PMID- 33595785
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210305
IS  - 2090-262X (Electronic)
IS  - 0013-2446 (Print)
IS  - 0013-2446 (Linking)
VI  - 96
IP  - 1
DP  - 2021 Feb 17
TI  - Providers' perspectives of socio-cultural and health service challenges related 
      to postpartum family planning in Alexandria, Egypt.
PG  - 5
LID - 10.1186/s42506-020-00066-7 [doi]
LID - 5
AB  - BACKGROUND: Postpartum family planning (PPFP) focuses on prevention of unintended 
      pregnancy and closely spaced pregnancies through the first 12 months following 
      childbirth. Adoption of family planning during the postpartum period in Egypt 
      faces unique challenges. This study aimed to explore the socio-cultural and 
      health service challenges related to PPFP in Alexandria, Egypt, from perspectives 
      of family planning providers working in public settings. METHODS: Three focus 
      group discussions were conducted in the period from May to July 2017. It included 
      32 family planning physicians working in the family health centers and maternal 
      and child health centers in Alexandria for 3 years or more. A discussion guide 
      was prepared. Analysis of data was done using thematic data analysis using a 
      deductive approach. RESULTS: The working experience of participants ranged from 3 
      to 30 years. The most frequently reported reasons for unmet need for PPFP 
      were cultural norms about the contraceptive effects of lactation and inaccurate 
      knowledge of women about the conditions for appropriate use of the lactation 
      amenorrhea as a contraceptive method. The most commonly cited challenge related 
      to the quality of service was the inadequate health education services about 
      PPFP. Lack of training and supervision of community health workers was one of the 
      underlying causes of the perceived inadequacy of the service. CONCLUSIONS: Mass 
      media campaigns advocating for family planning are urgently needed with full 
      support from the government. Improvement of health education services is a must. 
      Redistribution of family planning providers with an increase in the staff members 
      is highly recommended.
FAU - El Weshahi, Heba Mahmoud Taha
AU  - El Weshahi HMT
AD  - Community Medicine Department, Faculty of Medicine, Alexandria University, 
      Alexandria, Egypt.
FAU - Galal, Ahmed Fawzy
AU  - Galal AF
AD  - Obstetrics and Gynecology Department, Faculty of Medicine, Alexandria University, 
      Alexandria, Egypt.
FAU - Sultan, Eman Anwar
AU  - Sultan EA
AUID- ORCID: 0000-0002-9801-0607
AD  - Community Medicine Department, Faculty of Medicine, Alexandria University, 
      Alexandria, Egypt. Eman.sultan@alexmed.edu.eg.
LA  - eng
PT  - Journal Article
DEP - 20210217
PL  - United States
TA  - J Egypt Public Health Assoc
JT  - The Journal of the Egyptian Public Health Association
JID - 7505602
PMC - PMC7889777
OTO - NOTNLM
OT  - Health service challenges
OT  - Post-partum family planning
OT  - Providers' perspectives
OT  - Socio-cultural challenges
COIS- None to declare.
EDAT- 2021/02/18 06:00
MHDA- 2021/02/18 06:01
PMCR- 2021/02/17
CRDT- 2021/02/17 12:15
PHST- 2020/03/26 00:00 [received]
PHST- 2020/12/17 00:00 [accepted]
PHST- 2021/02/17 12:15 [entrez]
PHST- 2021/02/18 06:00 [pubmed]
PHST- 2021/02/18 06:01 [medline]
PHST- 2021/02/17 00:00 [pmc-release]
AID - 10.1186/s42506-020-00066-7 [pii]
AID - 66 [pii]
AID - 10.1186/s42506-020-00066-7 [doi]
PST - epublish
SO  - J Egypt Public Health Assoc. 2021 Feb 17;96(1):5. doi: 
      10.1186/s42506-020-00066-7.