Citation
Lemani, Clara; Kamtuwanje, Nenani; Phiri, Billy; Speizer, Ilene S.; Singh, Kavita; Mtema, Olive; Chisanu, Ndidza; & Tang, Jennifer H. (2018). Effect of Family Planning Interventions on Couple Years of Protection in Malawi. International Journal of Gynecology & Obstetrics, 141(1), 37-44. PMCID: PMC5873398Abstract
OBJECTIVE: The primary objective was to assess the effect of family planning interventions at two health facilities in Malawi on couple years of protection (CYP).METHODS: A 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.
RESULTS: From 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.
CONCLUSIONS: The 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.
URL
http://dx.doi.org/10.1002/ijgo.12439Reference Type
Journal ArticleYear Published
2018Journal Title
International Journal of Gynecology & ObstetricsAuthor(s)
Lemani, ClaraKamtuwanje, Nenani
Phiri, Billy
Speizer, Ilene S.
Singh, Kavita
Mtema, Olive
Chisanu, Ndidza
Tang, Jennifer H.
PMCID
PMC5873398ORCiD
Speizer - 0000-0001-6204-1316Singh, K - 0000-0001-8670-2262