PMID- 30519124
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220330
IS  - 1179-1527 (Electronic)
IS  - 1179-1527 (Linking)
VI  - 9
DP  - 2018
TI  - Postpartum family-planning barriers and catalysts in Burkina Faso and the 
      Democratic Republic of Congo: a multiperspective study.
PG  - 63-74
LID - 10.2147/OAJC.S170150 [doi]
AB  - PURPOSE: To address the high unmet need for postpartum family planning (PPFP) in 
      resource-limited settings, particularly in sub-Saharan Africa, this study aimed 
      to identify PPFP-related barriers and catalysts to inform policies and programs 
      to increase access to postpartum contraception. METHODS: Using qualitative 
      methodology, we explored the perspectives of women, adolescent girls, men, 
      religious and community leaders, service providers, and decision makers from 
      three rural communities in Burkina Faso and three rural-urban communities in the 
      Democratic Republic of Congo. Both countries have high unmet need for PPFP and 
      are priority countries of the French Muskoka Fund for Maternal and Child Health. 
      RESULTS: Perceived catalysts included negative traditional views on the 
      consequences borne by closely spaced children and their mothers; a 6-week 
      postpartum visit dedicated to PPFP (albeit poorly attended); political will and 
      enabling policies for FP; and support from certain religious leaders and men. 
      Main reported barriers were the lack of male engagement; out-of-pocket copayment 
      for contraceptives; reliance on amenorrhea for pregnancy prevention without 
      knowing its limits; misconceptions about modern contraceptives, including 
      prerequisites for the lactational amenorrhea method; sexual abstinence supported 
      by religious and traditional norms for up to 3-6 months, although women reported 
      earlier resumption of sexual activity; low prioritization of scheduled postpartum 
      visits by women; and limited availability of readily accessible methods, PPFP 
      counseling materials, and clinic days and scheduled visits dedicated to 
      contraceptive services. CONCLUSION: Based on results found to be most actionable, 
      the following interventions have the potential to optimize access to PPFP 
      services: counseling women on postpartum-pregnancy risks and options at different 
      points in time before and after childbirth through the use of appropriate 
      information, education, and counseling materials; integrating PPFP services into 
      existing maternal and child health visits; making contraceptives readily 
      available and affordable; and meaningfully engaging male partners.
FAU - Tran, Nguyen Toan
AU  - Tran NT
AD  - Department of Reproductive Health and Research, World Health Organization, 
      Geneva, Switzerland, gaffieldm@who.int.
AD  - Australian Centre for Public and Population Health Research, Faculty of Health, 
      University of Technology, Sydney, NSW, Australia.
AD  - Institute of Demography and Socioeconomics, University of Geneva, Geneva, 
      Switzerland.
FAU - Yameogo, Wambi Maurice E
AU  - Yameogo WME
AD  - Institut de Recherche en Sciences de la Sante, Ouagadougou, Burkina Faso.
AD  - Institut Africain de la Sante Publique, Ouagadougou, Burkina Faso.
FAU - Gaffield, Mary Eluned
AU  - Gaffield ME
AD  - Department of Reproductive Health and Research, World Health Organization, 
      Geneva, Switzerland, gaffieldm@who.int.
FAU - Langwana, Felicite
AU  - Langwana F
AD  - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of 
      Congo.
FAU - Kiarie, James
AU  - Kiarie J
AD  - Department of Reproductive Health and Research, World Health Organization, 
      Geneva, Switzerland, gaffieldm@who.int.
FAU - Kulimba, Desire Mashinda
AU  - Kulimba DM
AD  - School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of 
      Congo.
FAU - Kouanda, Seni
AU  - Kouanda S
AD  - Institut de Recherche en Sciences de la Sante, Ouagadougou, Burkina Faso.
AD  - Institut Africain de la Sante Publique, Ouagadougou, Burkina Faso.
LA  - eng
GR  - 001/WHO_/World Health Organization/International
PT  - Journal Article
DEP - 20181109
PL  - New Zealand
TA  - Open Access J Contracept
JT  - Open access journal of contraception
JID - 101700100
PMC - PMC6236096
OTO - NOTNLM
OT  - Burkina Faso
OT  - Democratic Republic of Congo
OT  - barriers
OT  - enablers
OT  - postpartum contraception
OT  - sub-Saharan Africa
COIS- Disclosure The authors report no conflicts of interest in this work.
EDAT- 2018/12/07 06:00
MHDA- 2018/12/07 06:01
PMCR- 2018/11/09
CRDT- 2018/12/07 06:00
PHST- 2018/12/07 06:00 [entrez]
PHST- 2018/12/07 06:00 [pubmed]
PHST- 2018/12/07 06:01 [medline]
PHST- 2018/11/09 00:00 [pmc-release]
AID - oajc-9-063 [pii]
AID - 10.2147/OAJC.S170150 [doi]
PST - epublish
SO  - Open Access J Contracept. 2018 Nov 9;9:63-74. doi: 10.2147/OAJC.S170150. 
      eCollection 2018.