Barriers to Uptake of Postpartum Long-Acting Reversible Contraception: Qualitative Study of the Perspectives of Ugandan Health Workers and Potential Clients
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Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Studies in family planning
Abstract
Health workers have received training on delivering postpartum long-acting
reversible contraceptives (LARCs) through several projects in Uganda, yet
uptake still remains poor. To understand the reasons, and to gather suggestions
for improving uptake, we conducted individual semi-structured interviews
with a total of 80 postpartumparents, antenatal parents, health workers,
and village health teams in rural south-westUganda. Interviews were recorded,
transcribed, translated, and analyzed using qualitative thematic analysis. Specific
barriers to uptake of immediate postpartum contraception for women included:
the need to discuss this option with their husband, the belief that time is
needed to recover before insertion of a LARC, and fear that the baby might not
survive. Furthermore, social consequences of side-effects are more serious in
low-income settings. Suggestions for improving uptake of postpartum contraception
included health education by “expert users,” couples counseling during
antenatal care, and improved management of side-effects
Description
Keywords
Postpartum, Contraception, Ugandan Health Workers, Potential Clients
Citation
Willcox, M., King, E., Fall, E., Mubangizi, V., Nkalubo, J., Natukunda, S., ... & Graffy, J. (2019). Barriers to uptake of postpartum long‐acting reversible contraception: Qualitative study of the perspectives of Ugandan health workers and potential clients. Studies in family planning, 50(2), 159-178.