Barriers to uptake of postpartum long acting reversible contraception: qualitative study of the perspectives of Ugandan health workers and potential clients
Barriers to uptake of postpartum long acting reversible contraception: qualitative study of the perspectives of Ugandan health workers and potential clients
Health workers have received training on delivering postpartum long‐acting reversible contraceptives (LARCs) through several projects in Uganda, yet uptake still remains poor. To understand the reasons, and to gather suggestions for improving uptake, we conducted individual semi‐structured interviews with a total of 80 postpartum parents, antenatal parents, health workers, and village health teams in rural south‐west Uganda. Interviews were recorded, transcribed, translated, and analyzed using qualitative thematic analysis. Specific barriers to uptake of immediate postpartum contraception for women included: the need to discuss this option with their husband, the belief that time is needed to recover before insertion of a LARC, and fear that the baby might not survive. Furthermore, social consequences of side‐effects are more serious in low‐income settings. Suggestions for improving uptake of postpartum contraception included health education by “expert users,” couples counseling during antenatal care, and improved management of side‐effects.
family planning, Uganda, Postpartum, Contraception, Qualitative
159-178
Willcox, Merlin
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King, Emma
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Fall, Emma
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Mubangizi, Vincent
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Nkalubo, Julius
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Natukunda, Silvia
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Nahabwe, Haeven
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Goodhart, Clare
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Graffy, Jonathan
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June 2019
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
King, Emma
24fd1966-8101-4f55-aae3-912db086cfb1
Fall, Emma
21b0c205-021b-4f72-8092-67a9cb9289aa
Mubangizi, Vincent
28691d9b-344c-4779-9512-29377e09ae8c
Nkalubo, Julius
b1cae3c6-f72a-4f44-a148-b47c4e441008
Natukunda, Silvia
68b16f5d-8429-4aa5-bf9c-cd928a73d61f
Nahabwe, Haeven
54170f39-ff9e-496c-918c-ec304a92ef53
Goodhart, Clare
6609457f-bc4a-4680-a84c-32fd3f874c57
Graffy, Jonathan
e0dfe927-16f9-43cd-bb80-40cf435ea894
Willcox, Merlin, King, Emma, Fall, Emma, Mubangizi, Vincent, Nkalubo, Julius, Natukunda, Silvia, Nahabwe, Haeven, Goodhart, Clare and Graffy, Jonathan
(2019)
Barriers to uptake of postpartum long acting reversible contraception: qualitative study of the perspectives of Ugandan health workers and potential clients.
Studies in Family Planning, 50 (2), .
(doi:10.1111/sifp.12088).
Abstract
Health workers have received training on delivering postpartum long‐acting reversible contraceptives (LARCs) through several projects in Uganda, yet uptake still remains poor. To understand the reasons, and to gather suggestions for improving uptake, we conducted individual semi‐structured interviews with a total of 80 postpartum parents, antenatal parents, health workers, and village health teams in rural south‐west Uganda. Interviews were recorded, transcribed, translated, and analyzed using qualitative thematic analysis. Specific barriers to uptake of immediate postpartum contraception for women included: the need to discuss this option with their husband, the belief that time is needed to recover before insertion of a LARC, and fear that the baby might not survive. Furthermore, social consequences of side‐effects are more serious in low‐income settings. Suggestions for improving uptake of postpartum contraception included health education by “expert users,” couples counseling during antenatal care, and improved management of side‐effects.
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Accepted/In Press date: 19 November 2018
e-pub ahead of print date: 8 April 2019
Published date: June 2019
Keywords:
family planning, Uganda, Postpartum, Contraception, Qualitative
Identifiers
Local EPrints ID: 426783
URI: http://eprints.soton.ac.uk/id/eprint/426783
ISSN: 0039-3665
PURE UUID: 9e81b65c-0207-4598-9348-b4cf727fff6e
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Date deposited: 12 Dec 2018 17:30
Last modified: 16 Mar 2024 07:24
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Contributors
Author:
Emma King
Author:
Emma Fall
Author:
Vincent Mubangizi
Author:
Julius Nkalubo
Author:
Silvia Natukunda
Author:
Haeven Nahabwe
Author:
Clare Goodhart
Author:
Jonathan Graffy
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