Role of financial incentives in family planning services in India: a qualitative study

Lalchandani, Kamlesh; Gupta, Aditi; Srivastava, Ashish; Usmanova, Gulnoza; Maadam, Ashwarya; Sood, Bulbul

doi:10.1186/s12913-021-06799-1

Cited by 3 publications

(2 citation statements)

References 46 publications

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“…PPIUD uptake and continuation among women in LMIC contexts have been shown to require multi-layered and multi-dimensional interventions [ 38 ]. Many studies from India have highlighted the key role of partners and family members in the decision to take up and use a family planning method [ 30 , 39 , 40 ]. Our study also found that some participants opted for removal primarily because of their partner’s/husband’s disapproval.…”

Section: Discussionmentioning

confidence: 99%

One-year continuation of postpartum intrauterine contraceptive device: Findings from a prospective cohort study in India

Srivastava,

Sharma,

Lalchandani

et al. 2024

PLoS ONE

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Objective(s) To estimate continuation rates for postpartum intrauterine contraceptive device (PPIUD) at 6 weeks, 6 months and 1-year within existing programs in an under-resourced setting, and to identify determinants of discontinuation, removal and expulsion. Study design We used a prospective cohort design and enrolled recent PPIUD adopter women across 100 public healthcare facilities in Odisha and Chhattisgarh, India. We collected their socio-demographic information and followed them up telephonically at 6 weeks, 6 months and 1 year for complications and continuation status. We assessed PPIUD continuation rates and factors associated with PPIUD discontinuation, removal, and expulsion using Cox proportional hazards modelling. Results We enrolled 916 participants (579 (63.2%) from Odisha and 337 (36.8%) from Chhattisgarh). The continuation rate of PPIUD was 88.7% at 6 weeks, 74.8% at 6 months 60.1% at one year. Once discontinued, chances of not opting for any family planning method was high (up to 81.2%). Participants with education of 6th to 12th class and those experiencing complications (pain abdomen, bleeding and discharge per vaginum) were more likely to remove the IUD with adjusted hazard ratio of 1.82 (95% CI: 1.18–2.79) and 4.39 (95% CI: 3.25–5.93) respectively. For expulsion, we did not find any factor that was statistically significant. Conclusion(s) PPIUD continuation rates declined considerably after the initial 6 weeks. Counselling and follow-up services for managing complications must be strengthened, especially in the first 6 weeks of PPIUD insertion, to enhance and sustain programmatic impact. Implications Our findings emphasize on the need to strengthen client counseling and follow-up for management of complications, especially in the first 6 weeks of insertion of PPIUDs. Ongoing programs need to address comprehensive capacity building efforts in this regard.

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Section: Discussionmentioning

confidence: 99%

One-year continuation of postpartum intrauterine contraceptive device: Findings from a prospective cohort study in India

Srivastava,

Sharma,

Lalchandani

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Following publication of the original article [ 1 ], multiple language errors were identified because the typesetter didn’t implement these corrections during production. The changes have been highlighted with corrections and shown in Additional file 1.…”

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confidence: 99%