Impact of contraceptive counselling training among counsellors participating in the FIGO postpartum intrauterine device initiative in Bangladesh

Fatima, Parveen; Antora, Arefa Hossain; Dewan, Farhana; Nash, Stephen; Sethi, Maya

doi:10.1002/ijgo.12605

Cited by 15 publications

(15 citation statements)

References 4 publications

(7 reference statements)

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“…Physician counselling was associated with higher satisfaction in a RCT in the USA,69 but did not increase postpartum use in Turkey,70 compared with leaflet/video counselling. Refresher provider trainings in Bangladesh71 and intensive counselling in Kenya72 were not associated with postpartum IUD uptake, continuation, or satisfaction.…”

Section: Resultsmentioning

confidence: 88%

A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn’t?

Cavallaro

Beňová

Owolabi

et al. 2019

BMJ Sex Reprod Health

101

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AimThe aim of this systematic review was to synthesise the evidence on the comparative effectiveness of different counselling strategies for modern contraception on contraceptive behaviour and satisfaction, and to examine their advantages and disadvantages.MethodsSix electronic databases (Medline, Embase, Global Health, Popline, CINAHL Plus, and Cochrane Library) were searched to identify publications comparing two or more contraceptive counselling strategies and reporting quantitative results on contraceptive use, uptake, continuation or switching, or client satisfaction. Studies of women or couples from any country, published in English since 1990 were considered.ResultsA total of 63 publications corresponding to 61 studies met the inclusion criteria. There was substantial heterogeneity in study settings, interventions and outcome measures. Interventions targeting women initiating a method (including structured counselling on side effects) tended to show positive effects on contraceptive continuation. In contrast, the majority of studies of provider training and decision-making tools for method choice did not find evidence of an effect. Additional antenatal or postpartum counselling sessions were associated with increased postpartum contraceptive use, regardless of their timing in pregnancy or postpartum. Dedicated pre-abortion contraceptive counselling was associated with increased use only when accompanied by broader contraceptive method provision. Male partner or couples counselling was effective at increasing contraceptive use in two of five studies targeting non-users, women initiating implants or seeking abortion. High-quality evidence is lacking for the majority of intervention types.ConclusionsThe evidence base and quality of studies are limited, and further research is needed to determine the effectiveness of many counselling interventions in different settings.

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Section: Resultsmentioning

confidence: 88%

A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn’t?

Cavallaro

Beňová

Owolabi

et al. 2019

BMJ Sex Reprod Health

101

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show abstract

“…20,[38][39][40][41][42][43][44] In 17 studies, the women's sociodemographic characteristics were described, including factors such as age, education, parity, number of living children and marital status. 17,18,[20][21][22][23][24]27,29,32,35,37,[39][40][41][42]44 Our primary outcome of interest, end-use of LARC, was reported in all 28 included studies, and was measured as (1) change in uptake of LARC -including number of women choosing LARC to be their first method of contraception as well as women switching to LARC from a different method [18][19][20]24,25,[27][28][29][30][31][32][35][36][37][38][39][40][41][42][43][44] ; and (2) change in IUD uptake specifically -including postpartum intrauterine devices. …”

Section: Re Sultsmentioning

confidence: 99%

“…17,18,[20][21][22][23][24]27,29,32,35,37,[39][40][41][42]44 Our primary outcome of interest, end-use of LARC, was reported in all 28 included studies, and was measured as (1) change in uptake of LARC -including number of women choosing LARC to be their first method of contraception as well as women switching to LARC from a different method [18][19][20]24,25,[27][28][29][30][31][32][35][36][37][38][39][40][41][42][43][44] ; and (2) change in IUD uptake specifically -including postpartum intrauterine devices. 17,[21][22][23]26,33,34 No studies reported the number of unintended pregnancies at 12 months after initiating LARC use, and 15 studies reported the preferred LARC method among healthcare workers and women. 19,…”

Section: Re Sultsmentioning

confidence: 99%

Training of healthcare providers and use of long‐acting reversible contraception in low‐ and middle‐income countries: A systematic review

Baekgaard

Damhaugh

Mrema

et al. 2021

Acta Obstet Gynecol Scand

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Introduction Unintended pregnancy, a major global health issue resulting in unsafe terminations of pregnancy and maternal deaths in low‐ and middle‐income countries, could be significantly reduced through increased use of modern contraception, including long‐acting reversible contraceptives (LARC). Training of healthcare providers to administer such contraceptives may improve uptake. We conducted a systematic review to collate the end‐user uptake data following training of healthcare providers in low‐ and middle‐income countries. Material and methods We searched PubMed, Embase, the Global Health Library and the Cochrane Library up to 23 May 2020. The review was restricted to low‐ and middle‐income countries and focused on healthcare providers who had received training in LARC. Studies that reported contraceptive uptake among women, preference of LARC among healthcare workers and/or women, and unplanned pregnancies within 12 months of LARC initiation were included. All included studies underwent quality assessment using either the Cochrane Risk of Bias Tool or the Newcastle‐Ottawa Scale. PROSPERO registration number CRD42020185291. Results A total of 28 studies (end‐users n = 6 112 544) were included (27 cohort studies and one randomized trial). Nineteen studies were set in Africa, five in Asia, one in Central America and four were multi‐country studies. Twenty‐eight studies reported LARC use among women, and 25 studies found an increase in uptake of LARC by women using short‐acting methods switching to longer‐acting methods or by recruiting new users of LARC. The randomized controlled trial was assessed as high quality and reported positive findings; however, there was great heterogeneity in the type of intervention and of how outcomes were measured among the other included studies. Further, the quality of these studies varied, although it should be noted that the poor‐quality studies reflected the trends of those of higher quality. Conclusions Despite heterogeneity, current evidence indicates that training of healthcare providers in LARC may increase the uptake among women in low‐ and middle‐income countries. More robust studies are warranted to inform policy.

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“…La distribución de tareas entre matronas y enfermeras para la inserción del DIU resultó muy eficaz en la India 12 , Nepal 10 , Kenia 10 y Tanzania 13 , con un aumento de las tasas de aceptación y muy poca variación en las tasas de complicaciones. En Bangladés, la formación de personas no sanitarias como asesores ofreció ciertas ventajas, pero no tuvo el impacto previsto respecto a la aceptación del DIUPP 14 . Esto refleja la gran variedad de factores que intervienen en algunas culturas en las que la mujer no es la que toma las decisiones sobre su propia salud sexual y reproductiva.…”

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Institucionalización de los dispositivos intrauterinos posparto

2019

Intl J Gynecology & Obste

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Impact of contraceptive counselling training among counsellors participating in the FIGO postpartum intrauterine device initiative in Bangladesh

Abstract: Structured training had no impact on overall PPIUD insertion rate. However, it did impact numbers of women receiving counselling, perceived quality of the counselling received, and overall removal rates.

Cited by 15 publications

References 4 publications

A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn’t?

A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn’t?

Training of healthcare providers and use of long‐acting reversible contraception in low‐ and middle‐income countries: A systematic review

Institucionalización de los dispositivos intrauterinos posparto

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