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Postpartum family planning: current evidence on successful interventions

机译:产后计划生育:成功干预的最新证据

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We reviewed existing evidence of the efficacy of postpartum family planning interventions targeting women in the 12 months postpartum period in low- and middle-income countries. We searched for studies from January 1, 2004 to September 19, 2015, using the US Preventive Services Task Force recommendations to assess evidence quality. Our search resulted in 26 studies: 11 based in sub-Saharan Africa, six in the Middle East and North Africa, and nine in Asia. Twenty of the included studies assessed health facility-based interventions. Three were focused on community interventions, two had community and facility components, and one was a workplace program. Overall quality of the evidence was moderate, including evidence for counseling interventions. Male partner involvement, integration with other service delivery platforms, such as prevention of mother-to-child transmission of HIV and immunization, and innovative product delivery programs may increase knowledge and use during the postpartum period. Community-based and workplace strategies need a much stronger base of evidence to prompt recommendations.
机译:我们回顾了中低收入国家针对产后12个月针对妇女的产后计划生育干预措施有效性的现有证据。我们使用美国预防服务工作队的建议对2004年1月1日至2015年9月19日的研究进行了搜索,以评估证据质量。我们的搜索结果得出26项研究:11项在撒哈拉以南非洲,6项在中东和北非,9项在亚洲。纳入的研究中有二十项评估了基于卫生机构的干预措施。其中三项专注于社区干预,两项具有社区和设施组成部分,一项是工作场所计划。证据的总体质量中等,包括用于咨询干预的证据。男性伴侣的参与,与其他服务提供平台的整合,例如预防母婴传播艾滋病毒和免疫接种,以及创新的产品提供计划,可能会在产后增加知识和使用。基于社区和工作场所的策略需要强有力的证据基础来提出建议。

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