2022-09-24-世界卫生组织-Situational_analysis_to_scale_up_and_sustain_postpartum_family_planning_services_in_Niger_6页_823kb

Situational analysis for scaling up and sustaining postpartum family planning (PPFP) services in Niger revealed key points to summarize:

• Background: Niger has a high maternal mortality ratio, and PPFP is a critical intervention to reduce maternal, neonatal, and infant mortality. About 1 in 4 reproductive-age women is postpartum each year, with only 19% using modern contraceptives typically.

• Key Findings:

  • Only 50% of women at reproductive health services received family planning counseling.
  • Popular modern contraceptives include injectable Sayana Press, depo provera, and microgynon pill.
  • 60% of postpartum women use modern contraceptives, indicating a 40% gap that may explain the shortfall in national targets.
  • Young women (under 19) have less decision-making power and are influenced by family and community.
  • Significant barriers: Women's social status, limited education, polygamous marriages, stock-outs (40% of facilities), remote access issues, security concerns, COVID-19, and religious beliefs.

• Recommendations:

  • Strengthen health systems by integrating PPFP into existing maternal health services, training health workers, and ensuring contraceptive availability.
  • Address societal and cultural factors through advocacy, sensitization of men and religious leaders, and improving women's autonomy and education.
  • Enhance access in remote areas via mobile teams and local media.
  • Improve data collection for better monitoring of PPFP indicators.