Abdulreshid Munit, Dadi Hailemichael B
Department of Medicine, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Epidemiology Unit, Department of Public Health, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Int J Reprod Med. 2020 Jan 25;2020:2649340. doi: 10.1155/2020/2649340. eCollection 2020.
Good quality family planning counseling particularly in the postpartum period is paramount to contraception adoption and continuation; it is also paramount in the reduction of maternal as well as infant morbidity and mortality.
Assess the level of family planning counseling provided for women in their immediate postpartum period in the labor ward at Saint Paul's Hospital in 2019.
An institution-based cross-sectional study was conducted from February to March of 2019 among women in the labor ward. A face-to-face exit interview was conducted with 209 randomly selected women. A structured pretested questionnaire was used to assess the level of family planning counseling provided. Bivariate logistic regression was used to test for statistical association.
Only 28.2% of the counseling sessions were adequate. Most (58.9%) of the counseling sessions did not maintain the privacy of the client. In 67.9% of the sessions, the counselor did not ask the concern of the client regarding the use of modern family planning methods and 74.2% of the clients were not told about the possible side effects of a method. Clients with no formal education (OR = 2.52, 95%CI = 1.1-3.3) and those with only primary level education (OR = 1.22, 95%CI = 1.04-3.02) were more likely to have had inadequate counseling.
The level of family planning counseling was inadequate. The study indicated the need to provide training for service providers on family planning counseling with the existing standard frameworks but also in consideration of the sociodemographic background of the client, particularly their educational status.
高质量的计划生育咨询，尤其是在产后阶段，对于避孕措施的采用和持续使用至关重要；在降低孕产妇和婴儿发病率及死亡率方面也至关重要。
评估2019年圣保罗医院产房为产后即刻的妇女提供的计划生育咨询水平。
2019年2月至3月在产房对妇女进行了一项基于机构的横断面研究。对209名随机选择的妇女进行了面对面的出院访谈。使用经过预测试的结构化问卷来评估提供的计划生育咨询水平。采用二元逻辑回归检验统计关联。
只有28.2%的咨询服务是充分的。大多数（58.9%）的咨询服务没有保护服务对象的隐私。在67.9%的咨询服务中，咨询人员没有询问服务对象对使用现代计划生育方法的担忧，74.2%的服务对象没有被告知某种方法可能的副作用。未受过正规教育的服务对象（比值比=2.52，95%置信区间=1.1-3.3）和仅受过小学教育的服务对象（比值比=1.22，95%置信区间=1.04-3.02）接受不充分咨询的可能性更大。
计划生育咨询水平不足。该研究表明，需要根据现有的标准框架，同时考虑服务对象的社会人口学背景，特别是其教育状况，为服务提供者提供计划生育咨询培训。
