Birth spacing and informed family planning choices after childbirth in Burkina Faso and the Democratic Republic of Congo: Participatory action research to design and evaluate a decision-making tool for providers and their clients
•Postpartum family planning (PPFP) is essential for maternal and newborn health.•It is not systematically addressed before or after childbirth.•Participatory action research is key to research and address this sensitive issue.•A PPFP counseling tool can guide a systematic discussion on birth spacing...
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creator | Tran, Nguyen Toan Yameogo, Wambi Maurice M. Langwana, Félicité Kouanda, Seni Thieba, Blandine Mashinda, Désiré Yodi, Rachel Nyandwe Kyloka, Jean Millogo, Tieba Coulibaly, Abou Zan, Souleymane Kini, Brigitte Ouedraogo, Bibata Puludisi, Fifi Cuzin-kihl, Asa Reier, Suzanne Kiarie, James Gaffield, Mary Eluned |
description | •Postpartum family planning (PPFP) is essential for maternal and newborn health.•It is not systematically addressed before or after childbirth.•Participatory action research is key to research and address this sensitive issue.•A PPFP counseling tool can guide a systematic discussion on birth spacing options.
Postpartum family planning (PPFP) is essential for maternal and newborn health but is often not systematically addressed before or after childbirth. This article describes the development and field-testing of a PPFP counseling tool to support providers and women.
Participatory action research involving women, men, providers, policymakers, researchers, and contraceptive experts from Burkina Faso and the Democratic Republic of Congo.
The tool consists of an A4-size flipchart with illustrations on the client side and clinical information and counseling tips on the provider side, and can be used during visits of the antenatal-delivery-postnatal care continuum. Qualitative results suggest that the tool is easily understandable, user-friendly, relevant, and useful with regard to providing PPFP information to clients, and respectful of clients’ rights and choices. It may have a positive influence on clients’ attitudes towards PPFP and their decision to use contraception.
The tool holds promise in guiding a systematic discussion on birth spacing options among providers and clients. Its impact on contraceptive uptake requires further research.
If proven effective, the tool could be disseminated to Ministries of Health and local, regional, and global partners to strengthen national family planning and maternal and child health strategies in low-resource countries. |
doi_str_mv | 10.1016/j.pec.2018.05.004 |
format | Article |
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Postpartum family planning (PPFP) is essential for maternal and newborn health but is often not systematically addressed before or after childbirth. This article describes the development and field-testing of a PPFP counseling tool to support providers and women.
Participatory action research involving women, men, providers, policymakers, researchers, and contraceptive experts from Burkina Faso and the Democratic Republic of Congo.
The tool consists of an A4-size flipchart with illustrations on the client side and clinical information and counseling tips on the provider side, and can be used during visits of the antenatal-delivery-postnatal care continuum. Qualitative results suggest that the tool is easily understandable, user-friendly, relevant, and useful with regard to providing PPFP information to clients, and respectful of clients’ rights and choices. It may have a positive influence on clients’ attitudes towards PPFP and their decision to use contraception.
The tool holds promise in guiding a systematic discussion on birth spacing options among providers and clients. Its impact on contraceptive uptake requires further research.
If proven effective, the tool could be disseminated to Ministries of Health and local, regional, and global partners to strengthen national family planning and maternal and child health strategies in low-resource countries.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2018.05.004</identifier><identifier>PMID: 30001823</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Birth Intervals ; Burkina Faso ; Community-Based Participatory Research ; Continuity of Patient Care ; Contraception - methods ; Contraception - standards ; Counseling - standards ; Decision Support Techniques ; Decision-making tool ; Democratic Republic of the Congo ; Family Planning Services - organization & administration ; Female ; Health Services Research ; Humans ; Maternal and child health ; Participatory action research ; Postnatal Care ; Postpartum family planning ; Pregnancy ; Qualitative Research ; Sexual and reproductive health ; The Democratic Republic of Congo</subject><ispartof>Patient education and counseling, 2018-10, Vol.101 (10), p.1871-1875</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-c605b38da307604bd9b4f9d3119ffa20f8dbc3a8813057504a11785edc973463</citedby><cites>FETCH-LOGICAL-c353t-c605b38da307604bd9b4f9d3119ffa20f8dbc3a8813057504a11785edc973463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pec.2018.05.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30001823$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tran, Nguyen Toan</creatorcontrib><creatorcontrib>Yameogo, Wambi Maurice M.</creatorcontrib><creatorcontrib>Langwana, Félicité</creatorcontrib><creatorcontrib>Kouanda, Seni</creatorcontrib><creatorcontrib>Thieba, Blandine</creatorcontrib><creatorcontrib>Mashinda, Désiré</creatorcontrib><creatorcontrib>Yodi, Rachel</creatorcontrib><creatorcontrib>Nyandwe Kyloka, Jean</creatorcontrib><creatorcontrib>Millogo, Tieba</creatorcontrib><creatorcontrib>Coulibaly, Abou</creatorcontrib><creatorcontrib>Zan, Souleymane</creatorcontrib><creatorcontrib>Kini, Brigitte</creatorcontrib><creatorcontrib>Ouedraogo, Bibata</creatorcontrib><creatorcontrib>Puludisi, Fifi</creatorcontrib><creatorcontrib>Cuzin-kihl, Asa</creatorcontrib><creatorcontrib>Reier, Suzanne</creatorcontrib><creatorcontrib>Kiarie, James</creatorcontrib><creatorcontrib>Gaffield, Mary Eluned</creatorcontrib><title>Birth spacing and informed family planning choices after childbirth in Burkina Faso and the Democratic Republic of Congo: Participatory action research to design and evaluate a decision-making tool for providers and their clients</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>•Postpartum family planning (PPFP) is essential for maternal and newborn health.•It is not systematically addressed before or after childbirth.•Participatory action research is key to research and address this sensitive issue.•A PPFP counseling tool can guide a systematic discussion on birth spacing options.
Postpartum family planning (PPFP) is essential for maternal and newborn health but is often not systematically addressed before or after childbirth. This article describes the development and field-testing of a PPFP counseling tool to support providers and women.
Participatory action research involving women, men, providers, policymakers, researchers, and contraceptive experts from Burkina Faso and the Democratic Republic of Congo.
The tool consists of an A4-size flipchart with illustrations on the client side and clinical information and counseling tips on the provider side, and can be used during visits of the antenatal-delivery-postnatal care continuum. Qualitative results suggest that the tool is easily understandable, user-friendly, relevant, and useful with regard to providing PPFP information to clients, and respectful of clients’ rights and choices. It may have a positive influence on clients’ attitudes towards PPFP and their decision to use contraception.
The tool holds promise in guiding a systematic discussion on birth spacing options among providers and clients. Its impact on contraceptive uptake requires further research.
If proven effective, the tool could be disseminated to Ministries of Health and local, regional, and global partners to strengthen national family planning and maternal and child health strategies in low-resource countries.</description><subject>Birth Intervals</subject><subject>Burkina Faso</subject><subject>Community-Based Participatory Research</subject><subject>Continuity of Patient Care</subject><subject>Contraception - methods</subject><subject>Contraception - standards</subject><subject>Counseling - standards</subject><subject>Decision Support Techniques</subject><subject>Decision-making tool</subject><subject>Democratic Republic of the Congo</subject><subject>Family Planning Services - organization & administration</subject><subject>Female</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Maternal and child health</subject><subject>Participatory action research</subject><subject>Postnatal Care</subject><subject>Postpartum family planning</subject><subject>Pregnancy</subject><subject>Qualitative Research</subject><subject>Sexual and reproductive health</subject><subject>The Democratic Republic of Congo</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1v1DAQjRCIbgs_gAvykUuCHefDgRPd0oJUCYR6tyb2ZNfbxA62s9L-YP4H3t2WIyePPe-9eeOXZe8YLRhlzcddMaMqSspEQeuC0upFtmKi5XnNePUyW9GWi5x3HbvILkPYUUqbpmKvswueSiZKvsr-XBsftyTMoIzdELCaGDs4P6EmA0xmPJB5BGuPTbV1RmEgMET06WZG3Z_YxpLrxT8aC-QWgjupxC2SG5yc8hCNIr9wXvoxFW4ga2c37hP5CT51zAzR-QMBFY2zxGNA8GpLoiMag9nYkxruYVwgIoH0qkxI0HyCx6Or6NxIkmMye7c3Gn14nm-SydGgjeFN9mqAMeDbp_Mqe7j9-rD-lt__uPu-_nKfK17zmKuG1j0XGjhtG1r1uuurodOcsW4YoKSD0L3iIATjtG5rWgFjrahRq67lVcOvsg9n2WTl94IhyskEhWP6QHRLkCVtaclr0YgEZWeo8i4Ej4OcvZnAHySj8hiu3MkUrjyGK2ktU7iJ8_5JfulTPv8Yz2kmwOczANOOe4NeBpX2V6iNRxWlduY_8n8B-o-5wA</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Tran, Nguyen Toan</creator><creator>Yameogo, Wambi Maurice M.</creator><creator>Langwana, Félicité</creator><creator>Kouanda, Seni</creator><creator>Thieba, Blandine</creator><creator>Mashinda, Désiré</creator><creator>Yodi, Rachel</creator><creator>Nyandwe Kyloka, Jean</creator><creator>Millogo, Tieba</creator><creator>Coulibaly, Abou</creator><creator>Zan, Souleymane</creator><creator>Kini, Brigitte</creator><creator>Ouedraogo, Bibata</creator><creator>Puludisi, Fifi</creator><creator>Cuzin-kihl, Asa</creator><creator>Reier, Suzanne</creator><creator>Kiarie, James</creator><creator>Gaffield, Mary Eluned</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201810</creationdate><title>Birth spacing and informed family planning choices after childbirth in Burkina Faso and the Democratic Republic of Congo: Participatory action research to design and evaluate a decision-making tool for providers and their clients</title><author>Tran, Nguyen Toan ; 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Postpartum family planning (PPFP) is essential for maternal and newborn health but is often not systematically addressed before or after childbirth. This article describes the development and field-testing of a PPFP counseling tool to support providers and women.
Participatory action research involving women, men, providers, policymakers, researchers, and contraceptive experts from Burkina Faso and the Democratic Republic of Congo.
The tool consists of an A4-size flipchart with illustrations on the client side and clinical information and counseling tips on the provider side, and can be used during visits of the antenatal-delivery-postnatal care continuum. Qualitative results suggest that the tool is easily understandable, user-friendly, relevant, and useful with regard to providing PPFP information to clients, and respectful of clients’ rights and choices. It may have a positive influence on clients’ attitudes towards PPFP and their decision to use contraception.
The tool holds promise in guiding a systematic discussion on birth spacing options among providers and clients. Its impact on contraceptive uptake requires further research.
If proven effective, the tool could be disseminated to Ministries of Health and local, regional, and global partners to strengthen national family planning and maternal and child health strategies in low-resource countries.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>30001823</pmid><doi>10.1016/j.pec.2018.05.004</doi><tpages>5</tpages></addata></record> |
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subjects | Birth Intervals Burkina Faso Community-Based Participatory Research Continuity of Patient Care Contraception - methods Contraception - standards Counseling - standards Decision Support Techniques Decision-making tool Democratic Republic of the Congo Family Planning Services - organization & administration Female Health Services Research Humans Maternal and child health Participatory action research Postnatal Care Postpartum family planning Pregnancy Qualitative Research Sexual and reproductive health The Democratic Republic of Congo |
title | Birth spacing and informed family planning choices after childbirth in Burkina Faso and the Democratic Republic of Congo: Participatory action research to design and evaluate a decision-making tool for providers and their clients |
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