Helping Egyptian women achieve optimal birth spacing intervals through fostering linkages between family planning and maternal/child health services

Abdel-Tawab, Nahla G.; Loza, S; Abotalib, Abotalib Z.

doi:10.31899/rh4.1136

Cited by 17 publications

(15 citation statements)

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“…We identified ten projects, including three RCTs, that delivered interventions both before and after delivery ( Table 3). Five of these, in Bangladesh, Egypt, India (two), and South Africa, involved numerous activities, including home visits, domiciliary provision of contraceptive supplies, explicit incorporation of husbands, and community involvement (Kunene et al 2004;Varkey et al 2004;Abdel-Tawab, Loza, and Zaki 2008;Baqui et al 2011;Sebastian et al 2012;Ahmed et al 2013). The Bangladesh and Egyptian studies complemented facility-based counseling with home visits and community activities.…”

Section: Combined Ante-and Postnatal Interventionsmentioning

confidence: 99%

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Cleland

Shah

Daniele

2015

Studies in Family Planning

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This article provides programmatic guidance and identifies future research priorities through a review of interventions to improve postpartum contraception. Thirty-five interventions in low- and middle-income countries were identified and classified according to timing and nature of administration: antenatal, postnatal, both ante- and postnatal, and integration with other services. With the exception of single, short antenatal interventions, the evidence of impact is positive but incomplete. A major gap in knowledge concerns demand for, and means of promoting, immediate postpartum family planning services in Asia and Africa. Counseling before discharge is likely to have an impact on subsequent contraceptive uptake. Integration of family planning into immunization and pediatric services is justified, but policy and program obstacles remain. A case for relaxing the strict conditions of the lactational amenorrhea method (LAM) is strong, but qualitative evidence on the perspectives of women on pregnancy risks is required. Despite the gaps in knowledge, the evidence provides useful guidance for strategies to promote postpartum family planning, in ways that take different contexts into account.

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Section: Combined Ante-and Postnatal Interventionsmentioning

confidence: 99%

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Cleland

Shah

Daniele

2015

Studies in Family Planning

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“…Worldwide, birth interval practices differ widely [12]. Particularly, women in developing countries often have shorter birth intervals than they would personally prefer [13]. For instance, in sub-Saharan Africa, mothers would prefer a median birth interval of 38.9 months, which is more than 6.2 months longer than their actual median birth interval [14].…”

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confidence: 99%

Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis

et al. 2020

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BackgroundThe World Health Organization recommends a minimum of 33 months between two consecutive live births to reduce the risk of adverse maternal and child health outcomes. However, determinants of short birth interval have not been well understood in Ethiopia. ObjectiveThe aim of this study was to assess individual-and community-level determinants of short birth interval among women in Ethiopia. MethodsA detailed analysis of the 2016 Ethiopian Demographic and Health Survey data was performed. A total of 8,448 women were included in the analysis. A two-level multilevel logistic regression analysis was used to identify associated individual-and community-level factors and estimate between-community variance. ResultsAt the individual-level, women aged between 20 and 24 years at first marriage (AOR = 1.37; 95% CI: 1.18-1.60), women aged between 25 and 29 years at first marriage (AOR = 1.65; 95% CI: 1.20-2.25), having a husband who attended higher education (AOR = 1.32; 95% CI: 1.01-1.73), being unemployed (AOR = 1.16; 95% CI: 1.03-1.31), having an unemployed husband (AOR = 1.23; 95% CI: 1.04-1.45), being in the poorest wealth quintile (AOR = 1.82; 95% CI: 1.39-2.39), being in the poorer wealth quintile (AOR = 1.58; 95% CI: 1.21-2.06), being in the middle wealth quintile (AOR = 1.61; 95% CI: 1.24-2.10), being in the richer wealth quintile (AOR = 1.54; 95% CI: 1.19-2.00), increased total number of children born before the index child (AOR = 1.07; 95% CI: 1.03-1.10) and death of the preceding child (AOR = 1.97; 95% CI: 1.59-2.45) were associated with increased odds of short birth PLOS ONE | https://doi.interval. At the community-level, living in a pastoralist region (AOR = 2.01; 95% CI: 1.68-2.39), being a city dweller (AOR = 1.75; 95% CI: 1.38-2.22), high community-level female illiteracy (AOR = 1.23; 95% CI: 1.05-1.45) and increased distance to health facilities (AOR = 1.32; 95% CI: 1.11-1.56) were associated with higher odds of experiencing short birth interval. Random effects showed significant variation in short birth interval between communities.

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“…Family planning can also reduce pregnancies that occur when the woman is too young, too old or that are closely spaced. Research from many countries has shown that offering family planning services during the antenatal and postpartum period is associated with increased uptake Loza, S. Zaki, A. 2008;Khan et al 2008;Vernon 2008;).…”

Section: Universal Access To Contraceptionmentioning

confidence: 99%

Maternal and neonatal health services in Sudan: Results of a situation analysis

Abdel-Tawab¹,

El-Rabbat²

2010

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Helping Egyptian women achieve optimal birth spacing intervals through fostering linkages between family planning and maternal/child health services

Cited by 17 publications

References 0 publications

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis

Maternal and neonatal health services in Sudan: Results of a situation analysis

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