Delivering postpartum family planning services in Nepal: are providers supportive?
Abstract Background Health service providers play a key role in addressing women’s need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum family planning (PPFP) services and postpartum contraceptive methods suc...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3777-3 |
| _version_ | 1829487463040548864 |
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| author | Mahesh C. Puri Manju Maharjan Erin Pearson Elina Pradhan Yasaswi Dhungel Aayush Khadka Iqbal H. Shah |
| author_facet | Mahesh C. Puri Manju Maharjan Erin Pearson Elina Pradhan Yasaswi Dhungel Aayush Khadka Iqbal H. Shah |
| author_sort | Mahesh C. Puri |
| collection | DOAJ |
| description | Abstract Background Health service providers play a key role in addressing women’s need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum family planning (PPFP) services and postpartum contraceptive methods such as immediate postpartum intra-uterine devices (PPIUD). This paper explores the perspectives of different types of providers on PPFP including PPIUD, their confidence in providing PPFP services, and their willingness to share their knowledge and skills with colleagues after receiving PPFP and PPIUD training. Methods In-depth interviews were conducted with 14 obstetricians/gynecologists and nurses from six tertiary level public hospitals in Nepal after they received PPFP and PPIUD training as part of an intervention aimed at integrating PPFP counseling and insertion into routine maternity care services. The interviews were audio recorded, transcribed, and analyzed using a thematic approach. Results Providers identified several advantages of PPFP, supported the provision of such services, and were willing to transfer their newly acquired skills to colleagues in other facilities who had not received PPFP and PPIUD training. However, many providers identified several supply-side and training-related barriers to providing high quality PPFP services, such as, (i) lack of adequate human resources, particularly a FP counselor; (ii) work overload; (iii) lack of private space for counseling; (iv) lack of IUDs and information, education and counseling materials; and (v) lack of support from hospital management. Conclusions Providers appeared to be motivated to deliver quality PPFP services and transfer their knowledge to colleagues but identified several barriers which prevented them from doing so. Future efforts to improve provision of quality PPFP services should address the barriers identified by providers. |
| first_indexed | 2024-12-14T23:29:10Z |
| format | Article |
| id | doaj.art-40d937154bdf4378a226da69f5946c46 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-14T23:29:10Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-40d937154bdf4378a226da69f5946c462022-12-21T22:43:44ZengBMCBMC Health Services Research1472-69632018-12-011811910.1186/s12913-018-3777-3Delivering postpartum family planning services in Nepal: are providers supportive?Mahesh C. Puri0Manju Maharjan1Erin Pearson2Elina Pradhan3Yasaswi Dhungel4Aayush Khadka5Iqbal H. Shah6Center for Research on Environment, Health and Population Activities (CREHPA)Center for Research on Environment, Health and Population Activities (CREHPA)IpasThe World Bank GroupCenter for Research on Environment, Health and Population Activities (CREHPA)Harvard T. H. Chan School of Public HealthHarvard T. H. Chan School of Public HealthAbstract Background Health service providers play a key role in addressing women’s need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum family planning (PPFP) services and postpartum contraceptive methods such as immediate postpartum intra-uterine devices (PPIUD). This paper explores the perspectives of different types of providers on PPFP including PPIUD, their confidence in providing PPFP services, and their willingness to share their knowledge and skills with colleagues after receiving PPFP and PPIUD training. Methods In-depth interviews were conducted with 14 obstetricians/gynecologists and nurses from six tertiary level public hospitals in Nepal after they received PPFP and PPIUD training as part of an intervention aimed at integrating PPFP counseling and insertion into routine maternity care services. The interviews were audio recorded, transcribed, and analyzed using a thematic approach. Results Providers identified several advantages of PPFP, supported the provision of such services, and were willing to transfer their newly acquired skills to colleagues in other facilities who had not received PPFP and PPIUD training. However, many providers identified several supply-side and training-related barriers to providing high quality PPFP services, such as, (i) lack of adequate human resources, particularly a FP counselor; (ii) work overload; (iii) lack of private space for counseling; (iv) lack of IUDs and information, education and counseling materials; and (v) lack of support from hospital management. Conclusions Providers appeared to be motivated to deliver quality PPFP services and transfer their knowledge to colleagues but identified several barriers which prevented them from doing so. Future efforts to improve provision of quality PPFP services should address the barriers identified by providers.http://link.springer.com/article/10.1186/s12913-018-3777-3Intra-uterine device (IUD)Service providersPostpartum family planningSupply-side barriersNepal |
| spellingShingle | Mahesh C. Puri Manju Maharjan Erin Pearson Elina Pradhan Yasaswi Dhungel Aayush Khadka Iqbal H. Shah Delivering postpartum family planning services in Nepal: are providers supportive? BMC Health Services Research Intra-uterine device (IUD) Service providers Postpartum family planning Supply-side barriers Nepal |
| title | Delivering postpartum family planning services in Nepal: are providers supportive? |
| title_full | Delivering postpartum family planning services in Nepal: are providers supportive? |
| title_fullStr | Delivering postpartum family planning services in Nepal: are providers supportive? |
| title_full_unstemmed | Delivering postpartum family planning services in Nepal: are providers supportive? |
| title_short | Delivering postpartum family planning services in Nepal: are providers supportive? |
| title_sort | delivering postpartum family planning services in nepal are providers supportive |
| topic | Intra-uterine device (IUD) Service providers Postpartum family planning Supply-side barriers Nepal |
| url | http://link.springer.com/article/10.1186/s12913-018-3777-3 |
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