Provider insights on barriers and opportunities for birth spacing utilization in Karnataka, India.
India is the second most populous country in the world, with half of its citizens being of reproductive age. Despite the availability of a long-standing national family planning program, India maintains an unmet contraceptive need and high rate of maternal morbidity and mortality. In order to develop strategies to improve the utilization of birth-spacing contraceptive methods, we conducted a qualitative study with providers of family planning services in Karnataka, India. We elicited facilitators and barriers associated with peripartum contraceptive counseling and provision and identified an important opportunity to increase the use of postpartum contraception and improve birth spacing.
Department of Obstetrics and Gynecology, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois 60612, USA. jchormd@gmail.com
Julie
J
Chor
Kamal
K
Patil
Shivaprasad
S
Goudar
Bhalchandra
B
Kodkany
Stacie
S
Geller
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001721:Birth Intervals; D003267:Contraception / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003376:Counseling; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007194:India; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D049590:Postpartum Period; D011295:Prenatal Care; D036301:Qualitative Research; D019035:Rural Health Services; D012959:Socioeconomic Factors; D013997:Time Factors; D019037:Urban Health Services