PMID- 30001823 OWN - NLM STAT- MEDLINE DCOM- 20190507 LR - 20220129 IS - 1873-5134 (Electronic) IS - 0738-3991 (Linking) VI - 101 IP - 10 DP - 2018 Oct TI - 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. PG - 1871-1875 LID - S0738-3991(18)30201-5 [pii] LID - 10.1016/j.pec.2018.05.004 [doi] AB - OBJECTIVES: 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. METHODS: Participatory action research involving women, men, providers, policymakers, researchers, and contraceptive experts from Burkina Faso and the Democratic Republic of Congo. RESULTS: 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. CONCLUSIONS: 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. PRACTICE IMPLICATIONS: 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. CI - Copyright (c) 2018. Published by Elsevier B.V. FAU - Tran, Nguyen Toan AU - Tran NT AD - Institute of Demography and Socioeconomics (IDESO), University of Geneva, Geneva, Switzerland; Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia; Department of Reproductive Health Research, World Health Organization, Geneva, Switzerland. Electronic address: nguyen-toan.tran@unige.ch. FAU - Yameogo, Wambi Maurice M AU - Yameogo WMM AD - Research Institute in Health Sciences (Institut de Recherche en Sciences de la Sante) & African Institute of Public Health (Institut Africain de la Sante Publique), Ouagadougou, Burkina Faso. Electronic address: yamwamb@gmail.com. FAU - Langwana, Felicite AU - Langwana F AD - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo. Electronic address: flangwana@gmail.com. FAU - Kouanda, Seni AU - Kouanda S AD - Research Institute in Health Sciences (Institut de Recherche en Sciences de la Sante) & African Institute of Public Health (Institut Africain de la Sante Publique), Ouagadougou, Burkina Faso. Electronic address: skouanda@irss.bf. FAU - Thieba, Blandine AU - Thieba B AD - Research Institute in Health Sciences (Institut de Recherche en Sciences de la Sante) & African Institute of Public Health (Institut Africain de la Sante Publique), Ouagadougou, Burkina Faso. Electronic address: thieblan@yahoo.fr. FAU - Mashinda, Desire AU - Mashinda D AD - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo. Electronic address: desiremashinda@facmed-unikin.net. FAU - Yodi, Rachel AU - Yodi R AD - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo. Electronic address: yodirachel@gmail.com. FAU - Nyandwe Kyloka, Jean AU - Nyandwe Kyloka J AD - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo. Electronic address: jnyandwe@gmail.com. FAU - Millogo, Tieba AU - Millogo T AD - Research Institute in Health Sciences (Institut de Recherche en Sciences de la Sante) & African Institute of Public Health (Institut Africain de la Sante Publique), Ouagadougou, Burkina Faso. Electronic address: millogorod@gmail.com. FAU - Coulibaly, Abou AU - Coulibaly A AD - Research Institute in Health Sciences (Institut de Recherche en Sciences de la Sante) & African Institute of Public Health (Institut Africain de la Sante Publique), Ouagadougou, Burkina Faso. Electronic address: samsoncoul@gmail.com. FAU - Zan, Souleymane AU - Zan S AD - World Health Organization Country Office in Burkina Faso, Ouagadougou, Burkina Faso. Electronic address: zans@who.int. FAU - Kini, Brigitte AU - Kini B AD - World Health Organization Country Office in the Democratic Republic of Congo, Kinshasa, Democratic Republic of Congo. Electronic address: kininsikub@who.int. FAU - Ouedraogo, Bibata AU - Ouedraogo B AD - Bokin Medical Center (Centre Medical de Bokin), District sanitaire de Yako, Region du Nord, Burkina Faso. Electronic address: samsoncoul@yahoo.fr. FAU - Puludisi, Fifi AU - Puludisi F AD - Bumbu Mother and Child Center (Centre Mere et Enfant de Bumbu), Commune de Bumbu, Province de Kinshasa, Democratic Republic of Congo. Electronic address: puludisufifi@gmail.com. FAU - Cuzin-Kihl, Asa AU - Cuzin-Kihl A AD - Department of Reproductive Health Research, World Health Organization, Geneva, Switzerland. Electronic address: cuzina@who.int. FAU - Reier, Suzanne AU - Reier S AD - Department of Reproductive Health Research, World Health Organization, Geneva, Switzerland. Electronic address: sreier@edc.org. FAU - Kiarie, James AU - Kiarie J AD - Department of Reproductive Health Research, World Health Organization, Geneva, Switzerland. Electronic address: kiariej@who.int. FAU - Gaffield, Mary Eluned AU - Gaffield ME AD - Department of Reproductive Health Research, World Health Organization, Geneva, Switzerland. Electronic address: gaffieldm@who.int. LA - eng GR - 001/WHO_/World Health Organization/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180502 PL - Ireland TA - Patient Educ Couns JT - Patient education and counseling JID - 8406280 MH - *Birth Intervals MH - Burkina Faso MH - Community-Based Participatory Research MH - Continuity of Patient Care MH - Contraception/methods/*standards MH - Counseling/*standards MH - *Decision Support Techniques MH - Democratic Republic of the Congo MH - Family Planning Services/*organization & administration MH - Female MH - Health Services Research MH - Humans MH - Postnatal Care MH - Pregnancy MH - Qualitative Research OTO - NOTNLM OT - Burkina Faso OT - Decision-making tool OT - Maternal and child health OT - Participatory action research OT - Postpartum family planning OT - Sexual and reproductive health OT - The Democratic Republic of Congo EDAT- 2018/07/14 06:00 MHDA- 2019/05/08 06:00 CRDT- 2018/07/14 06:00 PHST- 2017/11/22 00:00 [received] PHST- 2018/04/03 00:00 [revised] PHST- 2018/05/01 00:00 [accepted] PHST- 2018/07/14 06:00 [pubmed] PHST- 2019/05/08 06:00 [medline] PHST- 2018/07/14 06:00 [entrez] AID - S0738-3991(18)30201-5 [pii] AID - 10.1016/j.pec.2018.05.004 [doi] PST - ppublish SO - Patient Educ Couns. 2018 Oct;101(10):1871-1875. doi: 10.1016/j.pec.2018.05.004. Epub 2018 May 2.