2-Year contraceptive discontinuation rates among immediate postpartum implant and intrauterine device users at a rural district hospital in Malawi: a prospective cohort study

Tang, Jiao; Lemani, Clara; Nkambule, Jerome; Talama, George; Banda, César-Javier Cuadrado; Zgambo, Webster; Krashin, Jamie W.; Chinula, Lameck

doi:10.1016/j.contraception.2017.07.116

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“…At the time of the training courses, immediate postpartum implant insertion was not allowed in Malawi outside of research studies. Approval was granted to train providers in both PPIUD and immediate postpartum implant insertion at Kasungu District Hospital through another research study …”

Section: Methodsmentioning

confidence: 99%

Effect of family planning interventions on couple years of protection in Malawi

Lemani

Kamtuwanje

Phiri

et al. 2018

Intl J Gynecology & Obste

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ObjectiveThe primary objective was to assess the effect of family planning interventions at two health facilities in Malawi on couple years of protection (CYP).MethodsA prospective quasi‐experimental design was used to compare CYP and uptake of long‐acting reversible contraception (LARC) between two intervention facilities (Area 25 Health Center and Kasungu District Hospital) and two nonintervention facilities (Mkanda Health Center and Dowa District Hospital). The interventions included community mobilization and demand generation for family planning, and training and mentoring of providers in LARC insertion. Monthly data were collected from 1 year prior to intervention implementation until 2 years thereafter.ResultsFrom the pre‐intervention year to the second post‐intervention year, CYP increased by 175.1% at Area 25, whereas it decreased by 33.8% at Mkanda. At Kasungu and Dowa, CYP increased by 90.7% and 64.4%, respectively. Uptake of LARC increased by 12.2% at Area 25 r, 6.2% at Kasungu, and 2.9% at Dowa, but decreased by 3.8% at Mkanda.ConclusionsThe interventions led to an increase in CYP and LARC uptake. Future family planning programs should sensitize communities about family planning and train providers to provide all contraceptives so that women can make informed decisions and use the contraceptive of their choice.

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Section: Methodsmentioning

confidence: 99%