Process evaluation of postpartum contraceptive service delivery in Ayder Comprehensive Specialized Hospital Mekelle, Tigray, Ethiopia in 2020

• Published in: BMC health services research 2023-07, Vol.23 (1), p.794-14, Article 794
• Main Authors: Hagos, Kahsay Negash, Gesese, Abreha Addis
• Format: Article
• Language: English
• Subjects: ACSH; Age groups; Birth control; Births; Case studies; Child; Childbirth & labor; Compliance; Confidence intervals; Contraception; Contraception Behavior; Contraceptive Agents; Data collection; Ethiopia; Family planning; Family Planning Services; Female; Health aspects; Health services; Hospitals; Humans; Infant, Newborn; Maternal mortality; Methods; Mothers; Oral contraceptives; Outcome and process assessment (Health Care); Postpartum contraceptive; Postpartum Period - psychology; Pregnancy; Pregnancy, Unwanted; Prevention; Process evaluation; Quality service; Questionnaires; Sample size; Sampling techniques; Tigray; Transplants & implants; Women; Womens health
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-023-09467-8

Postpartum contraceptives during the first year after delivery is a key service for women to prevent unintended pregnancy and reduce the risk of maternal and child mortality by ensuring safe birth intervals. This process evaluation aimed to assess the availability, compliance, and accommodation of Post-Partum Contraceptives (PPC) and the experience of women's contraception in the first 12 months postpartum in Ayder Comprehensive Specialized Hospital (ACSH). A case study evaluation design with a mixed method was employed from February 16/2020 to Mar 30, 2020. Direct observations, 12-month document reviews, and key informant interviews were conducted. The quantitative data were entered into Epi-Data version 3.1 and exported to SPSS version 21 for analysis. In the multivariate logistic regression analysis, variables with