Factors influencing the likelihood of acceptance of postpartum intrauterine devices across four countries: India, Nepal, Sri Lanka, and Tanzania.
Int J Gynaecol Obstet
; 143 Suppl 1: 13-19, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-30225876
ABSTRACT
OBJECTIVE:
To examine the factors that positively influenced the likelihood of accepting provision of postpartum intrauterine devices (PPIUDs) across four countries Sri Lanka, Nepal, Tanzania, and India.METHODS:
Healthcare providers were trained across 24 facilities in counselling and insertion of PPIUDs as part of a large multicountry study. Women delivered were asked to take part in a 15-minute face-to-face structured interview conducted by in-country data collection officers prior to discharge. Univariate analysis was performed to investigate factors associated with acceptance.RESULTS:
From January 2016 to November 2017, 6477 health providers were trained, 239 033 deliveries occurred, and 219 242 interviews were conducted. Of those interviewed, 68% were counselled on family planning and 56% on PPIUD, with 20% consenting to PPIUD. Multiple counselling sessions was the only factor resulting in higher consent rates (OR 1.30-1.39) across all countries. Odds ratios for women's age, parity, and cadre of provider counselling varied between countries.CONCLUSION:
Consent for contraception, specifically PPIUD, is such a culturally specific topic and generalization across countries is not possible. When planning contraceptive policy changes, it is important to have an understanding of the sociocultural factors at play.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anticoncepção
/
Anticoncepcionais
/
Período Pós-Parto
/
Serviços de Planejamento Familiar
/
Dispositivos Intrauterinos
Tipo de estudo:
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País como assunto:
Africa
/
Asia
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article