PMID- 35727080
OWN - NLM
STAT- MEDLINE
DCOM- 20220623
LR  - 20220713
IS  - 1728-4465 (Electronic)
IS  - 0039-3665 (Linking)
VI  - 53
IP  - 2
DP  - 2022 Jun
TI  - The Effect of Family Planning Counseling on Incident Pregnancy in Nepal.
PG  - 315-338
LID - 10.1111/sifp.12197 [doi]
AB  - An intervention aimed at institutionalizing postpartum intrauterine device 
      (PPIUD) services was introduced in Nepal between 2015 and 2019. The intervention 
      was evaluated using a cluster-randomized stepped-wedge trial, with data on women 
      being collected immediately after delivery and at one- and two-year postpartum 
      follow-ups. The sample consists of 19,155 women. We used intention-to-treat (ITT) 
      analysis and structural equation model (SEM) to investigate how the intervention 
      affected the occurrence of a new pregnancy (incident pregnancy). The ITT analysis 
      showed that women in the intervention group had a reduced probability, -0.7 
      percentage points (95 percent CI: -3.0, 1.4), of having an incident pregnancy 
      compared to women in the control group. The SEM analysis showed that the 
      intervention increased the probability of receiving antenatal family planning 
      counseling and PPIUD-specific counseling by 22.2 percentage points (95 percent 
      CI: 20.0, 24.4) and 26.5 percentage points (95 percent CI: 24.8, 28.3), 
      respectively. The intervention had an unintended spillover effect, increasing the 
      probability of receiving postnatal family planning counseling by 11.4 percentage 
      points (95 percent CI: 7.3, 15.5). In the SEM, we find the expected impact of the 
      intervention on increased counseling and induced effects on contraceptive method 
      initiation, lowering the probability of an incident pregnancy by 0.3 percentage 
      points (95 percent CI: -0.5, -0.1).
CI  - (c) 2022 The Population Council, Inc.
FAU - Guo, Muqi
AU  - Guo M
AUID- ORCID: 0000-0001-7081-5158
AD  - Doctoral Student, Department of Global Health and Population, Harvard T.H. Chan 
      School of Public Health, Boston, USA.
FAU - Huber-Krum, Sarah
AU  - Huber-Krum S
AUID- ORCID: 0000-0003-0938-252X
AD  - Research Associate, Department of Global Health and Population, Harvard T.H. Chan 
      School of Public Health, Boston, USA.
FAU - Shah, Iqbal
AU  - Shah I
AD  - Principal Research Scientist, Department of Global Health and Population, Harvard 
      T.H. Chan School of Public Health, Boston, USA.
FAU - Canning, David
AU  - Canning D
AD  - Richard Saltonstall Professor of Population Sciences and Professor of Economics 
      and International Health, Department of Global Health and Population, Harvard 
      T.H. Chan School of Public Health 655 Huntington Ave, Boston, MA 02115, USA.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Stud Fam Plann
JT  - Studies in family planning
JID - 7810364
SB  - IM
MH  - Contraception
MH  - *Counseling
MH  - *Family Planning Services
MH  - Female
MH  - Humans
MH  - Nepal/epidemiology
MH  - Postnatal Care
MH  - Postpartum Period
MH  - Pregnancy
OTO - NOTNLM
OT  - family planning counseling
OT  - incident pregnancy
OT  - postpartum modern contraceptive method initiation
EDAT- 2022/06/22 06:00
MHDA- 2022/06/24 06:00
CRDT- 2022/06/21 09:25
PHST- 2022/06/21 09:25 [entrez]
PHST- 2022/06/22 06:00 [pubmed]
PHST- 2022/06/24 06:00 [medline]
AID - 10.1111/sifp.12197 [doi]
PST - ppublish
SO  - Stud Fam Plann. 2022 Jun;53(2):315-338. doi: 10.1111/sifp.12197.