PMID- 27540120
OWN - NLM
STAT- MEDLINE
DCOM- 20171120
LR  - 20220330
IS  - 2169-575X (Electronic)
IS  - 2169-575X (Linking)
VI  - 4 Suppl 2
IP  - Suppl 2
DP  - 2016 Aug 11
TI  - Increasing Use of Postpartum Family Planning and the Postpartum IUD: Early 
      Experiences in West and Central Africa.
PG  - S140-52
LID - 10.9745/GHSP-D-16-00039 [doi]
AB  - A global resurgence of interest in the intrauterine device (IUD) as an effective 
      long-acting reversible contraceptive and in improving access to a wide range of 
      contraceptive methods, as well as an emphasis on encouraging women to give birth 
      in health care facilities, has led programs to introduce postpartum IUD (PPIUD) 
      services into postpartum family planning (PPFP) programs. We describe strategic, 
      organizational, and technical elements that contributed to early successes of a 
      regional initiative in West and Central Africa to train antenatal, maternity, and 
      postnatal care providers in PPFP counseling for the full range of available 
      methods and in PPIUD service delivery. In November 2013, the initiative provided 
      competency-based training in Guinea for providers from the main public teaching 
      hospital in 5 selected countries (Benin, Chad, Cote d'Ivoire, Niger, and Senegal) 
      with no prior PPFP counseling or PPIUD capacity. The training was followed by a 
      transfer-of-learning visit and monitoring to support the trained providers. One 
      additional country, Togo, replicated the initiative's model in 2014. Although 
      nascent, this initiative has introduced high-quality PPFP and PPIUD services to 
      the region, where less than 1% of married women of reproductive age use the IUD. 
      In total, 21 providers were trained in PPFP counseling, 18 of whom were also 
      trained in PPIUD insertion. From 2014 to 2015, more than 15,000 women were 
      counseled about PPFP, and 2,269 women chose and received the PPIUD in Benin, Cote 
      d'Ivoire, Niger, Senegal, and Togo. (Introduction of PPIUD services in Chad has 
      been delayed.) South-South collaboration has been central to the initiative's 
      accomplishments: Guinea's clinical centers of excellence and qualified trainers 
      provided a culturally resonant example of a PPFP/PPIUD program, and trainings are 
      creating a network of regional trainers to facilitate expansion. Two of the 
      selected countries (Benin and Niger) have expanded their PPFP/PPUID training 
      programs to additional sites. Inspired after learning about the initiative at a 
      regional meeting, Togo has outperformed the original countries involved in the 
      initiative by training more providers than the other countries. Challenges to 
      scale-up include a lack of formal channels for reporting PPFP and PPIUD service 
      delivery outcomes, inconsistent coordination of services across the reproductive 
      health continuum of care, and slow uptake in some countries. Continued success 
      will rely on careful recordkeeping, regular monitoring and feedback, and 
      strategic data use to advocate scale-up.
CI  - (c) Pleah et al.
FAU - Pleah, Tsigue
AU  - Pleah T
AD  - Jhpiego, Baltimore, MD, USA tsigue.pleah@jhpiego.org.
FAU - Hyjazi, Yolande
AU  - Hyjazi Y
AD  - Jhpiego, Republic of Guinea, Conakry, Guinea.
FAU - Austin, Suzanne
AU  - Austin S
AD  - Jhpiego, Republic of Guinea, Conakry, Guinea.
FAU - Diallo, Abdoulaye
AU  - Diallo A
AD  - Jhpiego, Republic of Guinea, Conakry, Guinea.
FAU - Dao, Blami
AU  - Dao B
AD  - Jhpiego, Baltimore, MD, USA.
FAU - Waxman, Rachel
AU  - Waxman R
AD  - Jhpiego, Baltimore, MD, USA.
FAU - Karna, Priya
AU  - Karna P
AD  - Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
LA  - eng
PT  - Journal Article
DEP - 20160818
PL  - United States
TA  - Glob Health Sci Pract
JT  - Global health, science and practice
JID - 101624414
SB  - IM
MH  - Africa, Central
MH  - Africa, Western
MH  - Clinical Competence
MH  - Contraception Behavior
MH  - Counseling/education
MH  - Developing Countries
MH  - Family Planning Services/education/standards/*statistics & numerical data
MH  - Female
MH  - Health Personnel/*education
MH  - Hospitals
MH  - Humans
MH  - International Cooperation
MH  - Intrauterine Devices/*statistics & numerical data
MH  - Long-Acting Reversible Contraception/*statistics & numerical data
MH  - *Postpartum Period
MH  - Program Evaluation
PMC - PMC4990157
EDAT- 2016/08/20 06:00
MHDA- 2017/11/29 06:00
PMCR- 2016/08/11
CRDT- 2016/08/20 06:00
PHST- 2016/02/11 00:00 [received]
PHST- 2016/04/07 00:00 [accepted]
PHST- 2016/08/20 06:00 [entrez]
PHST- 2016/08/20 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2016/08/11 00:00 [pmc-release]
AID - GHSP-D-16-00039 [pii]
AID - 10.9745/GHSP-D-16-00039 [doi]
PST - epublish
SO  - Glob Health Sci Pract. 2016 Aug 18;4 Suppl 2(Suppl 2):S140-52. doi: 
      10.9745/GHSP-D-16-00039. Print 2016 Aug 11.