Engaging Community Health Workers to Enhance Modern Contraceptive Uptake Among Young First-Time Parents in Five Cities of Uttar Pradesh
Young newly married women and first-time parents (FTPs), particularly those living in slum settlements, have a high unmet need for modern contraceptive methods to limit and space births. We describe an intervention in which adolescents and youth sexual and reproductive health (AYSRH) services tailor...
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| Veröffentlicht in: | Global health science and practice 2024-05, Vol.12 (Suppl 2), p.e2200170 |
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| creator | Sharma, Mukesh Kumar Das, Emily Sahni, Hitesh Mirano, Jessica Graham, Kate Kumar, Abhishek Finkle, Clea |
| description | Young newly married women and first-time parents (FTPs), particularly those living in slum settlements, have a high unmet need for modern contraceptive methods to limit and space births. We describe an intervention in which adolescents and youth sexual and reproductive health (AYSRH) services tailored to FTPs were incorporated into the government's existing family planning (FP) program in 5 cities of Uttar Pradesh. We examined the effect of this intervention on modern contraceptive use among FTPs aged 15-24 years.
To assess the effect of this pilot, in 2019, 1 year after the implementation of the program, we analyzed community-based output tracking survey data on 549 married women who are FTPs in the pilot cities. These FTPs were compared with 253 women who were FTPs from other cities where the program was implemented without a specific focus on FTPs. Descriptive statistics and multivariate logistic regression analysis were applied to understand the association between exposure to FP information, either through accredited social health activists or through service delivery points, and use of modern contraceptives.
Use of modern contraceptives was higher among FTPs in the 5 pilot cities than non-pilot cities (39% vs. 32%; |
| doi_str_mv | 10.9745/GHSP-D-22-00170 |
| format | Article |
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To assess the effect of this pilot, in 2019, 1 year after the implementation of the program, we analyzed community-based output tracking survey data on 549 married women who are FTPs in the pilot cities. These FTPs were compared with 253 women who were FTPs from other cities where the program was implemented without a specific focus on FTPs. Descriptive statistics and multivariate logistic regression analysis were applied to understand the association between exposure to FP information, either through accredited social health activists or through service delivery points, and use of modern contraceptives.
Use of modern contraceptives was higher among FTPs in the 5 pilot cities than non-pilot cities (39% vs. 32%;
<.05). The interaction effect of city type and exposure to the information showed a positive association between modern contraceptive use and program exposure, greater in pilot cities than non-pilot cities.
Higher uptake of modern contraceptives among young women may be achieved when an FTP-focused intervention is layered on the government's existing FP programs. Future studies with a longer duration of implementation, in a wider geography, and with longitudinal design are recommended to provide more robust measures of high impact intervention/practices in urban areas.</description><identifier>ISSN: 2169-575X</identifier><identifier>EISSN: 2169-575X</identifier><identifier>DOI: 10.9745/GHSP-D-22-00170</identifier><identifier>PMID: 38575360</identifier><language>eng</language><publisher>United States: Global Health: Science and Practice</publisher><subject>Adolescent ; Adult ; Cities ; Community Health Workers ; Contraception ; Contraception Behavior - statistics & numerical data ; Family Planning Services ; Female ; Humans ; India ; Parents ; Pilot Projects ; Programmatic Review & Analysis ; Young Adult</subject><ispartof>Global health science and practice, 2024-05, Vol.12 (Suppl 2), p.e2200170</ispartof><rights>Sharma et al.</rights><rights>Sharma et al. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-44118dbe569220626e8babeeae212e2ff639f589ef8f2c2f05c3be353e5ae9673</citedby><cites>FETCH-LOGICAL-c394t-44118dbe569220626e8babeeae212e2ff639f589ef8f2c2f05c3be353e5ae9673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111106/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111106/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38575360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sharma, Mukesh Kumar</creatorcontrib><creatorcontrib>Das, Emily</creatorcontrib><creatorcontrib>Sahni, Hitesh</creatorcontrib><creatorcontrib>Mirano, Jessica</creatorcontrib><creatorcontrib>Graham, Kate</creatorcontrib><creatorcontrib>Kumar, Abhishek</creatorcontrib><creatorcontrib>Finkle, Clea</creatorcontrib><title>Engaging Community Health Workers to Enhance Modern Contraceptive Uptake Among Young First-Time Parents in Five Cities of Uttar Pradesh</title><title>Global health science and practice</title><addtitle>Glob Health Sci Pract</addtitle><description>Young newly married women and first-time parents (FTPs), particularly those living in slum settlements, have a high unmet need for modern contraceptive methods to limit and space births. We describe an intervention in which adolescents and youth sexual and reproductive health (AYSRH) services tailored to FTPs were incorporated into the government's existing family planning (FP) program in 5 cities of Uttar Pradesh. We examined the effect of this intervention on modern contraceptive use among FTPs aged 15-24 years.
To assess the effect of this pilot, in 2019, 1 year after the implementation of the program, we analyzed community-based output tracking survey data on 549 married women who are FTPs in the pilot cities. These FTPs were compared with 253 women who were FTPs from other cities where the program was implemented without a specific focus on FTPs. Descriptive statistics and multivariate logistic regression analysis were applied to understand the association between exposure to FP information, either through accredited social health activists or through service delivery points, and use of modern contraceptives.
Use of modern contraceptives was higher among FTPs in the 5 pilot cities than non-pilot cities (39% vs. 32%;
<.05). The interaction effect of city type and exposure to the information showed a positive association between modern contraceptive use and program exposure, greater in pilot cities than non-pilot cities.
Higher uptake of modern contraceptives among young women may be achieved when an FTP-focused intervention is layered on the government's existing FP programs. Future studies with a longer duration of implementation, in a wider geography, and with longitudinal design are recommended to provide more robust measures of high impact intervention/practices in urban areas.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cities</subject><subject>Community Health Workers</subject><subject>Contraception</subject><subject>Contraception Behavior - statistics & numerical data</subject><subject>Family Planning Services</subject><subject>Female</subject><subject>Humans</subject><subject>India</subject><subject>Parents</subject><subject>Pilot Projects</subject><subject>Programmatic Review & Analysis</subject><subject>Young Adult</subject><issn>2169-575X</issn><issn>2169-575X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUU1PIzEMjVasFsRy3tsqRy4D-ZhMJyeESqFIoK0EFXCKMlOnDcwkJckg8Qv426R8ifXBtuznZ1sPoT-UHMhRKQ7Pplez4qRgrCCEjsgPtMNoJQsxErdb3_JttBfjPckmS8pk_Qtt8zo3eEV20MvELfXSuiUe-74fnE3PeAq6Syt848MDhIiTxxO30q4FfOkXEFyGuhR0C-tknwDP10k_AD7ufWa580P2pzbEVFzbHvBMB3ApYutyNaPHNlmI2Bs8T0kHPAt6AXH1G_00uouw9xF30fx0cj2eFhf_zs7HxxdFy2WZirKktF40ICrJGKlYBXWjGwANjDJgxlRcGlFLMLVhLTNEtLwBLjgIDbIa8V109M67HpoeFi1sPunUOtheh2fltVX_d5xdqaV_UvTNSJUZ9j8Ygn8cICbV29hC12kHfoiKE16yUlCyWXb4Dm2DjzGA-dpDidpIqDYSqhPFmHqTME_8_X7eF_5TMP4KR4CaGw</recordid><startdate>20240521</startdate><enddate>20240521</enddate><creator>Sharma, Mukesh Kumar</creator><creator>Das, Emily</creator><creator>Sahni, Hitesh</creator><creator>Mirano, Jessica</creator><creator>Graham, Kate</creator><creator>Kumar, Abhishek</creator><creator>Finkle, Clea</creator><general>Global Health: Science and Practice</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><scope>5PM</scope></search><sort><creationdate>20240521</creationdate><title>Engaging Community Health Workers to Enhance Modern Contraceptive Uptake Among Young First-Time Parents in Five Cities of Uttar Pradesh</title><author>Sharma, Mukesh Kumar ; Das, Emily ; Sahni, Hitesh ; Mirano, Jessica ; Graham, Kate ; Kumar, Abhishek ; Finkle, Clea</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-44118dbe569220626e8babeeae212e2ff639f589ef8f2c2f05c3be353e5ae9673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cities</topic><topic>Community Health Workers</topic><topic>Contraception</topic><topic>Contraception Behavior - statistics & numerical data</topic><topic>Family Planning Services</topic><topic>Female</topic><topic>Humans</topic><topic>India</topic><topic>Parents</topic><topic>Pilot Projects</topic><topic>Programmatic Review & Analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sharma, Mukesh Kumar</creatorcontrib><creatorcontrib>Das, Emily</creatorcontrib><creatorcontrib>Sahni, Hitesh</creatorcontrib><creatorcontrib>Mirano, Jessica</creatorcontrib><creatorcontrib>Graham, Kate</creatorcontrib><creatorcontrib>Kumar, Abhishek</creatorcontrib><creatorcontrib>Finkle, Clea</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Global health science and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sharma, Mukesh Kumar</au><au>Das, Emily</au><au>Sahni, Hitesh</au><au>Mirano, Jessica</au><au>Graham, Kate</au><au>Kumar, Abhishek</au><au>Finkle, Clea</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Engaging Community Health Workers to Enhance Modern Contraceptive Uptake Among Young First-Time Parents in Five Cities of Uttar Pradesh</atitle><jtitle>Global health science and practice</jtitle><addtitle>Glob Health Sci Pract</addtitle><date>2024-05-21</date><risdate>2024</risdate><volume>12</volume><issue>Suppl 2</issue><spage>e2200170</spage><pages>e2200170-</pages><issn>2169-575X</issn><eissn>2169-575X</eissn><abstract>Young newly married women and first-time parents (FTPs), particularly those living in slum settlements, have a high unmet need for modern contraceptive methods to limit and space births. We describe an intervention in which adolescents and youth sexual and reproductive health (AYSRH) services tailored to FTPs were incorporated into the government's existing family planning (FP) program in 5 cities of Uttar Pradesh. We examined the effect of this intervention on modern contraceptive use among FTPs aged 15-24 years.
To assess the effect of this pilot, in 2019, 1 year after the implementation of the program, we analyzed community-based output tracking survey data on 549 married women who are FTPs in the pilot cities. These FTPs were compared with 253 women who were FTPs from other cities where the program was implemented without a specific focus on FTPs. Descriptive statistics and multivariate logistic regression analysis were applied to understand the association between exposure to FP information, either through accredited social health activists or through service delivery points, and use of modern contraceptives.
Use of modern contraceptives was higher among FTPs in the 5 pilot cities than non-pilot cities (39% vs. 32%;
<.05). The interaction effect of city type and exposure to the information showed a positive association between modern contraceptive use and program exposure, greater in pilot cities than non-pilot cities.
Higher uptake of modern contraceptives among young women may be achieved when an FTP-focused intervention is layered on the government's existing FP programs. Future studies with a longer duration of implementation, in a wider geography, and with longitudinal design are recommended to provide more robust measures of high impact intervention/practices in urban areas.</abstract><cop>United States</cop><pub>Global Health: Science and Practice</pub><pmid>38575360</pmid><doi>10.9745/GHSP-D-22-00170</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Cities Community Health Workers Contraception Contraception Behavior - statistics & numerical data Family Planning Services Female Humans India Parents Pilot Projects Programmatic Review & Analysis Young Adult |
| title | Engaging Community Health Workers to Enhance Modern Contraceptive Uptake Among Young First-Time Parents in Five Cities of Uttar Pradesh |
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