Effect of one-to-one versus group counseling on uptake of postpartum contraception in selected hospitals in Ghana: A prospective cohort study
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Gynecology and Obstetrics
Abstract
Objective: To compare the effect of one provider to one client counseling and one
provider to a group client counseling on the uptake of postpartum contraception.
Methods: This was a hospital-based prospective cohort study among women attending a postpartum clinic at Korle-Bu Teaching Hospital and Greater Accra Regional
Hospital. Postpartum mothers were recruited daily from April 1, 2017 to November
28, 2017. Mothers from this cohort that used a contraceptive method within a year
postpartum were determined at 3, 6, 9, and 12 months after recruitment. A P value of
less than 0.05 was considered statistically significant for all analyses.
Results: Of 982 women surveyed, contraceptive uptake among women who received
one-to-one counseling was 306/600 (51.0%) and that for women who received group
counseling was 48/382 (12.6%) (P < 0.001). Factors associated with contraceptive
uptake during postpartum period were: one-to-one counseling (adjusted odds ratio
[aOR] 7.05, 95% confidence interval [CI] 4.94–10.07), mothers' age (aOR 0.95, 95% CI
0.91–0.98), being single (aOR 0.54, 95% CI 0.35–0.85), cohabiting (aOR 0.39, 95% CI
0.22–0.69), and previous use of contraception (aOR 1.55, 95% CI 1.12–2.15).
Conclusion: One-to-one counseling was associated with a significantly greater uptake of contraception during the postpartum period compared with group counseling.
Other factors associated with uptake were age, marital status, and history of contraceptive use.
Description
Research Article
Keywords
contraceptives, counseling, family planning