268194 Counseling intervention is successful to increase in post abortion IUCD acceptance

Tuesday, October 30, 2012

Rashmi Gupta, Post Graduation & PGDHRM , Foundation for Research in Health System, Urban Health Initiative, Aligarh, India
Mukesh Sharma, MBA, Masters in Rural Development, Masters in population science (pursuing) , Family Health International, UHI, Aligarh, India
Shikha Singhal, Post Gaduate in Nutrition science , CARE International, Urban Health Initiative (UHI), India, Aligarh, India
Prem Prakash Dwivedi, MBA , Hindustan Latex Family Planning Promotion Truct (HLFPPT), Urban Health Initiative, UHI, India, Aligarh, India
Meenakshi Jain, MBBS, MD, MPH , Family Health International, Urban Health Initiative (UHI)-India, Lucknow, India
Gita Pillai, MPH , Family Health International, India, Urban Health Initiative (UHI)-India, New Delhi, India
Dalbir Singh, Post Graduate in mass communication , John Hopkins University Center for communication program (JHUCCP), Urban Health Initiative, (UHI), India, Aligarh, India
Zakia Arshad, MBBS MS OBGYN , FHI360, Urban Health Initiative, Aligarh, India
Poonam Sharma, MBBS DGO , District Women's Hospital, District Women's Hospital, Aligarh, India
Beena Saxena, MBBS DGO , District Women's Hospital, District Women's Hospital, Aligarh, India
Introduction: The Government District Women Hospital (DWH) in Aligarh-India terminates over 2000 pregnancies each year, and accounts for 80% of the reported legal abortion. Although motivation to accept family planning post abortion is high, in 2009 the DWH reported low rates of post abortion family planning (PAFP) acceptance and no post abortion IUCD acceptance. Objective: To demonstrate the importance of post abortion counseling and service in increasing long acting family planning method use Method: Counseling was provided to all women, and their MTP slips were marked in green pen to indicate their choice of PAFP method. Providers were prepared to provide IUCD at the time of abortion as indicated in green pen. Routine review was made to ensure that the clients receive the service of their choice and systems were established to ensure supply and provider availability. Results: Rates of post abortion IUCD showed a dramatic increase from 0% of all MTP cases in 2009; to 6.7% in 2010 after 2 month of implementation and 26.1% in 2011. Overall, after introducing green pen with counselor, 49% clients accepted IUCD post abortion. In 2011, 65.9% clients received other methods. Conclusion: Pre MTP counseling along with family planning services at the time of abortion enabled women to accept a method especially the IUCD. The strategy, with simply made operational the Govt strategy, is highly effected to increase PAFP and easily replicable.This strategy makes a significant contribution to long acting contraceptive method use and holds the promise to reduce unplanned pregnancy and abortion.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research

Learning Objectives:
1.Demonstrate the effect of small and cost effective innovations in promotion of post abortion family planning method. 2.Explain the immense need of post abortion family planning among urban slum population.

Keywords: Post-Abortion, Counseling

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a Technical Officer monitoring of a consortium Urban Health Initiative, a project funded by BMGF. Working to increase contraceptive Prevalance Rate in the most populous state Uttar Pradesh in South Asian country India. Among my scientific interests has been the demonstaration of strategies to imporve access to family planning services.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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