TY - JOUR
T1 - Transition from the Lactational Amenorrhea Method to other modern family planning methods in rural Bangladesh
T2 - Barrier analysis and implications for behavior change communication program intervention design
AU - Kouyaté, Robin Anthony
AU - Ahmed, Salahuddin
AU - Haver, Jaime
AU - McKaig, Catharine
AU - Akter, Nargis
AU - Nash-Mercado, Angela
AU - Baqui, Abdullah
N1 - Funding Information:
This publication was made possible through support provided by the United States Agency for International Development (USAID). The study was funded under: the ACCESS-FP Program through Associate Cooperative Agreement # GPO-A-00-05-00025-00 ; the Global Research Activity implemented by Johns Hopkins Bloomberg School of Public Health through Cooperative Agreement # GHS-A-00-03-00019-00 ; and the Maternal and Child Health Integrated Program (MCHIP) through Cooperative Agreement # GHS-A-00-08-00002-000 . We thank Maureen Norton of USAID, Peter Winch of JHU, the staff of Healthy Fertility Study; representatives of the Bangladesh Ministry of Health and Family Welfare at the sub-district, district, and central levels; members of the collaborating NGO Shimantik's executive committee for their valuable help and advice.
Publisher Copyright:
© 2015 Published by Elsevier Ltd.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - The timely transition from Lactational Amenorrhea Method (LAM). 2 The lactational amenorrhea method, also known as LAM, is a modern, temporary contraceptive method based on natural infertility resulting from patterns of breastfeeding. to another modern family planning method contributes to healthy spacing of pregnancies by increasing the adoption of family planning during the first year postpartum. Yet, literature suggests challenges in completing a timely LAM transition. To guide program implementation in Bangladesh, this study identified factors influencing women's transition decisions.Eighty postpartum women, comprising 40 who transitioned from LAM. 3 In this article, these women are referred to as "transitioners," which is defined as women who transitioned from LAM to another modern contraception method. and 40 who did not,. 4 In this article, these women are referred to as "non-transitioners," which is defined as women who did not transition from LAM to another modern contraception method. participated. Half of each group participated in in-depth interviews to explore the decision-making process. All participants responded to a "Barrier Analysis" questionnaire to identify differences in eight behavioral determinants.More than half of transitioners switched to another modern method before or within the same month that LAM ended. Of the 18 transitioners who delayed,. 5 In this article, these women are referred to as "delayed transitioners," which is defined as women who delayed the LAM transition beyond the month during which the first criteria changed. 15 waited for menses to return. For non-transitioners, key barriers included waiting for menses to return, misconceptions on return to fertility, and perceived lack of familial support. The LAM transition can help women prevent unintended pregnancy during the first year postpartum. Increased emphasis on counseling women about the risk of pregnancy, and misconceptions about personal fertility patterns are critical for facilitating the transition. Strategies should also include interventions that train health workers and improve social support.
AB - The timely transition from Lactational Amenorrhea Method (LAM). 2 The lactational amenorrhea method, also known as LAM, is a modern, temporary contraceptive method based on natural infertility resulting from patterns of breastfeeding. to another modern family planning method contributes to healthy spacing of pregnancies by increasing the adoption of family planning during the first year postpartum. Yet, literature suggests challenges in completing a timely LAM transition. To guide program implementation in Bangladesh, this study identified factors influencing women's transition decisions.Eighty postpartum women, comprising 40 who transitioned from LAM. 3 In this article, these women are referred to as "transitioners," which is defined as women who transitioned from LAM to another modern contraception method. and 40 who did not,. 4 In this article, these women are referred to as "non-transitioners," which is defined as women who did not transition from LAM to another modern contraception method. participated. Half of each group participated in in-depth interviews to explore the decision-making process. All participants responded to a "Barrier Analysis" questionnaire to identify differences in eight behavioral determinants.More than half of transitioners switched to another modern method before or within the same month that LAM ended. Of the 18 transitioners who delayed,. 5 In this article, these women are referred to as "delayed transitioners," which is defined as women who delayed the LAM transition beyond the month during which the first criteria changed. 15 waited for menses to return. For non-transitioners, key barriers included waiting for menses to return, misconceptions on return to fertility, and perceived lack of familial support. The LAM transition can help women prevent unintended pregnancy during the first year postpartum. Increased emphasis on counseling women about the risk of pregnancy, and misconceptions about personal fertility patterns are critical for facilitating the transition. Strategies should also include interventions that train health workers and improve social support.
KW - Barrier analysis
KW - Contraception
KW - Lactational Amenorrhea Method
KW - Postpartum family planning
KW - Qualitative Research Methods
KW - South Asia
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U2 - 10.1016/j.evalprogplan.2014.11.008
DO - 10.1016/j.evalprogplan.2014.11.008
M3 - Article
C2 - 25710895
AN - SCOPUS:84923076551
SN - 0149-7189
VL - 50
SP - 10
EP - 17
JO - Evaluation and Program Planning
JF - Evaluation and Program Planning
ER -