Influence of integrated services on postpartum family planning use: a cross-sectional survey from urban Senegal
Public Deposited- Creator
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Speizer, Ilene
- Affiliation: Gillings School of Global Public Health, Department of Maternal and Child Health
- Other Affiliation: Measurement, Learning, and Evaluation Project
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Fotso, Jean
- Other Affiliation: Concern Worldwide, New York, NY, USA
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Okigbo, Chinelo C
- Affiliation: Gillings School of Global Public Health, Department of Maternal and Child Health
- Other Affiliation: Measurement, Learning, and Evaluation Project
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Faye, Cheikh
- Affiliation: Carolina Population Center
- Other Affiliation: Measurement, Learning, and Evaluation ProjectAfrican Population Health and Research Center, Nairobi, Kenya
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Seck, Cheikh
- Other Affiliation: Initiative Sénégalaise de Santé Urbaine (ISSU), IntraHealth International, Dakar, Senegal
- Abstract
- Abstract Background Although the majority of postpartum women indicate a desire to delay a next birth, family planning (FP) methods are often not offered to, or taken up by, women in the first year postpartum. This study uses data from urban Senegal to examine exposure to FP information and services at the time of delivery and at child immunization appointments and to determine if these points of integration are associated with greater use of postpartum FP. Methods A representative, household sample of women, ages 15–49, was surveyed from six cities in Senegal in 2011. This study focuses on women who were within two years postpartum (n = 1879). We also include women who were surveyed through exit interviews after a visit to a high volume health facility in the same six cities; clients included were visiting the health facility for delivery, post-abortion care, postnatal care, and child immunization services (n = 794). Descriptive analyses are presented to examine exposure to FP services among postpartum women and women visiting the health facility. Logistic regression models are used to estimate the effect of integrated services on postpartum FP use in the household sample of women. Analyses were conducted using Stata version 12. Results Among exit interview clients, knowledge of integrated services is high but only a few reported receiving FP services. A majority of the women who did not receive FP services indicated an interest in receiving such information and services. Among the household sample of women up to two-years postpartum, those who received FP information at the time of delivery are more likely to be using modern FP postpartum than their counterparts who also delivered in a facility but did not receive such information. Exposure to FP services at an immunization visit was not significantly related to postpartum FP use. Another key finding is that women with greater self-efficacy are more likely to use a modern FP method. Conclusion This study’s findings lend strong support for the need to improve integration of FP services into maternal, newborn, and child health services with the goal of increasing postpartum women’s use of FP methods in urban Senegal.
- Date of publication
- August 14, 2013
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- Ilene S Speizer et al.; licensee BioMed Central Ltd.
- License
- Journal title
- BMC Public Health
- Journal volume
- 13
- Journal issue
- 1
- Page start
- 752
- Language
- English
- Is the article or chapter peer-reviewed?
- Yes
- ISSN
- 1471-2458
- Bibliographic citation
- BMC Public Health. 2013 Aug 14;13(1):752
- Publisher
- BioMed Central Ltd
- Access right
- Open Access
- Date uploaded
- July 15, 2016
Relations
- Parents:
This work has no parents.
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