PMID- 36923261
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230316
IS  - 1178-6329 (Print)
IS  - 1178-6329 (Electronic)
IS  - 1178-6329 (Linking)
VI  - 16
DP  - 2023
TI  - Effect of Package of Interventions on the Use and Quality of Postpartum Family 
      Planning Services at Yekatit 12 Hospital Medical College (Y12HMC), Addis Ababa, 
      Ethiopia.
PG  - 11786329231160017
LID - 10.1177/11786329231160017 [doi]
LID - 11786329231160017
AB  - BACKGROUND: Postpartum Family Planning (PPFP), which aims to prevent high risk 
      unintended and closely spaced pregnancies during the first year following 
      childbirth, is one of the highest impact interventions to avoid increased risk of 
      premature birth, low birth weight, fetal and neonatal death, and adverse maternal 
      health outcomes. This study aimed to assess the combined effect of a package of 
      interventions on the use and quality of PPFP services at Y12HMC, Addis Ababa 
      Ethiopia. METHOD: Cross-sectional study design was conducted to evaluate the 
      effect of the package of chosen interventions: creating a private counseling 
      space near the postpartum ward and providing training for health care providers 
      on the WHO decision tool kit and Long Acting Contraceptive Methods (LACM). 
      Interviews were conducted with 470 women (235 before and 235 after the 
      intervention). Frequency tables and graphs were used to describe the study 
      variables and statistical significance between pre and post intervention 
      indicators was declared at P value <.05. RESULTS: From 470 participants, 421 
      respondents participated which makes response rate of 90%. The majority of the 
      participants were in the age category 20 to 29 years, married/lived together, 
      completed at least primary education and had more than one child both at baseline 
      and post intervention. The proportion of women who chose PPFP increased from 
      55.8% at baseline to 69% after the intervention. The most preferred contraceptive 
      method was implant. The overall service satisfaction level of the study 
      participants was 95.4% post intervention, significantly higher than at baseline 
      (78%, P < .05). Providers indicated that clients are satisfied with the service 
      and that the institutional structure is appropriate for delivering integrated 
      services following the intervention. CONCLUSION: This study demonstrated that 
      quality improvement interventions like creating a private counseling space and 
      providing training using WHO decision tool kit can achieve significant 
      improvement on satisfaction of clients and PPFP uptake.
CI  - (c) The Author(s) 2023.
FAU - Tesfaye, Tatek
AU  - Tesfaye T
AD  - Obstetrics and Gynaecology Department, Y12HMC, Addis Ababa, Ethiopia.
FAU - Mamo, Ephrem
AU  - Mamo E
AUID- ORCID: 0000-0003-1405-2568
AD  - Public Health Department, Y12HMC, Addis Ababa, Ethiopia.
FAU - Teshome, Ayele
AU  - Teshome A
AD  - Obstetrics and Gynaecology Department, Y12HMC, Addis Ababa, Ethiopia.
FAU - Kebede, Birhanu
AU  - Kebede B
AD  - Obstetrics and Gynaecology Department, Y12HMC, Addis Ababa, Ethiopia.
FAU - Abrham, Tizita
AU  - Abrham T
AD  - Obstetrics and Gynaecology Department, Y12HMC, Addis Ababa, Ethiopia.
FAU - Solomon, Ananya
AU  - Solomon A
AD  - Obstetrics and Gynaecology Department, Y12HMC, Addis Ababa, Ethiopia.
FAU - Seid, Selahadin
AU  - Seid S
AD  - MSIE, Addis Ababa, Ethiopia.
LA  - eng
PT  - Journal Article
DEP - 20230310
PL  - United States
TA  - Health Serv Insights
JT  - Health services insights
JID - 101624726
PMC - PMC10009055
OTO - NOTNLM
OT  - Interventions
OT  - PPFP service
OT  - quality
OT  - uptake
COIS- The author(s) declared no potential conflicts of interest with respect to the 
      research, authorship, and/or publication of this article.
EDAT- 2023/03/17 06:00
MHDA- 2023/03/17 06:01
PMCR- 2023/03/10
CRDT- 2023/03/16 02:19
PHST- 2022/08/20 00:00 [received]
PHST- 2023/02/09 00:00 [accepted]
PHST- 2023/03/16 02:19 [entrez]
PHST- 2023/03/17 06:00 [pubmed]
PHST- 2023/03/17 06:01 [medline]
PHST- 2023/03/10 00:00 [pmc-release]
AID - 10.1177_11786329231160017 [pii]
AID - 10.1177/11786329231160017 [doi]
PST - epublish
SO  - Health Serv Insights. 2023 Mar 10;16:11786329231160017. doi: 
      10.1177/11786329231160017. eCollection 2023.