Participatory action research to identify a package of interventions to promote postpartum family planning in Burkina Faso and the Democratic Republic of Congo

BMC Women's Health

Fifi Puludisi¹  Bibata Ouedraogo²  Armando Seuc³  Mary Eluned Gaffield³  James Kiarie³  Sihem Landoulsi³  Nguyen Toan Tran³  Asa Cuzin-Kihl³  Suzanne Reier³  Abou Coulibaly⁴  Blandine Thieba⁴  Wambi Maurice E. Yameogo⁴  Seni Kouanda⁴  Tieba Millogo⁴  Désiré Mashinda⁵  Rachel Yodi⁵  Félicité Langwana⁵  Jean Nyandwe Kyloka⁵  Basele Bolangala⁵  Souleymane Zan⁶  Brigitte Kini⁷ 

[1] Centre Mère et Enfant (CME) de Bumbu;Centre Médical de Bokin, District sanitaire de Yako;Department of Reproductive Health Research, World Health Organization;Institut de Recherche en Sciences de la Santé;School of Public Health, University of Kinshasa;World Health Organization Country Office in Burkina Faso;World Health Organization Country Office in the Democratic Republic of Congo (DRC);

关键词: Postpartum family planning;    Pregnancy;    Antenatal care;    Postnatal care;    Public health intervention package;    Health service strengthening;   

DOI  :  10.1186/s12905-018-0573-5

来源: DOAJ

【 摘 要 】

Abstract Background The YAM DAABO study (“your choice” in Mooré) takes place in Burkina Faso and the Democratic Republic of Congo. It has the objective to identify a package of postpartum family planning (PPFP) interventions to strengthen primary healthcare services and determine its effectiveness on contraceptive uptake during the first year postpartum. This article presents the process of identifying the PPFP interventions and its detailed contents. Methods Based on participatory action research principles, we adopted an inclusive process with two complementary approaches: a bottom-up formative approach and a circular reflective approach, both of which involved a wide range of stakeholders. For the bottom-up component, we worked in each country in three formative sites and used qualitative methods to identify barriers and catalysts to PPFP uptake. The results informed the package design which occurred during the circular reflective approach – a research workshop gathering service providers, members of both country research teams, and the WHO coordination team. Results As barriers and catalysts were found to be similar in both countries and with the view to scaling up our strategy to other comparable settings, we identified a common package of six low-cost, low-technology, and easily-scalable interventions that addressed the main service delivery obstacles related to PPFP: (1) refresher training of service providers, (2) regularly scheduled and strengthened supportive supervision of service providers, (3) enhanced availability of services 7 days a week, (4) a counseling tool, (5) appointment cards for women, and (6) invitation letters for partners. Conclusions Our research strategy assumes that postpartum contraceptive uptake can be increased by supporting providers, enhancing the availability of services, and engaging women and their partners. The package does not promote any modern contraceptive method over another but prioritizes the importance of women’s right to information and choice regarding postpartum fertility options. The effectiveness of the package will be studied in the experimental phase. If found to be effective, this intervention package may be relevant to and scalable in other parts of Burkina Faso and the DRC, and possibly other Sub-Saharan countries. Trial registration Retrospectively registered in the Pan African Clinical Trials Registry (PACTR201609001784334, 27 September 2016).

【 授权许可】

Unknown