PMID- 37556482 OWN - NLM STAT- MEDLINE DCOM- 20230811 LR - 20231102 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 18 IP - 8 DP - 2023 TI - Examining the linkages between maternity services and postpartum modern contraceptive adoption among young women in India: Insights from the 2015-16 and 2019-21 National Family Health Survey. PG - e0289701 LID - 10.1371/journal.pone.0289701 [doi] LID - e0289701 AB - BACKGROUND: The adoption of maternity services and postpartum modern contraception are the two most crucial components that help in reducing maternal and infant mortality; still, India is consistently struggling with it. This paper, therefore, aimed to examine the linkages between use of maternity services and postpartum modern contraceptive adoption. DATA AND METHODS: The required reproductive calendar data were extracted from the 2015-16 and 2019-21 National Family Health Survey (NFHS) datasets. The assessment was made based on a sample of currently married women aged 15-24 years who had given most recent childbirth in five years preceding the survey. For the analysis, a time-to-event approach was applied using the Kaplan-Meier survival statistic, Log-Rank Chi-square test and Cox-Proportional Hazard (Cox-PH) models. RESULTS: The results revealed that the proportion of postpartum modern contraceptive uptake among young users increased by 9%, from 33% in 2015-16 to 42% in 2019-21. The Cox-PH models revealed that, in both NFHS waves, the associations between various components of maternity services and postpartum modern contraceptive uptake were strongly significant, even after controlling for selected socio-economic and demographic correlates. CONCLUSIONS: The findings of this study reinforced urgent need for implementing integrated maternal-child health and family planning programmes and for boosting effective family planning counselling by health professionals to promote and motivate young women with a desire to early adoption of modern contraception in subsequent months after a recent childbirth. CI - Copyright: (c) 2023 Biswas, Banerjee. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Biswas, Monirujjaman AU - Biswas M AUID- ORCID: 0000-0003-2714-0460 AD - Centre for the Study of Regional Development, Jawaharlal Nehru University, New Delhi, Delhi, India. FAU - Banerjee, Anuradha AU - Banerjee A AD - Centre for the Study of Regional Development, Jawaharlal Nehru University, New Delhi, Delhi, India. LA - eng PT - Journal Article DEP - 20230809 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Contraceptive Agents) SB - IM MH - Humans MH - Female MH - Pregnancy MH - *Contraceptive Agents MH - *Contraception MH - Family Planning Services MH - Postpartum Period MH - Contraception Behavior MH - Parturition MH - India MH - Health Surveys PMC - PMC10411807 COIS- The authors have declared that no competing interests exist. EDAT- 2023/08/09 18:42 MHDA- 2023/08/11 06:43 PMCR- 2023/08/09 CRDT- 2023/08/09 13:43 PHST- 2022/11/12 00:00 [received] PHST- 2023/07/25 00:00 [accepted] PHST- 2023/08/11 06:43 [medline] PHST- 2023/08/09 18:42 [pubmed] PHST- 2023/08/09 13:43 [entrez] PHST- 2023/08/09 00:00 [pmc-release] AID - PONE-D-22-31217 [pii] AID - 10.1371/journal.pone.0289701 [doi] PST - epublish SO - PLoS One. 2023 Aug 9;18(8):e0289701. doi: 10.1371/journal.pone.0289701. eCollection 2023.