عنوان
پدید آورنده
موضوع
رده
کتابخانه
محل استقرار
شماره کتابشناسی ملی
شماره
TL53256
زبان اثر
زبان متن نوشتاري يا گفتاري و مانند آن
انگلیسی
عنوان و نام پديدآور
عنوان اصلي
Postpartum Family Planning Among Women Attending Group-based Antenatal and Postnatal Care in Kenya and Nigeria: A Cluster Randomized Control Trial
نام عام مواد
[Thesis]
نام نخستين پديدآور
Whiting-Collins, Lillian Joyce
نام ساير پديدآوران
Winch, Peter
وضعیت نشر و پخش و غیره
نام ناشر، پخش کننده و غيره
The Johns Hopkins University
تاریخ نشرو بخش و غیره
2020
يادداشت کلی
متن يادداشت
142 p.
یادداشتهای مربوط به پایان نامه ها
جزئيات پايان نامه و نوع درجه آن
Ph.D.
کسي که مدرک را اعطا کرده
The Johns Hopkins University
امتياز متن
2020
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
Background: Postpartum family planning (PPFP), or modern contraceptive practice within one year postpartum, promotes maternal and infant health through healthy pregnancy spacing. Although most postpartum women in low-and-middle income countries prefer to avoid pregnancy, few practice PPFP. Research suggests that group based antenatal and postnatal care increases PPFP uptake; however, the mechanisms behind this relationship are not yet understood. This dissertation aims to fill this gap by investigating PPFP among women who participated in a cluster randomized control trial of group versus individual antenatal and postnatal care in Kenya and Nigeria. Methods: Qualitative and quantitative methods were employed. Inductive content analysis of qualitative data from women and providers in group care explored how this model of care may influence PPFP. Survival analysis methods, including Cox proportional hazards regressions, Lifetable analysis, and Kaplan-Meier curves, assessed time to modern contraception uptake among women in both study arms. Understanding of return to fertility was investigated and LAM practices compared between groups by t-tests for proportion. Lastly, a new scale to measure contraceptive self-efficacy among the study population was developed and validated by psychometric analyses using data from the control arms in both countries. Results: Qualitative findings revealed a process through which group care influenced PPFP, outlined by the following five themes: 1) Having enough time; 2) Engaging women in care; 3) Creating an environment where women feel "free"; 4) Equipping women with tools to facilitate discussions with their husband/partner; and 5) Continuing care through 12 months postpartum. Women in group care had higher rates of modern contraceptive uptake in the first 12 months postpartum compared to women in standard care, although this difference was insignificant. Significant differences were found between study arms in understanding of LAM requirements, and more LAM users in group care met these criteria. In contraceptive self-efficacy scale development, three domains emerged: 1) husband/partner communication, 2) provider communication, and 3) choosing and managing a method. Scale score was associated with use of a modern contraceptive method at 12-months postpartum. Conclusions: Results highlight how group care influences PPFP. Findings should inform PPFP policies and programs for women in low-and-middle income countries.
اصطلاحهای موضوعی کنترل نشده
اصطلاح موضوعی
Public health
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )
مستند نام اشخاص تاييد نشده
Whiting-Collins, Lillian Joyce
نام شخص - ( مسئولیت معنوی درجه دوم )
مستند نام اشخاص تاييد نشده
Winch, Peter
شناسه افزوده (تنالگان)
مستند نام تنالگان تاييد نشده
The Johns Hopkins University
دسترسی و محل الکترونیکی
نام الکترونيکي
مطالعه متن کتاب وضعیت انتشار
فرمت انتشار
p
اطلاعات رکورد کتابشناسی
نوع ماده
[Thesis]
کد کاربرگه
276903
اطلاعات دسترسی رکورد
سطح دسترسي
a
تكميل شده
Y
