Acceptability, feasibility and utility of a Mobile health family planning decision aid for postpartum women in Kenya.
Adolescent
Adult
Contraception Behavior
/ statistics & numerical data
Counseling
Cross-Sectional Studies
Decision Support Techniques
Family Planning Services
/ education
Feasibility Studies
Female
Health Knowledge, Attitudes, Practice
Health Personnel
Humans
Postpartum Period
/ psychology
Pregnancy
Qualitative Research
Sex Education
Telemedicine
Young Adult
Contraceptive counseling
Decision aid
Family planning
Postpartum
Journal
Reproductive health
ISSN: 1742-4755
Titre abrégé: Reprod Health
Pays: England
ID NLM: 101224380
Informations de publication
Date de publication:
08 Jul 2019
08 Jul 2019
Historique:
received:
03
01
2019
accepted:
30
06
2019
entrez:
10
7
2019
pubmed:
10
7
2019
medline:
21
12
2019
Statut:
epublish
Résumé
Unmet need for contraception is high during the postpartum period, increasing the risk of unintended subsequent pregnancy. We developed a client facing mobile phone-based family planning (FP) decision aid and assessed acceptability, feasibility, and utility of the tool among health care providers and postpartum women. Semi-structured in-depth interviews (IDIs) were conducted among postpartum women (n = 25) and FP providers (n = 17) at 4 Kenyan maternal and child health clinics, 2 in the Nyanza region (Kisumu and Siaya Counties) and 2 in Nairobi. Stratified purposive sampling was used to enroll postpartum women and FP providers. Data were analyzed using an inductive content analysis approach by 3 independent coders, with consensual validation. FP providers stated that the Interactive Mobile Application for Contraceptive Choice (iMACC) tool contained the necessary information about contraceptive methods for postpartum women and believed that it would be a useful tool to help women make informed, voluntary decisions. Most women valued the decision aid content, and described it as being useful in helping to dispel myths and misconceptions, setting realistic expectations about potential side effects and maintaining confidentiality. Both women and providers expressed concerns about literacy and lack of familiarity with smart phones or tablets and suggested inclusion of interactive multimedia such as audio or videos to optimize the effectiveness of the tool. The iMACC decision aid was perceived to be an acceptable tool to deliver client-centered FP counseling by both women and providers. Counseling tools that can support FP providers to help postpartum women make informed and individualized FP decisions in resource-limited settings may help improve FP counseling and contraceptive use in the postpartum period.
Sections du résumé
BACKGROUND
BACKGROUND
Unmet need for contraception is high during the postpartum period, increasing the risk of unintended subsequent pregnancy. We developed a client facing mobile phone-based family planning (FP) decision aid and assessed acceptability, feasibility, and utility of the tool among health care providers and postpartum women.
METHODS
METHODS
Semi-structured in-depth interviews (IDIs) were conducted among postpartum women (n = 25) and FP providers (n = 17) at 4 Kenyan maternal and child health clinics, 2 in the Nyanza region (Kisumu and Siaya Counties) and 2 in Nairobi. Stratified purposive sampling was used to enroll postpartum women and FP providers. Data were analyzed using an inductive content analysis approach by 3 independent coders, with consensual validation.
RESULTS
RESULTS
FP providers stated that the Interactive Mobile Application for Contraceptive Choice (iMACC) tool contained the necessary information about contraceptive methods for postpartum women and believed that it would be a useful tool to help women make informed, voluntary decisions. Most women valued the decision aid content, and described it as being useful in helping to dispel myths and misconceptions, setting realistic expectations about potential side effects and maintaining confidentiality. Both women and providers expressed concerns about literacy and lack of familiarity with smart phones or tablets and suggested inclusion of interactive multimedia such as audio or videos to optimize the effectiveness of the tool.
CONCLUSIONS
CONCLUSIONS
The iMACC decision aid was perceived to be an acceptable tool to deliver client-centered FP counseling by both women and providers. Counseling tools that can support FP providers to help postpartum women make informed and individualized FP decisions in resource-limited settings may help improve FP counseling and contraceptive use in the postpartum period.
Identifiants
pubmed: 31286989
doi: 10.1186/s12978-019-0767-9
pii: 10.1186/s12978-019-0767-9
pmc: PMC6615081
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
97Subventions
Organisme : School of Nursing, University of Washington
ID : Hester McLaws Grant
Organisme : School of Nursing, University of Washington
ID : Department of Global Health (Global Opportunity Health Fellowship)
Organisme : NIAID NIH HHS
ID : K01 AI116298
Pays : United States
Organisme : Center for AIDS Research, University of Washington
ID : NIH/NIAID P30-AI027757
Organisme : School of Nursing, University of Washington
ID : Sigma Theta Tau International (STTI), Psi-at-Large Chapter
Organisme : NIAID NIH HHS
ID : P30 AI027757
Pays : United States
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