Planning and implementation of a FIGO postpartum intrauterine device initiative in six countries

Objective To describe the process of planning and implementing a program of counselling and delivery of postpartum intrauterine devices (PPIUD) in 48 hospitals across six countries in Africa and Asia. Methods The process of planning the FIGO PPIUD initiative, selection of countries and hospitals, mo...

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Published in:International journal of gynecology and obstetrics Vol. 143; no. S1; pp. 4 - 12
Main Authors: de Caestecker, Linda, Banks, Laura, Bell, Eliza, Sethi, Maya, Arulkumaran, Sabaratnam
Format: Journal Article
Language:English
Published: United States 01.09.2018
Subjects:
Africa
Asia
Contraception Behavior - statistics & numerical data
Counseling - statistics & numerical data
Counselling
Family planning
Family Planning Services - statistics & numerical data
Female
FIGO initiative
Humans
Implementation
International Cooperation
Intrauterine Devices - statistics & numerical data
LMICs
Long-Acting Reversible Contraception - statistics & numerical data
Postpartum intrauterine device
Postpartum Period
PPIUD
Family planning
PPIUD
Postpartum intrauterine device
LMICs
FIGO initiative
Counselling
Implementation
ISSN:0020-7292, 1879-3479, 1879-3479
Online Access:Get full text
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Summary:Objective To describe the process of planning and implementing a program of counselling and delivery of postpartum intrauterine devices (PPIUD) in 48 hospitals across six countries in Africa and Asia. Methods The process of planning the FIGO PPIUD initiative, selection of countries and hospitals, model of implementation, and lessons for the future are described. Results Country‐level and hospital‐based leadership were essential and training‐the‐trainer models were successful. There was a need for consistency of competency standards allowing for national variations. As the project progressed, additional steps were necessary for steady implementation of the initiative, specifically: establishment of a project steering committee and a data safety monitoring committee, audits of structure and process, and regular feedback of each center's performance to stimulate maintenance and enhancement of activities. Postnatal follow‐up was challenging in many countries with fragmented maternity systems. Conclusion The importance of professional leadership and commitment backed by robust data for monitoring and feedback are essential for success. Planning and implementation of a FIGO initiative to provide immediate postpartum intrauterine device (PPIUD) contraception for birth spacing in six countries is described.
Bibliography:FIGO initiative funded by anonymous donors.
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ISSN:0020-7292
1879-3479
1879-3479
DOI:10.1002/ijgo.12598