Postpartum family planning counselling and contraceptive uptake in Bangladesh
2024

Postpartum Family Planning Counselling in Bangladesh

Sample size: 4842 publication 10 minutes Evidence: moderate

Author Information

Author(s): Haider M Moinuddin, Rahman Md Mahabubur, Khan Shusmita, Efa Tasnuva Khan, Rahman Mizanur

Primary Institution: International Centre for Diarrhoeal Disease Research, Bangladesh

Hypothesis

Does postpartum family planning counselling during maternity care visits increase contraceptive initiation among women in Bangladesh?

Conclusion

Postpartum family planning counselling during postnatal care significantly increases contraceptive initiation, while counselling during antenatal care does not show the same effect.

Supporting Evidence

  • Only 13% of women received postpartum family planning counselling during antenatal care.
  • Receiving counselling during postnatal care increased contraceptive initiation to 83%.
  • Women with higher education and from wealthier households were more likely to receive counselling.

Takeaway

This study found that talking to new moms about family planning after they give birth helps them start using contraception, but talking to them before they give birth doesn't seem to help as much.

Methodology

The study analyzed data from the 2017–18 Bangladesh Demographic and Health Survey using multivariable logistic regression to assess the impact of postpartum family planning counselling on contraceptive initiation.

Potential Biases

Potential bias may arise from the self-reported nature of contraceptive use and the lack of data on who initiated counselling conversations.

Limitations

The study did not collect data on the quality of counselling or whether women received information from other sources.

Participant Demographics

The majority of participants were women aged below 30, with over 70% having one or two children, and 66% having some secondary education.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7189/jogh.14.04246

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