The more, the better: influence of family planning discussions during the maternal, newborn and child health continuum of care on postpartum contraceptive uptake and method type among young women in Ethiopia

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background: This study examines the association between family planning (FP) discussions with health professionals during contact points on the maternal, newborn and child health continuum of care and timing of modern contraceptive uptake and method type in the one-year following childbirth in six regions of Ethiopia among adolescent girls and young women (AGYW).

Methods: This paper uses panel data of women aged 15-24 who were interviewed during pregnancy and the postpartum period between 2019-2021 as part of the PMA Ethiopia survey (n=652).

Results: Despite the majority of pregnant and postpartum AGYW attending antenatal care (ANC), giving birth in a health facility, and attending vaccination visits, one-third or less of those who received the service reported discussion of FP at any of these visits. When considering the cumulative effect of discussions of FP at ANC, pre-discharge after childbirth, postnatal care and vaccination visits, we found that discussion of FP at a greater number of visits resulted in increased uptake of modern contraception by one-year postpartum. A greater number of FP discussions was associated with higher long-acting reversible contraceptive use relative to non-use and relative to short-acting method use.

Conclusions: Despite high attendance, there are missed opportunities to discuss FP when AGYW access care.

Related collections

Most cited references 36

Record: found
Abstract: found
Article: found

Is Open Access

Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Nicholas J. Kassebaum, Ryan M Barber, Zulfiqar Bhutta … (2016)

In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015.

0 comments Cited 327 times – based on 0 reviews      Review now

Record: found
Abstract: found
Article: not found

Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study.

M Laopaiboon, P Lumbiganon, … (2014)

To investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries. Secondary analysis using facility-based cross-sectional data of the World Health Organization Multicountry Survey on Maternal and Newborn Health. Twenty-nine countries in Africa, Latin America, Asia and the Middle East. Women admitted for delivery in 359 health facilities during 2-4 months between 2010 and 2011. Multilevel logistic regression models were used to estimate the association between young maternal age and adverse pregnancy outcomes. Risk of adverse pregnancy outcomes among adolescent mothers. A total of 124 446 mothers aged ≤24 years and their infants were analysed. Compared with mothers aged 20-24 years, adolescent mothers aged 10-19 years had higher risks of eclampsia, puerperal endometritis, systemic infections, low birthweight, preterm delivery and severe neonatal conditions. The increased risk of intra-hospital early neonatal death among infants born to adolescent mothers was reduced and statistically insignificant after adjustment for gestational age and birthweight, in addition to maternal characteristics, mode of delivery and congenital malformation. The coverage of prophylactic uterotonics, prophylactic antibiotics for caesarean section and antenatal corticosteroids for preterm delivery at 26-34 weeks was significantly lower among adolescent mothers. Adolescent pregnancy was associated with higher risks of adverse pregnancy outcomes. Pregnancy prevention strategies and the improvement of healthcare interventions are crucial to reduce adverse pregnancy outcomes among adolescent women in low- and middle-income countries. © 2014 RCOG The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.

0 comments Cited 268 times – based on 0 reviews      Review now

Record: found
Abstract: found
Article: found

Is Open Access

Contraception for adolescents in low and middle income countries: needs, barriers, and access

Venkatraman Chandra-Mouli, Donna McCarraher, Sharon J Phillips … (2014)

Substantial numbers of adolescents experience the negative health consequences of early, unprotected sexual activity - unintended pregnancy, unsafe abortions, pregnancy-related mortality and morbidity and Sexually Transmitted Infections including Human Immunodeficiency Virus; as well as its social and economic costs. Improving access to and use of contraceptives – including condoms - needs to be a key component of an overall strategy to preventing these problems. This paper contains a review of research evidence and programmatic experiences on needs, barriers, and approaches to access and use of contraception by adolescents in low and middle income countries (LMIC). Although the sexual activity of adolescents (ages 10–19) varies markedly for boys versus girls and by region, a significant number of adolescents are sexually active; and this increases steadily from mid-to-late adolescence. Sexually active adolescents – both married and unmarried - need contraception. All adolescents in LMIC - especially unmarried ones - face a number of barriers in obtaining contraception and in using them correctly and consistently. Effective interventions to improve access and use of contraception include enacting and implementing laws and policies requiring the provision of sexuality education and contraceptive services for adolescents; building community support for the provision of contraception to adolescents, providing sexuality education within and outside school settings, and increasing the access to and use of contraception by making health services adolescent-friendly, integrating contraceptive services with other health services, and providing contraception through a variety of outlets. Emerging data suggest mobile phones and social media are promising means of increasing contraceptive use among adolescents.

0 comments Cited 249 times – based on 0 reviews      Review now

All references

Author and article information

Contributors

Lisa M. Calhoun: Role: ConceptualizationRole: Formal AnalysisRole: InvestigationRole: MethodologyRole: ValidationRole: VisualizationRole: Writing – Original Draft PreparationRole: Writing – Review & Editing

ORCID: https://orcid.org/0000-0002-3499-9372

Jennifer Winston: Role: ConceptualizationRole: Formal AnalysisRole: InvestigationRole: MethodologyRole: VisualizationRole: Writing – Original Draft PreparationRole: Writing – Review & Editing

Lenka Beňová: Role: ConceptualizationRole: InvestigationRole: MethodologyRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – Review & Editing

Ilene S. Speizer: Role: ConceptualizationRole: Funding AcquisitionRole: InvestigationRole: MethodologyRole: SupervisionRole: Writing – Review & Editing

Thérèse Delvaux: Role: ConceptualizationRole: InvestigationRole: MethodologyRole: SupervisionRole: ValidationRole: Writing – Review & Editing

Solomon Shiferaw: Role: ConceptualizationRole: Data CurationRole: InvestigationRole: MethodologyRole: Project AdministrationRole: SupervisionRole: Writing – Review & Editing

Assefa Seme: Role: ConceptualizationRole: Data CurationRole: InvestigationRole: MethodologyRole: Project AdministrationRole: SupervisionRole: Writing – Review & Editing

Celia Karp: Role: ConceptualizationRole: Data CurationRole: InvestigationRole: MethodologyRole: Project AdministrationRole: SupervisionRole: ValidationRole: Writing – Review & Editing

Linnea Zimmerman: Role: ConceptualizationRole: Data CurationRole: Funding AcquisitionRole: InvestigationRole: MethodologyRole: Project AdministrationRole: SupervisionRole: ValidationRole: Writing – Review & Editing

ORCID: https://orcid.org/0000-0002-0118-0889

Thomas van den Akker: Role: ConceptualizationRole: InvestigationRole: MethodologyRole: SupervisionRole: ValidationRole: Writing – Review & Editing

Journal

Journal ID (nlm-ta): Gates Open Res

Journal ID (iso-abbrev): Gates Open Res

Title: Gates Open Research

Publisher: F1000 Research Limited (London, UK )

ISSN (Electronic): 2572-4754

Publication date (Electronic): 9 May 2023

Publication date Collection: 2023

Volume: 7

Electronic Location Identifier: 67

Affiliations

[1 ]Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27516, USA

[2 ]Athena Institute, Vrije Universiteit Amsterdam, Amsterdam, North Holland, The Netherlands

[3 ]Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium

[4 ]Department of Maternal and Child Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

[5 ]School of Public Health, Addis Ababa University, Addis Ababa, Addis Ababa, Ethiopia

[6 ]Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA

[7 ]Department of Obstetrics and Gynecology, Universiteit Leiden Medical Center, Leiden, South Holland, The Netherlands

[1 ]Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland

[1 ]Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA

Author notes

[a ] lisa.m.calhoun@ 123456gmail.com

No competing interests were disclosed.

Competing interests: No competing interests were disclosed.

Author information

Lisa M. Calhoun https://orcid.org/0000-0002-3499-9372

Linnea Zimmerman https://orcid.org/0000-0002-0118-0889

Article

DOI: 10.12688/gatesopenres.14626.1

PMC ID: 10323130

SO-VID: c21524d7-4c60-43dd-94b5-4906614fabb3

License:

This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

History

Date accepted : 21 April 2023

Funding

Funded by: Population Research Infrastructure Program

Award ID: P2CHD050924

This work was supported by the Bill & Melinda Gates Foundation [INV-009814]. We also received general support from the Population Research Infrastructure Program through an award to the Carolina Population Center (P2C HD050924) at the University of North Carolina at Chapel Hill. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Comments

Comment on this article

Most referenced authors 1,151

See all reference authors