PMID- 33997651
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240402
IS  - 2572-4754 (Electronic)
IS  - 2572-4754 (Linking)
VI  - 3
DP  - 2019
TI  - Counseling at all contacts for postpartum contraceptive use: can paper-based 
      tools help community health workers improve continuity of care? A qualitative 
      study from Ethiopia.
PG  - 1652
LID - 10.12688/gatesopenres.13071.2 [doi]
LID - 1652
AB  - Background: Globally, there has been a resurgence of interest in postpartum 
      family planning (PPFP) to advance reproductive health outcomes. Few programs have 
      systematically utilized all contacts a woman and her baby have with the health 
      system, from pregnancy through the first year postpartum, to promote PPFP. Nested 
      into a larger study covering two districts, this study assessed the use, 
      acceptability, and feasibility of tools for tracking women's decision-making and 
      use of PPFP in the community health system in Oromia region, Ethiopia. 
      Community-level tracking tools included a modified Integrated Maternal and Child 
      Health (IMCH) card with new PPFP content, and a newly developed tool for pregnant 
      and postpartum women for use by Women Development Armies (WDAs). Proper 
      completion of the tools was monitored during supervision visits. Methods: 
      In-depth interviews and focus group discussions were conducted with health 
      officials, health extension workers, and volunteers. A total of 34 audio-files 
      were transcribed and translated into English, double-coded using MAXQDA, and 
      analyzed using a thematic approach. Results: The results describe how HEWs used 
      the modified IMCH card to track women's decision making through the continuum of 
      care, to assess pregnancy risk and to strengthen client-provider interaction. 
      Supervision data demonstrated how well HEWs completed the modified IMCH card. The 
      WDA tool was intended to promote PPFP and encourage multiple contacts with 
      facilities from pregnancy to extended postpartum period. HEWs have reservations 
      about the engagement of WDAs and their use of the WDA tool. Conclusions: To 
      conclude, the IMCH card improves counseling practices through the continuum of 
      care and is acceptable and feasible to apply. Some elements have been 
      incorporated into a revised national tool and can serve as example for other 
      low-income countries with similar community health systems. Further study is 
      warranted to determine how to engage WDAs in promoting PPFP.
CI  - Copyright: (c) 2021 Mossie MY et al.
FAU - Mossie, Muluneh Yigzaw
AU  - Mossie MY
AUID- ORCID: 0000-0002-6445-8323
AD  - Jhpiego, Addis Ababa, Ethiopia.
FAU - Pfitzer, Anne
AU  - Pfitzer A
AUID- ORCID: 0000-0001-5438-508X
AD  - Jhpiego, Washington DC, 1776 Massachusetts Avenue NW, Suite 300, USA.
FAU - Yusuf, Yousra
AU  - Yusuf Y
AUID- ORCID: 0000-0002-6984-7168
AD  - Department of Population Family and Reproductive Health,, Johns Hopkins Bloomberg 
      School of Public Health, Baltimore, MD 21205, USA.
FAU - Wondimu, China
AU  - Wondimu C
AUID- ORCID: 0000-0002-8733-0621
AD  - Jhpiego, Addis Ababa, Ethiopia.
FAU - Bazant, Eva
AU  - Bazant E
AUID- ORCID: 0000-0002-1212-8410
AD  - Jhpiego, Baltimore, MD 21231, 1615 Thames St # 200, USA.
FAU - Bansal, Vaiddehi
AU  - Bansal V
AD  - Department of Population Family and Reproductive Health,, Johns Hopkins Bloomberg 
      School of Public Health, Baltimore, MD 21205, USA.
FAU - Mackenzie, Devon
AU  - Mackenzie D
AD  - Jhpiego, Washington DC, 1776 Massachusetts Avenue NW, Suite 300, USA.
FAU - Sitrin, Deborah
AU  - Sitrin D
AD  - Jhpiego, Washington DC, 1776 Massachusetts Avenue NW, Suite 300, USA.
FAU - Pleah, Tsigue
AU  - Pleah T
AD  - Jhpiego, Conakry, Immeuble Guinomar, 5eme etage, Guinea.
LA  - eng
PT  - Journal Article
DEP - 20210429
PL  - United States
TA  - Gates Open Res
JT  - Gates open research
JID - 101717821
PMC - PMC8094216
OTO - NOTNLM
OT  - PPFP
OT  - community health information systems
OT  - community health workers
OT  - continuum of care
OT  - tracking tools
COIS- No competing interests were disclosed.
EDAT- 2021/05/25 06:00
MHDA- 2021/05/25 06:01
PMCR- 2021/04/29
CRDT- 2021/05/24 08:19
PHST- 2021/04/13 00:00 [accepted]
PHST- 2021/05/24 08:19 [entrez]
PHST- 2021/05/25 06:00 [pubmed]
PHST- 2021/05/25 06:01 [medline]
PHST- 2021/04/29 00:00 [pmc-release]
AID - 10.12688/gatesopenres.13071.2 [doi]
PST - epublish
SO  - Gates Open Res. 2021 Apr 29;3:1652. doi: 10.12688/gatesopenres.13071.2. 
      eCollection 2019.