Integrating postpartum contraceptive counseling and IUD insertion services into maternity care in Nepal: results from stepped-wedge randomized controlled trial

Pradhan, Elina; Canning, David; Shah, Iqbal H.; Puri, Mahesh; Pearson, Erin; Thapa, Kusum; Bajracharya, Lata; Maharjan, Manju; Maharjan, Dev C.; Bajracharya, Lata; Shakya, Ganga; Chaudhary, Pushpa

doi:10.1186/s12978-019-0738-1

Reproductive Health

Table 6 Determinants of PPIUD uptake among women who were counseled

From: Integrating postpartum contraceptive counseling and IUD insertion services into maternity care in Nepal: results from stepped-wedge randomized controlled trial

	Dependent variable: PPIUD uptake
	Est.	95% CI
Woman given a leaflet during counseling	−0.008	[− 0.050–0.053]
PPIUD Knowledge (Ref: Women can’t recall any benefits/disadvantages, or disadvantages only)
recall benefit(s) only	0.054**	[0.026–0.080]
recall both benefit(s) and disadvantage(s)	0.122***	[0.091–0.198]
Women given opportunity to ask questions	0.043**	[0.012–0.095]
Timing of PPIUD Counseling (Ref: Before Admission, during ANC)
After Admission Only	0.144**	[0.096–0.237]
Both	0.093**	[0.055–0.187]
Woman’s Age (Ref: < 20)
20–24 years	−0.020**	[−0.036–0.000]
25–29 years	−0.036**	[− 0.045 - -0.027]
> 29 years	− 0.015	[− 0.035–0.037]
Woman’s Schooling (Ref: No schooling)
Some Primary	−0.015	[− 0.054–0.070]
Some Lower Secondary	−0.042	[− 0.072–0.013]
Some Higher Secondary	−0.045	[− 0.072–0.011]
Some College	−0.051*	[− 0.083–0.012]
Time to travel from home to hospital (Ref: < 2 h)
2–6 h	0.008	[− 0.011–0.038]
> 6 h	− 0.0027	[−0.046–0.074]
Parity (Ref: 1)
2	0.039**	[0.011–0.055]
3 or more	0.050*	[−0.003–0.076]
Ethnicity (Ref: Hill Brahmin)
Chhetri	0.007	[−0.010–0.029]
Janajaati	0.010	[−0.004–0.036]
Madhesi	−0.003	[− 0.041–0.107]
Dalit	−0.002	[− 0.026–0.034]
Muslim	−0.035*	[− 0.061–0.003]
Others	0.003	[− 0.042–0.048]
Region (Ref: Terai)
Hill	−0.008	[− 0.057–0.049]
Mountain	0.017	[− 0.145–0.144]
Had an abortion before	0.025*	[−0.006–0.042]
Male child born	0.014***	[0.006–0.027]
Future Fertility Preference (Ref: Unsure about Limiting)
Want to Space	0.023**	[0.006–0.054]
Want to Limit	0.020***	[0.006–0.049]
Undecided on Spacing	−0.006	[−0.060–0.017]
Can’t get Pregnant	−0.119**	[− 0.240 - -0.053]
Refused/Other	−0.068**	[− 0.182 - -0.003]
Constant	−0.181	[− 0.379–0.021]
Observations	15,241
R-squared	0.132

All regression models adjusted for hospital and month fixed effects
Note: Difference from null tested using wild cluster bootstrap method
*** p < 0.01, ** p < 0.05, * p < 0.1

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