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Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal

INTRODUCTION: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese government and with the support from the International Federation of Obstetrics and Gynecology has implemented an initiative to institutionalize postpartum family planning services in selected major referral fac...

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Autores principales: Thapa, Kusum, Dhitai, Rolina, Rajbhandari, Sameena, Thapa, Shikha, Pokhrei, Sabina, Mishra, Sangeeta, Subedi, Shanti, Singh, Dela, Acharya, Shreedhar, Pokhrei, Sunil Mani, Thapa, Kalpana, Poudel, Atit, Vaidya, Sapana, Tunnacliffe, Emily Anne, Makins, Anita, Arulkumaran, Sabaratnam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the Nepal Medical Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580487/
https://www.ncbi.nlm.nih.gov/pubmed/32335630
http://dx.doi.org/10.31729/jnma.4788
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author Thapa, Kusum
Dhitai, Rolina
Rajbhandari, Sameena
Thapa, Shikha
Pokhrei, Sabina
Mishra, Sangeeta
Subedi, Shanti
Singh, Dela
Acharya, Shreedhar
Pokhrei, Sunil Mani
Thapa, Kalpana
Poudel, Atit
Vaidya, Sapana
Tunnacliffe, Emily Anne
Makins, Anita
Arulkumaran, Sabaratnam
author_facet Thapa, Kusum
Dhitai, Rolina
Rajbhandari, Sameena
Thapa, Shikha
Pokhrei, Sabina
Mishra, Sangeeta
Subedi, Shanti
Singh, Dela
Acharya, Shreedhar
Pokhrei, Sunil Mani
Thapa, Kalpana
Poudel, Atit
Vaidya, Sapana
Tunnacliffe, Emily Anne
Makins, Anita
Arulkumaran, Sabaratnam
author_sort Thapa, Kusum
collection PubMed
description INTRODUCTION: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese government and with the support from the International Federation of Obstetrics and Gynecology has implemented an initiative to institutionalize postpartum family planning services in selected major referral facilities of Nepal to address the gap of low uptake of postpartum family planning in Nepal. The aim of the study is to find the prevalence of the service coverage of postpartum contraception in the selected facilities. METHODS: A descriptive cross-sectional study was conducted in seven major referral facilities across Nepal. Data were collected from the hospital records of all women who delivered in these facilities between October 2018 and March 2019. Ethical approval for this study was obtained from Nepal Health Research Council. Data analysis was done with SPSS version 23. RESULTS: Among the 29,072 deliveries from all the facilities, postpartum family planning counseling coverage was 27,301 (93.9%). The prevalence of uptake of Postpartum Intrauterine Device is 1581 (5.4%) and female sterilization is 1830 (6.3%). In total 11387 mothers (52.2%) had the intention to choose a postpartum family planning method. However, 36% of mothers neither used nor had the intention to choose a postpartum family planning method. CONCLUSIONS: The coverage of Postpartum Intrauterine Device counseling service coverage in Nepal is higher in 2018 as compared to 2016-2017 and in other countries implementing Postpartum Intrauterine Device initiatives. However, the prevalence of service coverage of immediate Postpartum Family Planning methods, mainly Postpartum Intrauterine Device in 2018 is lower in Nepal as compared to 2016-2017, and other countries implementing Postpartum Intrauterine Device initiative. More efforts are needed to encourage mothers delivering in the facilities to use the postpartum family planning method.
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spelling pubmed-75804872020-11-30 Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal Thapa, Kusum Dhitai, Rolina Rajbhandari, Sameena Thapa, Shikha Pokhrei, Sabina Mishra, Sangeeta Subedi, Shanti Singh, Dela Acharya, Shreedhar Pokhrei, Sunil Mani Thapa, Kalpana Poudel, Atit Vaidya, Sapana Tunnacliffe, Emily Anne Makins, Anita Arulkumaran, Sabaratnam JNMA J Nepal Med Assoc Original Article INTRODUCTION: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese government and with the support from the International Federation of Obstetrics and Gynecology has implemented an initiative to institutionalize postpartum family planning services in selected major referral facilities of Nepal to address the gap of low uptake of postpartum family planning in Nepal. The aim of the study is to find the prevalence of the service coverage of postpartum contraception in the selected facilities. METHODS: A descriptive cross-sectional study was conducted in seven major referral facilities across Nepal. Data were collected from the hospital records of all women who delivered in these facilities between October 2018 and March 2019. Ethical approval for this study was obtained from Nepal Health Research Council. Data analysis was done with SPSS version 23. RESULTS: Among the 29,072 deliveries from all the facilities, postpartum family planning counseling coverage was 27,301 (93.9%). The prevalence of uptake of Postpartum Intrauterine Device is 1581 (5.4%) and female sterilization is 1830 (6.3%). In total 11387 mothers (52.2%) had the intention to choose a postpartum family planning method. However, 36% of mothers neither used nor had the intention to choose a postpartum family planning method. CONCLUSIONS: The coverage of Postpartum Intrauterine Device counseling service coverage in Nepal is higher in 2018 as compared to 2016-2017 and in other countries implementing Postpartum Intrauterine Device initiatives. However, the prevalence of service coverage of immediate Postpartum Family Planning methods, mainly Postpartum Intrauterine Device in 2018 is lower in Nepal as compared to 2016-2017, and other countries implementing Postpartum Intrauterine Device initiative. More efforts are needed to encourage mothers delivering in the facilities to use the postpartum family planning method. Journal of the Nepal Medical Association 2020-01 2020-01-31 /pmc/articles/PMC7580487/ /pubmed/32335630 http://dx.doi.org/10.31729/jnma.4788 Text en © The Author(s) 2018. http://creativecommons.org/licenses/by/4.0/ This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Thapa, Kusum
Dhitai, Rolina
Rajbhandari, Sameena
Thapa, Shikha
Pokhrei, Sabina
Mishra, Sangeeta
Subedi, Shanti
Singh, Dela
Acharya, Shreedhar
Pokhrei, Sunil Mani
Thapa, Kalpana
Poudel, Atit
Vaidya, Sapana
Tunnacliffe, Emily Anne
Makins, Anita
Arulkumaran, Sabaratnam
Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal
title Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal
title_full Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal
title_fullStr Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal
title_full_unstemmed Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal
title_short Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal
title_sort prevalence of postpartum family planning service coverage in selected referral facilities of nepal
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580487/
https://www.ncbi.nlm.nih.gov/pubmed/32335630
http://dx.doi.org/10.31729/jnma.4788
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