Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia

Objective To assess the quality of family planning counseling among women attending a prenatal clinic in Addis Ababa, Ethiopia. Methods In a descriptive cross‐sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical Coll...

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Veröffentlicht in:International journal of gynecology and obstetrics 2017-05, Vol.137 (2), p.174-179
Hauptverfasser: Teshome, Abel, Birara, Malede, Rominski, Sarah D.
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container_title International journal of gynecology and obstetrics
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creator Teshome, Abel
Birara, Malede
Rominski, Sarah D.
description Objective To assess the quality of family planning counseling among women attending a prenatal clinic in Addis Ababa, Ethiopia. Methods In a descriptive cross‐sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire. Logistic regression was used to assess predictors of satisfaction with the counseling service. Results During the study period, 400 women were interviewed. Only 139 women (34.8%) were counseled about family planning. Among those counseled, 126 (90.6%) decided to use a contraceptive method after delivery and 46 (36.7%) decided to use an injectable contraceptive. Women were more likely to report high satisfaction when their provider asked about their partner's attitude toward contraceptive methods (adjusted odds ratio 6.6; P
doi_str_mv 10.1002/ijgo.12110
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Methods In a descriptive cross‐sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire. Logistic regression was used to assess predictors of satisfaction with the counseling service. Results During the study period, 400 women were interviewed. Only 139 women (34.8%) were counseled about family planning. Among those counseled, 126 (90.6%) decided to use a contraceptive method after delivery and 46 (36.7%) decided to use an injectable contraceptive. Women were more likely to report high satisfaction when their provider asked about their partner's attitude toward contraceptive methods (adjusted odds ratio 6.6; P&lt;0.001), and when asked about their concerns and worries regarding family planning methods (adjusted odds ratio 5.1; P&lt;0.001). Conclusion Very few women were counseled about contraception during prenatal care. Asking about a partner's attitude toward contraceptives and discussing women's fears or worries about contraceptives should be considered during family planning counseling to improve satisfaction and quality of care. Despite a hospital policy of universal counseling, only 35% of women attending prenatal care were counseled about family planning methods.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1002/ijgo.12110</identifier><identifier>PMID: 28170078</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Contraceptive ; Counseling ; Cross-Sectional Studies ; Ethiopia ; Family planning ; Family Planning Services - standards ; Female ; Hospitals ; Humans ; Interviews as Topic ; Maternal Health Services - standards ; Outcome Assessment (Health Care) ; Patient Acceptance of Health Care ; Patient satisfaction ; Pregnancy ; Prenatal Care ; Quality ; Young Adult</subject><ispartof>International journal of gynecology and obstetrics, 2017-05, Vol.137 (2), p.174-179</ispartof><rights>2017 International Federation of Gynecology and Obstetrics</rights><rights>2017 International Federation of Gynecology and Obstetrics.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3650-86dbfe10c27f6d11db89b03ce4a877e36c57bfc460dfa22866973a91941b7ad13</citedby><cites>FETCH-LOGICAL-c3650-86dbfe10c27f6d11db89b03ce4a877e36c57bfc460dfa22866973a91941b7ad13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijgo.12110$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijgo.12110$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28170078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teshome, Abel</creatorcontrib><creatorcontrib>Birara, Malede</creatorcontrib><creatorcontrib>Rominski, Sarah D.</creatorcontrib><title>Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective To assess the quality of family planning counseling among women attending a prenatal clinic in Addis Ababa, Ethiopia. Methods In a descriptive cross‐sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire. Logistic regression was used to assess predictors of satisfaction with the counseling service. Results During the study period, 400 women were interviewed. Only 139 women (34.8%) were counseled about family planning. Among those counseled, 126 (90.6%) decided to use a contraceptive method after delivery and 46 (36.7%) decided to use an injectable contraceptive. Women were more likely to report high satisfaction when their provider asked about their partner's attitude toward contraceptive methods (adjusted odds ratio 6.6; P&lt;0.001), and when asked about their concerns and worries regarding family planning methods (adjusted odds ratio 5.1; P&lt;0.001). Conclusion Very few women were counseled about contraception during prenatal care. Asking about a partner's attitude toward contraceptives and discussing women's fears or worries about contraceptives should be considered during family planning counseling to improve satisfaction and quality of care. 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Methods In a descriptive cross‐sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire. Logistic regression was used to assess predictors of satisfaction with the counseling service. Results During the study period, 400 women were interviewed. Only 139 women (34.8%) were counseled about family planning. Among those counseled, 126 (90.6%) decided to use a contraceptive method after delivery and 46 (36.7%) decided to use an injectable contraceptive. Women were more likely to report high satisfaction when their provider asked about their partner's attitude toward contraceptive methods (adjusted odds ratio 6.6; P&lt;0.001), and when asked about their concerns and worries regarding family planning methods (adjusted odds ratio 5.1; P&lt;0.001). Conclusion Very few women were counseled about contraception during prenatal care. Asking about a partner's attitude toward contraceptives and discussing women's fears or worries about contraceptives should be considered during family planning counseling to improve satisfaction and quality of care. Despite a hospital policy of universal counseling, only 35% of women attending prenatal care were counseled about family planning methods.</abstract><cop>United States</cop><pmid>28170078</pmid><doi>10.1002/ijgo.12110</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Contraceptive
Counseling
Cross-Sectional Studies
Ethiopia
Family planning
Family Planning Services - standards
Female
Hospitals
Humans
Interviews as Topic
Maternal Health Services - standards
Outcome Assessment (Health Care)
Patient Acceptance of Health Care
Patient satisfaction
Pregnancy
Prenatal Care
Quality
Young Adult
title Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia
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