PMID- 32070339
OWN - NLM
STAT- MEDLINE
DCOM- 20200824
LR  - 20210110
IS  - 1472-6874 (Electronic)
IS  - 1472-6874 (Linking)
VI  - 20
IP  - 1
DP  - 2020 Feb 18
TI  - Investigating the quality of family planning counselling as part of routine 
      antenatal care and its effect on intended postpartum contraceptive method choice 
      among women in Nepal.
PG  - 29
LID - 10.1186/s12905-020-00904-y [doi]
LID - 29
AB  - BACKGROUND: Though modern contraceptive use among married women in Nepal has 
      increased from 26% in 1996 to 43% in 2016, it remains low among postpartum women. 
      Integration of counselling on family planning (FP) at the time of antenatal care 
      (ANC) and delivery has the potential to increase post-partum contraceptive use. 
      This study investigates the quality of FP counselling services provided during 
      ANC visits and women's perceptions of its effectiveness in assisting them to make 
      a post-partum family planning (PPFP) decision. METHODS: In-depth interviews 
      (IDIs) were conducted with 24 pregnant women who had attended at least two ANC 
      visits in one of the six public hospitals that had received an intervention that 
      sought to integrate FP counselling in maternity care services and introduce 
      postpartum intrauterine device insertion in the immediate postpartum period. IDIs 
      data were collected as part of a process evaluation of this intervention. Women 
      were selected using maximum variation sampling to represent different 
      socio-demographic characteristics. IDIs were audio recorded, transcribed verbatim 
      in Nepali, and translated into English. Data were organized using Bruce-Jain 
      quality of care framework and analyzed thematically. RESULTS: Overall, the 
      quality of FP counselling during ANC was unsatisfactory based on patient 
      expectations and experience of interactions with providers, as well as FP methods 
      offered. Despite their interest, most women reported that they did not receive 
      thorough information about FP, and about a third of them said that they did not 
      receive any counselling services on PPFP. Reasons for dissatisfaction with 
      counselling services included very crowded environment, short time with the 
      provider, non-availability of provider, long waiting times, limited number of 
      days for ANC services, and lack of comprehensive FP-related information, 
      education and counselling (IEC) materials. Women visiting hospitals with a 
      dedicated FP counselor reported higher quality of FP counselling. CONCLUSIONS: 
      There is an urgent need to re-visit the format of counselling on PPFP during ANC 
      visits, corresponding IEC materials, counselling setting, and to strengthen 
      availability and interaction with providers in order to improve quality, 
      experience and satisfaction with FP counselling during ANC visits. Improvements 
      in infrastructure and human resources are also needed to adequately meet women's 
      needs.
FAU - Puri, Mahesh C
AU  - Puri MC
AUID- ORCID: 0000-0002-2913-1480
AD  - Center for Research on Environment, Health and Population Activities (CREHPA), 
      Kathmandu, Nepal. mahesh@crehpa.org.np.
FAU - Moroni, Matthew
AU  - Moroni M
AD  - Department of Sociology, Development Studies, Lund University, Lund, Sweden.
FAU - Pearson, Erin
AU  - Pearson E
AD  - Ipas, Chapel Hill, NC, USA.
FAU - Pradhan, Elina
AU  - Pradhan E
AD  - The World Bank Group, Washington, DC, USA.
FAU - Shah, Iqbal H
AU  - Shah IH
AD  - Harvard T. H. Chan School of Public Health, Boston, MA, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20200218
PL  - England
TA  - BMC Womens Health
JT  - BMC women's health
JID - 101088690
SB  - IM
MH  - Adult
MH  - Contraception/methods/psychology
MH  - Contraception Behavior/*psychology
MH  - Counseling/methods/*standards
MH  - Family Planning Services/*standards
MH  - Female
MH  - Hospitals, Public
MH  - Humans
MH  - Intention
MH  - Nepal
MH  - Postpartum Period
MH  - Pregnancy
MH  - Pregnant Women/*psychology
MH  - Prenatal Care/methods/*psychology/standards
MH  - Qualitative Research
MH  - Quality Assurance, Health Care
MH  - Young Adult
PMC - PMC7029503
OTO - NOTNLM
OT  - Antenatal care
OT  - Contraceptive counselling
OT  - IUD
OT  - Nepal
OT  - Post-partum family planning
OT  - Quality of care
COIS- We have no competing interests to disclose.
EDAT- 2020/02/20 06:00
MHDA- 2020/08/25 06:00
PMCR- 2020/02/18
CRDT- 2020/02/20 06:00
PHST- 2019/08/06 00:00 [received]
PHST- 2020/02/13 00:00 [accepted]
PHST- 2020/02/20 06:00 [entrez]
PHST- 2020/02/20 06:00 [pubmed]
PHST- 2020/08/25 06:00 [medline]
PHST- 2020/02/18 00:00 [pmc-release]
AID - 10.1186/s12905-020-00904-y [pii]
AID - 904 [pii]
AID - 10.1186/s12905-020-00904-y [doi]
PST - epublish
SO  - BMC Womens Health. 2020 Feb 18;20(1):29. doi: 10.1186/s12905-020-00904-y.