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Improving postpregnancy contraceptive method choice and long-acting reversible contraception provision in Botswana: a quality improvement pilot

Key messages

  • Improving postpartum contraception provision, particularly long-acting reversible methods of contraception, in low-resource, high HIV-prevalence settings such as Botswana will reduce unintended pregnancy and associated adverse consequences.

  • Adaptation of postpregnancy intrauterine device (IUD) insertion techniques for a low-resource setting alongside sustained supervision and mentorship until competence is achieved increases uptake of postpregnancy IUD.

  • Training all departmental healthcare providers in contraceptive counselling and method provision increases the uptake of postpartum long-acting reversible contraception methods and prevents a missed opportunity for contraception initiation.

  • Why was change needed?

    The most impactful and cost-effective strategy to reduce maternal and perinatal mortality is to enable women to avoid unintended pregnancy. Provision of immediate postpartum contraception, promoted by the WHO, can avert more than 30% of maternal deaths and 10% of child mortality.1–3 In Botswana, the maternal mortality ratio is 166.3 deaths per 100 000 live births, unsafe abortion is consistently in…

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    Posted in: Open Access Journal Articles on 03/26/2023 | Link to this post on IFP |
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