to make sure we accurately record what you are saying. Main questions Probing points What health related services are available at this facility? General medical services Maternal and child health services Family planning services Youth SRH services HIV/AIDS In your opinion, what are the top five reasons for female workers to visit the clinic? If no FP service has been provided, why? Trained provider