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首页> 外文期刊>BMC Public Health >Effect of integrating maternal health services and family planning services on postpartum family planning behavior in Ethiopia: results from a longitudinal survey
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Effect of integrating maternal health services and family planning services on postpartum family planning behavior in Ethiopia: results from a longitudinal survey

机译：整合产妇卫生服务及计划生育服务在埃塞俄比亚产后计划生育行为的影响：纵向调查结果

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BACKGROUND:Very few postpartum women want to become pregnant within the next 2?years, but approximately 60% of postpartum women in low- and middle-income countries are not using contraceptive methods. The World Health Organization recommends that women receive postpartum family planning (PPFP) counseling during antenatal, immediate postpartum, and postnatal services. Our objective was to establish whether PPFP counseling is being provided in antenatal and postnatal care services in SNNPR, Ethiopia and whether receipt of PPFP counseling improved uptake of postpartum family planning use by 6?months postpartum.METHODS:Longitudinal data from the Performance Monitoring for Accountability 2020 - Maternal and Newborn Health study were used. At screening, 329 women were identified as six or more months pregnant; 307 completed the survey at 6?months postpartum. We used weighted parametric survival analysis with Weibull distribution to assess the effect of receipt of postpartum counseling in antenatal and/or postnatal care by 6?weeks postpartum on contraceptive uptake, after adjusting for intention to use family planning, wantedness of the index pregnancy, delivery location, amenorrhea, exclusive breastfeeding, residence, parity, and education.RESULTS:Coverage of PPFP counseling is low; by six-weeks postpartum only 20% of women had received counseling. Women who received counseling in postnatal care only and postnatal care and antenatal care took up contraception at significantly higher rates than women who did not receive any counseling (HR: 3.4, p??.01 and HR: 2.5, p?=?.01, respectively). There was no difference between women who received PPFP counseling only in ANC and women who did not receive counseling at all. Women who did not want the child at all took up contraception at significantly lower rates than women who wanted the child at that time (HR: 0.3, p?=?.04). Women who had four or more children took up contraception at significantly lower rates than woman with 1-3 children (HR: 0.3, p?=?.01). There were no significant differences by delivery location, exclusive breastfeeding, residence, or education.CONCLUSION:Integration of postpartum family planning counseling into postnatal care services is an effective means to increase postpartum contraceptive uptake, but significant gaps in coverage, particularly in the delivery and postnatal period, remain.
机译：背景：很少有产后妇女想要在接下来的2年内怀孕？年龄较少，但大约60％的产后妇女在低收入和中等收入国家没有使用避孕方法。世界卫生组织建议妇女在产后，妇女在产后，产后和产后服务期间接受产后计划生育咨询。我们的目标是建立PPFP咨询在SNNPR，埃塞俄比亚，埃塞俄比亚的产后护理服务中是否提供了PPFP咨询，改善了产后家庭计划的增加6？月份的产后计划使用。方法：来自履约的纵向数据2020年 - 使用母亲和新生儿健康研究。在筛查时，329名女性被鉴定为怀孕六个或以上; 307在产后6个月完成调查。我们使用Weibull分布的加权参数生存分析评估产后咨询在产前和/或产后护理中的产后咨询的效果6？几周产后对避孕摄取，调整有意使用计划生育，指数怀孕的ventsents，交货位置，闭经，独家母乳喂养，居住，平价和教育。结果：PPFP咨询的覆盖率低;六周产后只有20％的女性接受了咨询。在产后护理咨询和产后护理和产前护理的妇女比没有收到任何咨询的妇女的速度明显更高（HR：3.4，P？01和HR：2.5，P？= ?. 01分别）。只有在ANC和妇女中获得PPFP咨询的妇女之间没有差异，他们根本没有收到咨询。并不希望孩子的妇女在那些想要孩子当时的女性的速度明显降低（HR：0.3，P？= 04）。有四个或更多孩子的妇女比1-3名儿童的女性显着降低速度（HR：0.3，P？= 01）。送货地点没有显着差异，独家母乳喂养，居住，居住或教育。结论：产后计划生育计划咨询到产后护理服务是增加产后避孕摄取的有效手段，但覆盖范围内的显着差距，特别是在交付中产后期间，留下来。

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