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Provider Perspectives of Monitoring Women’s Postpartum Contraceptive Decision-Making and Uptake in Ethiopia

Publish Date: June 2019
Author: MCSP

Pregnancy intervals less than 24 months are associated with adverse maternal, infant, and child health outcomes. However, 47% of all nonfirst births in Ethiopia are spaced less than the World Health Organization-recommended 24-month interpregnancy interval. Prospective analysis of unmet need for family planning (FP) reveals that although 94% of women did not wish to become pregnant in the next 2 years, only 20% used a modern contraceptive method.

Inadequate mechanisms to record women’s preferences and evaluate service delivery is a significant health system barrier to postpartum FP(PPFP) uptake in Ethiopia. The purpose of this study was to determine the acceptability and feasibility of systematically recording and reviewing women’s contraceptive decisions during pregnancy and postpartum.