Table 7 Changes in service provision in regards to family planning following survey
Target | Change in service provision |
|---|---|
Midwife training points | Benefits of LAC |
Health consequences of choosing methods with a higher risk of failure Risks of pregnancy in women over 35 years of age | |
Sensitive counseling in women with a history of a child death | |
Identify and address fears surrounding sterilization | |
Clarify the word operation: take time to distinguish the small 1–2 cm wound of a female sterilization from others such as cesarean section | |
Explanation of recovery time after a sterilization | |
Use of the diagram with every one-on-one counseling | |
Provision of contraception before discharge | |
Benefit and importance of counseling women about tubal resection before cesarean section | |
Antenatal care counseling for women | FP counseling increased: more frequent and earlier messaging with encouragement to discuss the family size with the husband |
At 22 weeks all P ≥ 1 discuss the option of sterilization in the event of unexpected cesarean section | |
At 22 weeks all P ≥ 1 discuss the option of sterilization/IUD and implant | |
Postnatal care counseling for women | If FP cannot be provided before discharge then follow-up and engagement at the first post-partum visit is required |
Inclusion of men | Women are encouraged to bring their husbands to come to the clinic and discuss the family size, medical and obstetric problems |
Couple counseling particularly encouraged in parity >3 with the highest chance to provide this in the post-partum period |