Cooper Chelsea M, Ahmed Salahuddin, Winch Peter J, Pfitzer Anne, McKaig Catharine, Baqui Abdullah H
Jhpiego, Baltimore, USA.
Jhpiego, Baltimore, USA; Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Patient Educ Couns. 2014 Dec;97(3):376-82. doi: 10.1016/j.pec.2014.09.007. Epub 2014 Sep 20.
Postpartum women face uncertainty about timing of return to fecundity. Many women wait to use contraception until menses return, resulting in unintended pregnancies. This study explored the use of behavior change communication to address perceptions of postpartum return to fecundity and contraceptive adoption.
This study, which took place in Sylhet District in Bangladesh, explored knowledge and perceptions about postpartum return to fecundity and used the Steps to Behavior Change framework to assess the reported influence of a leaflet and fictional story ("Asma's Story") incorporated within community health activities. The study relied on in- depth interviews and focus group discussions.
The study revealed nearly universal exposure to Asma's Story. Reported shifts in perceived susceptibility to pregnancy, benefits of pregnancy spacing, and increased social support for postpartum family planning (PPFP) were noted. However, only approximately one third of women were using a modern contraceptive method.
Using a fictional story offers a promising approach for motivating shifts along the continuum.
It is recommended that Asma's Story be incorporated within future efforts to scale up PPFP in Bangladesh, and that similar approaches be tailored and tested in other countries.
产后女性面临生育能力恢复时间的不确定性。许多女性会等到月经恢复后才开始使用避孕措施，这导致了意外怀孕。本研究探讨了通过行为改变沟通来解决对产后生育能力恢复的认知以及避孕措施采用问题。
本研究在孟加拉国锡尔赫特地区开展，探究了对产后生育能力恢复的知识和认知，并使用行为改变步骤框架来评估社区卫生活动中包含的一份传单和一个虚构故事（“阿斯玛的故事”）所报告的影响。该研究依靠深入访谈和焦点小组讨论。
研究显示几乎所有人都接触过阿斯玛的故事。报告指出，在对怀孕易感性的认知、生育间隔的益处以及对产后计划生育（PPFP）社会支持增加方面出现了转变。然而，只有约三分之一的女性在使用现代避孕方法。
使用虚构故事为推动整个过程中的转变提供了一种有前景的方法。
建议将阿斯玛的故事纳入孟加拉国未来扩大产后计划生育的努力中，并在其他国家量身定制和测试类似方法。
