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FIELD ACTION REPORT
Open Access

Increasing Use of Postpartum Family Planning and the Postpartum IUD: Early Experiences in West and Central Africa

Tsigue Pleah, Yolande Hyjazi, Suzanne Austin, Abdoulaye Diallo, Blami Dao, Rachel Waxman and Priya Karna
Global Health: Science and Practice August 2016, 4(Supplement 2):S140-S152; https://doi.org/10.9745/GHSP-D-16-00039
Tsigue Pleah
aJhpiego, Baltimore, MD, USA
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  • For correspondence: tsigue.pleah@jhpiego.org
Yolande Hyjazi
bJhpiego, Republic of Guinea, Conakry, Guinea
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Suzanne Austin
bJhpiego, Republic of Guinea, Conakry, Guinea
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Abdoulaye Diallo
bJhpiego, Republic of Guinea, Conakry, Guinea
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Blami Dao
aJhpiego, Baltimore, MD, USA
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Rachel Waxman
aJhpiego, Baltimore, MD, USA
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Priya Karna
cJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Figures & Tables

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  • FIGURE 1.
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    FIGURE 1.

    mCPR and IUD CPR in the PPFP/PPIUD Initiative Countries and Togoa

    Abbreviations: CPR, contraceptive prevalence rate; IUD, intrauterine device; mCPR, modern contraceptive prevalence rate; PPFP, postpartum family planning; PPIUD, postpartum intrauterine device.

    a The initiative was launched in 5 countries (Benin, Chad, Côte d’Ivoire, Niger, Senegal) in November 2013; Togo replicated the initiative’s model in 2014.

    Source: United Nations, Department of Economic and Social Affairs, Population Division.16

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    Trainees from West and Central Africa practice postpartum family planning counseling at a training event.

  • FIGURE 2.
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    FIGURE 2.

    Number of PPIUD Insertions in 5 Countriesa in 2014 and 2015

    Abbreviations: PPIUD, postpartum intrauterine device.

    a Benin, Côte d’Ivoire, Niger, and Senegal were part of the original PPFP/PPIUD initiative; Togo replicated the model afterward. Data for Chad, the fifth initiative country, were not available.

  • FIGURE 3.
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    FIGURE 3.

    Timing of PPIUD Insertions Among Women Choosing the PPIUD in 5 Countriesa Between 2014 and 2015 (N=2,269 Insertions)

    Abbreviations: PPIUD, postpartum intrauterine device.

    a Benin, Côte d’Ivoire, Niger, Senegal, and Togo; data for Chad were not available.

  • Figure5
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    A trainee practices postpartum IUD insertion using an anatomical model.

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    TABLE PPIUD Service Statistics by Country,a 2014–2015
    Service StatisticBeninCôte d’IvoireNigerSenegalTogoTotalGrand Total
    201420152014201520142015201420152014201520142015
    Overall
     Cumulative no. of facilities providing PPFP/PPIUD services151115110741919
     No. of women receiving PPFP counseling4,8582,9343,8292,953NANANA820NANA8,6876,70715,394
     No. of PPIUD insertions169263199248200247551721255917481,5212,269
     No. of PPIUD expulsionsb140400020811819
    Timing of counseling for women choosing the PPIUD
     During ANC20521159539000036150186
     Before active phase of labor92149611211689771800328385713
     Immediately postpartum5462245425254815400151295446
     Missing data301031428600125591233691924
    Timing of insertion of the PPIUD
     Postplacental (within 10 minutes after delivery)29782450318211429124114348462
     Immediate postpartum (>10 minutes to 48 hours postpartum)7779265939134015430152212457669
     Intracesarean63106471191291521444109257490747
     Missing data0010220100062206165226391
    Method of follow-up consultation among women choosing the PPIUD
     At the facility 4–6 weeks after delivery281124115350303501685227312
     By telephone 6 weeks or more after delivery2445179513413722370139197453650
     No follow-up11720715838636031001254364668411,307
    • Abbreviations: PPFP, postpartum family planning; PPIUD, postpartum intrauterine device; NA, not available.

    • ↵a The PPFP/PPIUD initiative was launched in 5 countries—Benin, Chad, Côte d’Ivoire, Niger, and Senegal—with Togo joining later. No data are provided for Chad because introduction of PPIUD services has been delayed there.

    • ↵b As reported by PPIUD users.

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Global Health: Science and Practice: 4 (Supplement 2)
Global Health: Science and Practice
Vol. 4, No. Supplement 2
August 11, 2016
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Increasing Use of Postpartum Family Planning and the Postpartum IUD: Early Experiences in West and Central Africa
Tsigue Pleah, Yolande Hyjazi, Suzanne Austin, Abdoulaye Diallo, Blami Dao, Rachel Waxman, Priya Karna
Global Health: Science and Practice Aug 2016, 4 (Supplement 2) S140-S152; DOI: 10.9745/GHSP-D-16-00039

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Increasing Use of Postpartum Family Planning and the Postpartum IUD: Early Experiences in West and Central Africa
Tsigue Pleah, Yolande Hyjazi, Suzanne Austin, Abdoulaye Diallo, Blami Dao, Rachel Waxman, Priya Karna
Global Health: Science and Practice Aug 2016, 4 (Supplement 2) S140-S152; DOI: 10.9745/GHSP-D-16-00039
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