Contraception
Conditions
Keywords
Postpartum contraception, LARC, KAP
Brief summary
Comparing Knowledge, attitude and Practice of clients and service providers about the regular (6 weeks) versus earlier initiation of LARC, through a structured questionnaire prepared in English and translated to local language i.e. Arabic.
Detailed description
Family planning is a behavior that allows individuals and couples to anticipate and attain their desired number of children, at the spacing and timing of their births. It is achieved through the use of contraceptive methods and treatment of involuntary infertility. Postpartum family planning is the prevention of unintended and closely spaced pregnancies during the first 12 months following childbirth. Short interval pregnancies are associated with increased maternal morbidities such as anemia, bleeding disorders, premature rupture of membranes, puerperal endometritis and mortality . Postpartum family planning (PPFP) has long been recognized as an important component of maternal health care. Through birth spacing and prevention of high-risk and unwanted pregnancies, PPFP helps women who have recently delivered to avoid exposure to the risks of maternal death. Likewise, the importance of the interplay between maternal health services and use of contraception in the postpartum period has been recognized for decades. Globally, more than 90 percent of women during the first year postpartum want to either delay or avoid future pregnancies . An increase in contraceptive use during the postpartum period should substantially reduce rates of maternal and infant mortality by preventing unplanned and unwanted pregnancies and by spacing new pregnancies at least two years after the previous birth .
Interventions
OTHERscreening and data collection
Structured questionnaire prepared in English and translated to local language (Arabic). The questionnaire is then linguistically validated by two forwards translations and one backward translation. Data was collected by the investigators who were not participating in the study. Personal or telephone interview will be conducted with clients and service providers conducted to collect the data.
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
Client's group All clients who were attending family planning centers in public health facilities at the study period if they have had a postpartum LARC method (Copper IUD, Progestin-releasing IUS, Subdermal implant) or willing to use it in the first year after delivery. Service provider group: All service providers who are working in primary health care units & hospitals, including general practitioners, ob/gyn. specialists, nurses, and social workers.
Exclusion criteria
* Clients and service providers who refused to participate in the study * Clients who are currently using or willing to use a method other than LARC
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clients' knowledge | Immediately. The outcome is provided in the questionnaire which is completed once by the client | The percentage of clients who have good knowledge that LARC can be initiated early after delivery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clients' attitude | Immediately. The outcome is provided in the questionnaire which is completed once by the client | The percentage of clients who have positive attitude towards early initiation of LARC after delivery |
| Clients' practice | Immediately. The outcome is provided in the questionnaire which is completed once by the client | The percentage of clients who had previously or lately initiated any LARC early after delivery |
| Providers' knowledge | Immediately. The outcome is provided in the questionnaire which is completed once by the client | The percentage of providers who have good knowledge that LARC can be initiated early after delivery |
| Providers' attitude | Immediately. The outcome is provided in the questionnaire which is completed once by the client | The percentage of providers who have positive attitude towards early initiation of LARC after delivery |
| Providers' practice | Immediately. The outcome is provided in the questionnaire which is completed once by the client | The percentage of providers who had previously or lately initiated any LARC for women early after delivery |
Countries
Egypt
Contacts
Primary ContactNada M. Khalil, Diploma
Backup ContactOmar Mamdouh Shaaban, Doctorate
Outcome results
None listed