Professional Documents
Culture Documents
Intervention Components
Training: postpartum FP counseling Training: PPIUD insertion and removal Adjustments to ANC and maternity procedures Equipment and commodities Postpartum FP brochure Supportive supervision
3
Huye: Kabutare Hospital Rubona HC Kinyamakara HC Gakenke: Ruli Hospital Coko HC Rushashi HC Karongi: Kibuye Hospital Rubengera HC Kirambo HC Kirehe: Kirehe Hospital Kirehe HC Mulindi HC
Results
Recall of messages taught in training about advantages of the PPIUD as a contraceptive method
Median Score
Median Score
Median Score
Median Score
Provider asks woman in labor if she has chosen the postpartum IUD as her method
Individual counseling about postpartum IUD Group education on family planning delivered in post-labor ward
50%
36% 17%
insertions
[------------Health Centers----------]
[----Hospitals----]
Conclusions
PPIUD services in public sector facilities in Rwanda are feasible. Service provision depends on individual providers. Knowledge gaps contribute to low PPIUD uptake. Successful scale-up will require attention to
Leadership commitment Provider motivation Demand generation.
Conclusions
PPIUD services in public sector facilities in Rwanda are feasible. Service provision depends on individual providers. Knowledge gaps contribute to low PPIUD uptake. Successful scale-up will require attention to
Leadership commitment Provider motivation Demand generation.