PMID- 29976182
OWN - NLM
STAT- MEDLINE
DCOM- 20190304
LR  - 20230926
IS  - 1472-6874 (Electronic)
IS  - 1472-6874 (Linking)
VI  - 18
IP  - 1
DP  - 2018 Jul 5
TI  - Participatory action research to identify a package of interventions to promote 
      postpartum family planning in Burkina Faso and the Democratic Republic of Congo.
PG  - 122
LID - 10.1186/s12905-018-0573-5 [doi]
LID - 122
AB  - BACKGROUND: The YAM DAABO study ("your choice" in Moore) takes place in Burkina 
      Faso and the Democratic Republic of Congo. It has the objective to identify a 
      package of postpartum family planning (PPFP) interventions to strengthen primary 
      healthcare services and determine its effectiveness on contraceptive uptake 
      during the first year postpartum. This article presents the process of 
      identifying the PPFP interventions and its detailed contents. METHODS: Based on 
      participatory action research principles, we adopted an inclusive process with 
      two complementary approaches: a bottom-up formative approach and a circular 
      reflective approach, both of which involved a wide range of stakeholders. For the 
      bottom-up component, we worked in each country in three formative sites and used 
      qualitative methods to identify barriers and catalysts to PPFP uptake. The 
      results informed the package design which occurred during the circular reflective 
      approach - a research workshop gathering service providers, members of both 
      country research teams, and the WHO coordination team. RESULTS: As barriers and 
      catalysts were found to be similar in both countries and with the view to scaling 
      up our strategy to other comparable settings, we identified a common package of 
      six low-cost, low-technology, and easily-scalable interventions that addressed 
      the main service delivery obstacles related to PPFP: (1) refresher training of 
      service providers, (2) regularly scheduled and strengthened supportive 
      supervision of service providers, (3) enhanced availability of services 7 days a 
      week, (4) a counseling tool, (5) appointment cards for women, and (6) invitation 
      letters for partners. CONCLUSIONS: Our research strategy assumes that postpartum 
      contraceptive uptake can be increased by supporting providers, enhancing the 
      availability of services, and engaging women and their partners. The package does 
      not promote any modern contraceptive method over another but prioritizes the 
      importance of women's right to information and choice regarding postpartum 
      fertility options. The effectiveness of the package will be studied in the 
      experimental phase. If found to be effective, this intervention package may be 
      relevant to and scalable in other parts of Burkina Faso and the DRC, and possibly 
      other Sub-Saharan countries. TRIAL REGISTRATION: Retrospectively registered in 
      the Pan African Clinical Trials Registry ( PACTR201609001784334 , 27 September 
      2016).
FAU - Tran, Nguyen Toan
AU  - Tran NT
AUID- ORCID: 0000-0001-7134-7878
AD  - Department of Reproductive Health Research, World Health Organization, Avenue 
      Appia 20, 1211, Geneve 27, Switzerland.
AD  - Institute of Demography and Socioeconomics (IDESO), University of Geneva, 
      Boulevard du Pont d'Arve 40, 1211, Geneva, Switzerland.
AD  - Australian Centre for Public and Population Health Research, Faculty of Health, 
      University of Technology, PO Box 123, Sydney, NSW, 2007, Australia.
FAU - Yameogo, Wambi Maurice E
AU  - Yameogo WME
AD  - Institut de Recherche en Sciences de la Sante, 03 B.P. 7192, Ouagadougou 03, 
      Burkina Faso.
AD  - Institut Africain de la Sante Publique, 12 B.P. 199, Ouagadougou, Burkina Faso.
FAU - Langwana, Felicite
AU  - Langwana F
AD  - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of 
      the Congo.
FAU - Gaffield, Mary Eluned
AU  - Gaffield ME
AD  - Department of Reproductive Health Research, World Health Organization, Avenue 
      Appia 20, 1211, Geneve 27, Switzerland. gaffieldm@who.int.
FAU - Seuc, Armando
AU  - Seuc A
AD  - Department of Reproductive Health Research, World Health Organization, Avenue 
      Appia 20, 1211, Geneve 27, Switzerland.
FAU - Cuzin-Kihl, Asa
AU  - Cuzin-Kihl A
AD  - Department of Reproductive Health Research, World Health Organization, Avenue 
      Appia 20, 1211, Geneve 27, Switzerland.
FAU - Kouanda, Seni
AU  - Kouanda S
AD  - Institut de Recherche en Sciences de la Sante, 03 B.P. 7192, Ouagadougou 03, 
      Burkina Faso.
AD  - Institut Africain de la Sante Publique, 12 B.P. 199, Ouagadougou, Burkina Faso.
FAU - Mashinda, Desire
AU  - Mashinda D
AD  - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of 
      the Congo.
FAU - Thieba, Blandine
AU  - Thieba B
AD  - Institut de Recherche en Sciences de la Sante, 03 B.P. 7192, Ouagadougou 03, 
      Burkina Faso.
AD  - Institut Africain de la Sante Publique, 12 B.P. 199, Ouagadougou, Burkina Faso.
FAU - Yodi, Rachel
AU  - Yodi R
AD  - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of 
      the Congo.
FAU - Nyandwe Kyloka, Jean
AU  - Nyandwe Kyloka J
AD  - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of 
      the Congo.
FAU - Millogo, Tieba
AU  - Millogo T
AD  - Institut de Recherche en Sciences de la Sante, 03 B.P. 7192, Ouagadougou 03, 
      Burkina Faso.
AD  - Institut Africain de la Sante Publique, 12 B.P. 199, Ouagadougou, Burkina Faso.
FAU - Coulibaly, Abou
AU  - Coulibaly A
AD  - Institut de Recherche en Sciences de la Sante, 03 B.P. 7192, Ouagadougou 03, 
      Burkina Faso.
AD  - Institut Africain de la Sante Publique, 12 B.P. 199, Ouagadougou, Burkina Faso.
FAU - Bolangala, Basele
AU  - Bolangala B
AD  - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of 
      the Congo.
FAU - Zan, Souleymane
AU  - Zan S
AD  - World Health Organization Country Office in Burkina Faso, 158 Av. de 
      l'Independance, 03, Ouagadougou 03, BP 7019, Burkina Faso.
FAU - Kini, Brigitte
AU  - Kini B
AD  - World Health Organization Country Office in the Democratic Republic of Congo 
      (DRC), Avenue des Cliniques N degrees 42, BP 1899, Kinshasa I, Democratic Republic of the 
      Congo.
FAU - Ouedraogo, Bibata
AU  - Ouedraogo B
AD  - Centre Medical de Bokin, District sanitaire de Yako, Region du Nord, Burkina 
      Faso.
FAU - Puludisi, Fifi
AU  - Puludisi F
AD  - Centre Mere et Enfant (CME) de Bumbu, avenue Mafuta 48/49, Commune de Bumbu, 
      Province de Kinshasa, Democratic Republic of the Congo.
FAU - Landoulsi, Sihem
AU  - Landoulsi S
AD  - Department of Reproductive Health Research, World Health Organization, Avenue 
      Appia 20, 1211, Geneve 27, Switzerland.
FAU - Kiarie, James
AU  - Kiarie J
AD  - Department of Reproductive Health Research, World Health Organization, Avenue 
      Appia 20, 1211, Geneve 27, Switzerland.
FAU - Reier, Suzanne
AU  - Reier S
AD  - Department of Reproductive Health Research, World Health Organization, Avenue 
      Appia 20, 1211, Geneve 27, Switzerland.
LA  - eng
SI  - PACTR/PACTR201609001784334
GR  - 001/WHO_/World Health Organization/International
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180705
PL  - England
TA  - BMC Womens Health
JT  - BMC women's health
JID - 101088690
SB  - IM
MH  - Attitude to Health
MH  - Burkina Faso
MH  - Contraception/methods/*standards
MH  - Counseling/*standards
MH  - Democratic Republic of the Congo
MH  - Family Planning Services/*organization & administration
MH  - Female
MH  - Health Services Research
MH  - Humans
MH  - Postpartum Period
PMC - PMC6034289
OTO - NOTNLM
OT  - Antenatal care
OT  - Contraceptive uptake
OT  - Health service strengthening
OT  - Postnatal care
OT  - Postpartum family planning
OT  - Pregnancy
OT  - Public health intervention package
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The research protocol was approved by 
      the Research Project Review Panel (RP2) of the UNDP/UNFPA/UNICEF/WHO/World Bank 
      Special Programme of Research, Development and Research Training in Human 
      Reproduction (HRP) at WHO in Geneva, and the WHO Research Ethics Review 
      Committee, Geneva, Switzerland. The study was approved by the respective ethical 
      committees of Burkina Faso (Comite d'ethique pour la recherche en sante - 
      Ministere de la sante & Ministere de l'enseignement superieur, de la recherche 
      scientifique et de l'innovation; reference number: 2016-02-019) and of the DRC 
      (Comite d'ethique - Ministere de l'enseignement superieur et universitaire, 
      Universite de Kinshasa, Ecole de sante publique; reference number: 
      ESP/CE/039b/2016). Adult participants gave their written informed consent. 
      Non-adult participants gave their written informed assent and their respective 
      parents or guardians gave written informed consent. COMPETING INTERESTS: The 
      authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer 
      Nature remains neutral with regard to jurisdictional claims in published maps and 
      institutional affiliations.
EDAT- 2018/07/07 06:00
MHDA- 2019/03/05 06:00
PMCR- 2018/07/05
CRDT- 2018/07/07 06:00
PHST- 2017/01/29 00:00 [received]
PHST- 2018/05/21 00:00 [accepted]
PHST- 2018/07/07 06:00 [entrez]
PHST- 2018/07/07 06:00 [pubmed]
PHST- 2019/03/05 06:00 [medline]
PHST- 2018/07/05 00:00 [pmc-release]
AID - 10.1186/s12905-018-0573-5 [pii]
AID - 573 [pii]
AID - 10.1186/s12905-018-0573-5 [doi]
PST - epublish
SO  - BMC Womens Health. 2018 Jul 5;18(1):122. doi: 10.1186/s12905-018-0573-5.