Research Article
Volume 10 Issue 10 - 2021
Immediate Postpartum Family Planning: Analysis of Unmet Needs in a Maternity Hospital in Dakar/Senegal
Khadim Niang1, Samba Ngom2, Marème Ndiaye Mady Dia3 and Papa Ndiaye4*
1Santé Publique et Médecine Sociale (SPMS), Université Gaston Berger (UGB), de Saint-Louis, Senegal
2Professeur d’enseignement Secondaire/Science de Vie et de la Terre, Lycée des Parcellles Assaines, Unité 13, Dakar, Senegal
3Chef de la Division de la Planification Familiale (PF), Direction de la Santé de la Mère et de l’enfant (DSME), Senegal
4SPMS, UGB de Saint-Louis, Senegal
*Corresponding Author: Papa Ndiaye, SPMS, UGB de Saint-Louis, Senegal.
Received: August 10, 2021; Published: September 08, 2021




Abstract

Introduction: In Senegal, as part of the national family planning strategy 2016 - 2020, the family planning division had launched the offer of immediate postpartum family planning (IPPFP) whose unmet needs (UMN) are the subject of this study.

Method: The study took place at the maternity ward of Abass Ndao hospital, the only one to initiate IPPFP at the time of the study (October-December 2019). The sample, which was exhaustive, included all parturient who had given their consent after clear information. The variables included 1 dependent (existence or not of UMN for IPPFP) and 17 independents divided into 3 entities: sociodemographic profile (8), reproductive assessment (5) and IPPFP (4). The data were collected and analyzed in two parts: descriptive and analytical: bivariate (khi2 and Fisher) and multivariate (logistic regression).

Results: The study involved 151 parturients aged 15 to 45, with an average of 26.15 (± 5,87). The majority of them were educated in French (78.20%), Wolof (30.46%), Senegalese (91.39%), urban (94.70%), Muslim (98.68%), married (92.72%) and monogamous (80.00%). On average, the number of pregnancies was 2.36 (± 1.69), the interbirth space was 4.27 (± 2.54), and the number of living children was 2.09 (± 1.40). Of them, 92.05% had already been sensitized to FP, but 74.83% had never used contraception. In addition, 45.03% had a proposal for an IPPFP, 52.32% expressed the need, but 78.48% had an UMN. The reasons for not meeting needs were dominated by incompatibility with childbirth aftermath (33.87%), lack of a favorable opinion from the partner (32.26%), preference of the nearest health structure (11.29%) and fear of side effects (9.68%). In bi-varied analysis, the UMN for IPPFP had a statistically significant link with only two independent variables: history of contraceptive practice and proposal of IPPFP. At logistic regression, only one of the two variables had a significant influence; UMN for IPPFP were 17.32 times higher among parturients who did not receive an IPPFP proposal.

Conclusion: The immediate postpartum period has been insufficiently exploited in favor of IPPFP which is beneficial to the well-being of the mother and child.

Keywords: Family Planning (FP); Immediate Postpartum (IPP); Unmet Need (UMN)

References

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Citation: Khadim Niang., et al. “Immediate Postpartum Family Planning: Analysis of Unmet Needs in a Maternity Hospital in Dakar/Senegal”. EC Gynaecology 10.10 (2021): 20-27.

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