PMID- 25306103
OWN - NLM
STAT- MEDLINE
DCOM- 20160706
LR  - 20220409
IS  - 1873-5134 (Electronic)
IS  - 0738-3991 (Linking)
VI  - 97
IP  - 3
DP  - 2014 Dec
TI  - Findings from the use of a narrative story and leaflet to influence shifts along 
      the behavior change continuum toward postpartum contraceptive uptake in Sylhet 
      District, Bangladesh.
PG  - 376-82
LID - S0738-3991(14)00378-4 [pii]
LID - 10.1016/j.pec.2014.09.007 [doi]
AB  - OBJECTIVES: Postpartum women face uncertainty about timing of return to 
      fecundity. Many women wait to use contraception until menses return, resulting in 
      unintended pregnancies. This study explored the use of behavior change 
      communication to address perceptions of postpartum return to fecundity and 
      contraceptive adoption. METHODS: This study, which took place in Sylhet District 
      in Bangladesh, explored knowledge and perceptions about postpartum return to 
      fecundity and used the Steps to Behavior Change framework to assess the reported 
      influence of a leaflet and fictional story ("Asma's Story") incorporated within 
      community health activities. The study relied on in- depth interviews and focus 
      group discussions. RESULTS: The study revealed nearly universal exposure to 
      Asma's Story. Reported shifts in perceived susceptibility to pregnancy, benefits 
      of pregnancy spacing, and increased social support for postpartum family planning 
      (PPFP) were noted. However, only approximately one third of women were using a 
      modern contraceptive method. CONCLUSIONS: Using a fictional story offers a 
      promising approach for motivating shifts along the continuum. PRACTICE 
      IMPLICATIONS: It is recommended that Asma's Story be incorporated within future 
      efforts to scale up PPFP in Bangladesh, and that similar approaches be tailored 
      and tested in other countries.
CI  - Copyright (c) 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights 
      reserved.
FAU - Cooper, Chelsea M
AU  - Cooper CM
AD  - Jhpiego, Baltimore, USA. Electronic address: chelsea.cooper@jhpiego.org.
FAU - Ahmed, Salahuddin
AU  - Ahmed S
AD  - Jhpiego, Baltimore, USA; Johns Hopkins Bloomberg School of Public Health, 
      Baltimore, USA.
FAU - Winch, Peter J
AU  - Winch PJ
AD  - Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
FAU - Pfitzer, Anne
AU  - Pfitzer A
AD  - Jhpiego, Baltimore, USA.
FAU - McKaig, Catharine
AU  - McKaig C
AD  - Jhpiego, Baltimore, USA.
FAU - Baqui, Abdullah H
AU  - Baqui AH
AD  - Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20140920
PL  - Ireland
TA  - Patient Educ Couns
JT  - Patient education and counseling
JID - 8406280
MH  - Adult
MH  - Bangladesh
MH  - Birth Intervals
MH  - Breast Feeding
MH  - *Contraception
MH  - *Contraception Behavior
MH  - *Culture
MH  - Family Planning Services
MH  - Female
MH  - Focus Groups
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Narration
MH  - *Postpartum Period
MH  - Pregnancy
MH  - Social Support
MH  - Young Adult
OTO - NOTNLM
OT  - Bangladesh
OT  - Behavior change communication
OT  - Breastfeeding
OT  - Entertainment education
OT  - Family planning
OT  - Narratives
OT  - Postpartum care
OT  - Postpartum family planning
OT  - Stages of change
OT  - Steps to behavior change
EDAT- 2014/10/13 06:00
MHDA- 2016/07/07 06:00
CRDT- 2014/10/13 06:00
PHST- 2014/02/13 00:00 [received]
PHST- 2014/07/28 00:00 [revised]
PHST- 2014/09/10 00:00 [accepted]
PHST- 2014/10/13 06:00 [entrez]
PHST- 2014/10/13 06:00 [pubmed]
PHST- 2016/07/07 06:00 [medline]
AID - S0738-3991(14)00378-4 [pii]
AID - 10.1016/j.pec.2014.09.007 [doi]
PST - ppublish
SO  - Patient Educ Couns. 2014 Dec;97(3):376-82. doi: 10.1016/j.pec.2014.09.007. Epub 
      2014 Sep 20.