Post-Partum IUD Program in Kenya: Best Practice - PowerPoint PPT Presentation


Title: Post-Partum IUD Program in Kenya: Best Practice


1
Post-Partum IUD Program in Kenya Best Practice
  • Joygrace Muthoni

2
Presentation Outline
  • Background
  • Program Intervention/Objectives
  • Methodology
  • Findings
  • Lessons learnt

3
Background
  • Conducted a pilot activity 2007-2009
  • 3 day orientation package
  • Cascade training
  • Identification and establishment of champions
  • PPIUCD training
  • CHW orientation
  • Evaluation to generate field-based
    recommendations to improve services

4
Program Intervention/Activity Tested
  • Womens experience with PPIUD insertion
  • Service providers perspectives, practice and
    experience with PPIUD services

5
Methodology
6
Methodology
  • Desk review of facility records
  • Interviews (phone, face-to-face) with service
    providers (123), PPIUD clients (117) prior to
    discharge, and at follow-up
  • FGD (2 groups) between JulyDecember 2009 and
    February-March 2010.

7
Findings Service Providers n49
  • Ideal counselling time was during antenatal
    care- 96, (47/49)
  • Ideal timing for PPIUD insertion was
    postplacental- 82, (40/49)
  • Ten service providers mentioned that
  • PPIUD is less painful than interval IUD (19)
  • Cervix is open and therefore it is easy to
    perform insertion (17)
  • Provides immediate FP protection (11)
  • Cost-effective to client and/or provider (11)
  • 92, 45/49 providers preferred manual insertion
    over instrumental.

8
PPIUCD Insertion ( n117)
9
Findings Clients
  • Told about PPFP by provider- 44, (51/117)
  • Counseled about PPIUD 80 (41/51)
  • 56 (66/117) decided to have PPIUD after
    delivery.
  • Counseling received was adequate 98 (115/117)

10
Findings Client Follow-up Via Phone /
Face-to-face(n63)
  • 76, (48/63) were still using the same PPIUD
    after three to six months,
  • 17 (11/63) had expelled the IUD
  • 6 (4/63) had it removed
  • husbands wish (2)
  • post caesarean infection (1)
  • pregnancy (1)

11
Findings Focus Group Discussion
  • Women experienced positive changes in life since
    receiving PPIUD. Life is easy.  
  • Money was not a barrier to use. Some partners
    were not aware of PPIUCD.  
  • Misconceptions and oppositions to IUD still
    existed in the communities They are afraid
    because they do not know.
  • All of them were willing to promote/recommend the
    method to the community We want other mothers
    to have it (PPIUD). Because when you have it, you
    will enjoy, husbands are happy...

12
Program Implications/Lessons
  • Demonstrated the feasibility of introducing PPIUD
    in low resource settings.
  • Maintaining systematic counseling during
    antenatal care and early labor was another key to
    increase uptake of PPIUD.
  • Service providers demonstrated that with all
    round support they were able to change their
    perceptions on providing PPIUD services
  • Manual insertion did not result more pain nor
    higher explosion rate
  • Cost was not a hindrance
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About This Presentation
Title:

Post-Partum IUD Program in Kenya: Best Practice

Description:

... * All 15 women who did not continue with the IUCD inserted within two-days postpartum were using a family planning method at the time of follow-up interview ... – PowerPoint PPT presentation

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Date added: 29 July 2020
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Tags: iud | best | iucd | kenya | partum | post | practice | program

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Transcript and Presenter's Notes

Title: Post-Partum IUD Program in Kenya: Best Practice


1
Post-Partum IUD Program in Kenya Best Practice
  • Joygrace Muthoni

2
Presentation Outline
  • Background
  • Program Intervention/Objectives
  • Methodology
  • Findings
  • Lessons learnt

3
Background
  • Conducted a pilot activity 2007-2009
  • 3 day orientation package
  • Cascade training
  • Identification and establishment of champions
  • PPIUCD training
  • CHW orientation
  • Evaluation to generate field-based
    recommendations to improve services

4
Program Intervention/Activity Tested
  • Womens experience with PPIUD insertion
  • Service providers perspectives, practice and
    experience with PPIUD services

5
Methodology
6
Methodology
  • Desk review of facility records
  • Interviews (phone, face-to-face) with service
    providers (123), PPIUD clients (117) prior to
    discharge, and at follow-up
  • FGD (2 groups) between JulyDecember 2009 and
    February-March 2010.

7
Findings Service Providers n49
  • Ideal counselling time was during antenatal
    care- 96, (47/49)
  • Ideal timing for PPIUD insertion was
    postplacental- 82, (40/49)
  • Ten service providers mentioned that
  • PPIUD is less painful than interval IUD (19)
  • Cervix is open and therefore it is easy to
    perform insertion (17)
  • Provides immediate FP protection (11)
  • Cost-effective to client and/or provider (11)
  • 92, 45/49 providers preferred manual insertion
    over instrumental.

8
PPIUCD Insertion ( n117)
9
Findings Clients
  • Told about PPFP by provider- 44, (51/117)
  • Counseled about PPIUD 80 (41/51)
  • 56 (66/117) decided to have PPIUD after
    delivery.
  • Counseling received was adequate 98 (115/117)

10
Findings Client Follow-up Via Phone /
Face-to-face(n63)
  • 76, (48/63) were still using the same PPIUD
    after three to six months,
  • 17 (11/63) had expelled the IUD
  • 6 (4/63) had it removed
  • husbands wish (2)
  • post caesarean infection (1)
  • pregnancy (1)

11
Findings Focus Group Discussion
  • Women experienced positive changes in life since
    receiving PPIUD. Life is easy.  
  • Money was not a barrier to use. Some partners
    were not aware of PPIUCD.  
  • Misconceptions and oppositions to IUD still
    existed in the communities They are afraid
    because they do not know.
  • All of them were willing to promote/recommend the
    method to the community We want other mothers
    to have it (PPIUD). Because when you have it, you
    will enjoy, husbands are happy...

12
Program Implications/Lessons
  • Demonstrated the feasibility of introducing PPIUD
    in low resource settings.
  • Maintaining systematic counseling during
    antenatal care and early labor was another key to
    increase uptake of PPIUD.
  • Service providers demonstrated that with all
    round support they were able to change their
    perceptions on providing PPIUD services
  • Manual insertion did not result more pain nor
    higher explosion rate
  • Cost was not a hindrance
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