DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20201800

The role of behavior change communication on knowledge and uptake of postpartum contraception among antenatal mothers in Puducherry: a randomized controlled trial

Neelima S. Chauhan, Agnes Mathew

Abstract


Background: India accounts for world's 17.5 percent population and is the second most populous country in the world next only to China (19.4%). Birth control pills, condoms, sterilization, IUD (intrauterine device) etc. are most commonly practiced family planning methods in India. The latest NFHS shows that 77% of sterilized women did not use a family planning method. Despite of family welfare program having a target free approach, the program has not been successful in educating people about the concept and advantages of contraceptive methods for spacing births.

Methods: This randomized controlled trial was carried out in the department of obstetrics and gynecology of Pondicherry Institute of Medical Sciences (PIMS), Puducherry. All antenatal mothers >28 weeks of gestational age were enrolled and given a semi-structured questionnaire. After randomization intervention was done in the form of counselling and distribution of pamphlets for future use. The women were followed in the postnatal period and 6 weeks later.

Results: A total of 280 subjects were enrolled in this study. Socio-demographic characteristics were similar in both the study groups. Majority of women in both the comparison and intervention group were in the age group 20-25 years (43.6%). Very few participants (20.0%) had used some form of contraception to delay pregnancy. However, the postpartum follow-up of the study participants revealed significant increase in the knowledge on the various contraceptive methods in the intervention group compared with the comparison group.

Conclusions: The implementation of behaviour change communication strategy to communicate the benefits of uptake of postpartum contraception to antenatal mothers, is vital in improving the acceptability of family planning programs in India.


Keywords


Attitude, Family planning, Knowledge, Post-partum contraception, Practices

Full Text:

PDF

References


Ministry of Home Affairs, Government of India, Census data, 2011. Available at: http://www.censusindia.gov.in/Census_Data_2011/India_at_glance/popu1.aspx. Accessed on 24th October 2018.

International Institute for Population Sciences (IIPS) and ICF. 2017. National Family Health Survey (NFHS-4), 2015-16: India. Mumbai: IIPS. Available at: http://www.rchiips.org/nfhs/nfhs3.shtml. Accessed on 24th October 2018.

Do and Hotchkiss: Relationships between antenatal and postnatal care and post-partum modern contraceptive use: evidence from population surveys in Kenya and Zambia. BMC Health Serv Res. 2013;13:6.

Sherpa SZ, Sheilini M, Nayak. A Knowledge attitude practice and preferences of contraceptive methods in Udupi District, Karnataka. J Family Reprod Health. 2013;7(3):115-20.

Bolam A, Manandhar DS, Shrestha P, Ellis M, Costello AM. The effects of postnatal health education for mothers on infant care and family planning practices in Nepal: a randomized controlled trial. BMJ. 1998;316(7134):805-11.

Santoso BI, Surya R. Knowledge, attitude and practice of contraception among pregnant women in Ende District, East Nusa Tenggara, Indonesia. J South Asian Feder Obst Gynae. 2017;9(2):110-8.

Ministry of Health and Family Welfare, Government of India. Urban Health Mission. Available at: http://nrhm.gov.in/nhm/nuhm.html. Accessed on 20th October 2015).

Achyut P, Benson A, Calhoun LM, Corroon M. Impact evaluation of the Urban Health Initiative in urban Uttar Pradesh, India. Contracept. 2016;93:519-25

Adanikin AI, Onwudiegwu U, Loto OM. Influence of multiple antenatal counselling sessions on modern contraceptive uptake in Nigeria. Eur J Contracept Reprod Health Care. 2013;18(5):381-7.

Sharma V, Mohan U, Das V, Awasthi S. Socio demographic determinants and knowledge, attitude, practice: survey of family planning. J Family Med Prim Care. 2012;1(1):43-7.

Prusty RK. Use of contraceptives and unmet need for family planning among tribal women in India and selected hilly states. J Health Popul Nutr. 2014;32(2):342-55.

Alsaedi JA, Alakel SM, Alalmaei AZ. Assessment of knowledge, attitude and practice towards family planning in Saudi Arabia. The Egypt J Hosp Med. 2018:70(2):345-8.

Amen W, Ahmed M. Effect of innovative contraceptive program on family planning utilization rate in Khartoum, Sudan: a randomized controlled trial. Gulf Med J. 2016;5(1):41-7.