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The use of nurse practitioners for the provision of family planning services in Egypt.


 This study was done to assess the performance of specially prepared professional nurses in the provision of family planning services at Shatby Maternity Hospital in Egypt. A special family planning record was designed for their use and implemented for 6 months. The data accumulated were then analyzed. The results of the study were encouraging. During the 6 months, these nurses provided services for 425 clients, 86.4% of whom received some kind of contraceptive on their 1st visit. The nurses inserted IUDs for 60.9% of clients, prescribed oral contraceptives for 11.3%, fitted diaphragms for 8%, and dispensed spermicidals and condoms for 4.5%. Also 7 clients were referred for tubal ligation. Papanicolaou smears for 357 women and wet smears for 309 women were analyzed. Nurses also contributed to decreasing the workload on doctors because they were able to care for 69.7% of the clients with no need for medical consultation. The study also showed that nurses were successful in motivating women to use contraceptives, to shift some to a more suitable method, and to make follow-up visits. When different contraceptives were prescribed by nurses, the incidence of complications or complaints was found to be within reasonable limits for all.
