Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal

  • Kusum Thapa Nepal Society of Obstetricians and Gynaecologists, Paropakar Maternity and Women's Hospital Thapathali, Kathmandu, Nepal
  • Rolina Dhital Nepal Society of Obstetricians and Gynaecologists, Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal
  • Sameena Rajbhandari Nepal Society of Obstetricians and Gynaecologists, Paropakar Maternity and Women's Hospital Thapathali, Kathmandu, Nepal
  • Shikha Thapa Nepal Society of Obstetricians and Gynaecologists, Paropakar Maternity and Women's Hospital Thapathali, Kathmandu, Nepal
  • Sabina Pokhrel Nepal Society of Obstetricians and Gynaecologists, Paropakar Maternity and Women's Hospital Thapathali, Kathmandu, Nepal
  • Sangeeta Mishra Koshi Zonal Hospital, Biratnagar Morang District, Province One, Nepal
  • Shanti Subedi Nobel Medical College Teaching Hospital Biratnagar, Morang District, Province One, Nepal
  • Dela Singh Western Regional Hospital Pokhara, Nepal
  • Shreedhar Acharya Lumbini Zonal Hospital, Butwal, Nepal
  • Sunil Mani Pokhrel Bharatpur Hospital Bharatpur, Nepal
  • Kalpana Thapa Bheri Zonal Hospital, Nepalgunj, Nepal
  • Atit Poudel Bhakatpur Hospital, Bhakatpur, Nepal
  • Sapana Vaidya Nepal Society of Obstetricians and Gynaecologists, Paropakar Maternity and Women's Hospital Thapathali, Kathmandu, Nepal
  • Emily‐Anne Tunnacliffe International Federation of Obstetrics and Gynecology London, UK
  • Anita Makins International Federation of Obstetrics and Gynecology London, UK
  • Sabaratnam Arulkumaran International Federation of Obstetrics and Gynecology London, UK
Keywords: family planning services; female sterilization; intrauterine devices; postpartum period.

Abstract

Introduction: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese government
and with the support from the International Federation of Obstetrics and Gynecology has
implemented an initiative to institutionalize postpartum family planning services in selected major
referral facilities of Nepal to address the gap of low uptake of postpartum family planning in Nepal.
The aim of the study is to find the prevalence of the service coverage of postpartum contraception in
the selected facilities.


Methods: A descriptive cross-sectional study was conducted in seven major referral facilities across
Nepal. Data were collected from the hospital records of all women who delivered in these facilities
between October 2018 and March 2019. Ethical approval for this study was obtained from Nepal
Health Research Council. Data analysis was done with SPSS version 23.


Results: Among the 29,072 deliveries from all the facilities, postpartum family planning counseling
coverage was 27,301 (93.9%). The prevalence of uptake of Postpartum Intrauterine Device is 1581
(5.4%) and female sterilization is 1830 (6.3%). In total 11387 mothers (52.2%) had the intention to
choose a postpartum family planning method. However, 36% of mothers neither used nor had the
intention to choose a postpartum family planning method.


Conclusions: The coverage of Postpartum Intrauterine Device counseling service coverage in Nepal is
higher in 2018 as compared to 2016-2017 and in other countries implementing Postpartum Intrauterine
Device initiatives. However, the prevalence of service coverage of immediate Postpartum Family
Planning methods, mainly Postpartum Intrauterine Device in 2018 is lower in Nepal as compared to
2016-2017, and other countries implementing Postpartum Intrauterine Device initiative. More efforts
are needed to encourage mothers delivering in the facilities to use the postpartum family planning
method.

Published
2020-01-31
How to Cite
Thapa, K., Dhital, R., Rajbhandari, S., Thapa, S., Pokhrel, S., Mishra, S., Subedi, S., Singh, D., Acharya, S., Pokhrel, S. M., Thapa, K., Poudel, A., Vaidya, S., Tunnacliffe, E., Makins, A., & Arulkumaran, S. (2020). Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal. Journal of Nepal Medical Association, 58(221). https://doi.org/10.31729/jnma.4788