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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

BMC Public Health Nov 13, 2019

Zimmerman LA, Yi Y, Yihdego M, et al. - Using longitudinal data from the Performance Monitoring for Accountability 2020 – Maternal and Newborn Health study, researchers checked if antenatal and postnatal care services in Southern Nations Nationalities and Peoples Region, Ethiopia, provide postpartum family planning (PPFP) counseling and they also determined the impact of providing PPFP counseling on the uptake of postpartum family planning use by 6 months postpartum. They reported low coverage of PPFP counseling; the receipt of counseling by only 20% of women was reported by six-weeks postpartum. Significantly higher rates of taking up contraception were observed in women who received counseling in postnatal care only and postnatal care and antenatal care vs those who did not receive any counseling. Significantly lower rates of taking up contraception were observed in those who had four or more children vs those with 1–3 children. By delivery location, exclusive breastfeeding, residence, or education, they reported no significant variations. Findings revealed the efficacy of combining postpartum family planning counseling to postnatal care services for increasing postpartum contraceptive uptake, however, the persistence of significant gaps in coverage, especially in the delivery and postnatal period, was noted.
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