Postpartum Green Star family planning decision aid for pregnant adolescents in Tanzania: a qualitative feasibility study

Reproductive Health

Stella E. Mushy¹  Sebalda Leshabari¹  Shigeko Horiuchi²  Eri Shishido² 

[1] Community Health Nursing Department, School of Nursing, Muhimbili University of Health and Allied Sciences;Department of Midwifery, Graduate School of Nursing Science, St. Luke’s International University;

关键词: Decision aid;    Postpartum family planning;    Long-acting reversible contraception;    Intrauterine copper device;    Implants;    Rapid repeat pregnancy;   

DOI  :  10.1186/s12978-021-01216-6

来源: DOAJ

【 摘 要 】

Plain Language Summary This study assessed the practicality, usefulness, and acceptability of the decision aid we developed for pregnant adolescents in Tanzania. The study was conducted at Amana District Hospital in Dar es Salaam, Tanzania. For the study participants, six nurses/midwives with three or more years of experience in family planning services and 12 pregnant adolescents aged 15–19 years were recruited for in-depth interviews using a semi-structured interview guide with five questions. Study participants felt that the decision aid written in the Kiswahili language included important information that women wanted to know during counseling about long-acting reversible contraception options. The amount of information presented was just right, with the time of reading the data ranging from 20 min to 1 h. Study participants recommended that nurses/midwives implement the decision aid to ensure comprehension of the presented information and pictures. The decision aid was perceived to help improve knowledge and address several myths and misconceptions and the benefits and side effects of each long-acting reversible contraception option. Study participants recommended several changes: the flow of information needed reorganization, and some Kiswahili words needed rephrasing to reduce ambiguity. Notably, the study participants accepted the decision aid for use in clinical settings. It contained evidence-based information useful for complimenting the family planning counseling offered, particularly for long-acting reversible contraception methods. The decision aid helped improve the objectivity of counseling regarding long-acting reversible contraception methods. It imparted valuable knowledge to pregnant adolescents in Tanzania about the contraception methods (i.e., the use of intrauterine copper devices and implants) that are immediately available after childbirth. Additional studies are needed to examine the effects of the decision aid on pregnant adolescents in Tanzania to uptake long-acting reversible contraception methods after childbirth.

【 授权许可】

Unknown