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Planning and implementation of a FIGO postpartum intrauterine device initiative in six countries.

de Caestecker, L; Banks, L; Bell, E; Sethi, M; Arulkumaran, S (2018) Planning and implementation of a FIGO postpartum intrauterine device initiative in six countries. Int J Gynaecol Obstet, 143 (Suppl 1). pp. 4-12. ISSN 1879-3479 https://doi.org/10.1002/ijgo.12598
SGUL Authors: Arulkumaran, Sabaratnam

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Abstract

OBJECTIVE: To describe the process of planning and implementing a program of counselling and delivery of postpartum intrauterine devices (PPIUD) in 48 hospitals across six countries in Africa and Asia. METHODS: The process of planning the FIGO PPIUD initiative, selection of countries and hospitals, model of implementation, and lessons for the future are described. RESULTS: Country-level and hospital-based leadership were essential and training-the-trainer models were successful. There was a need for consistency of competency standards allowing for national variations. As the project progressed, additional steps were necessary for steady implementation of the initiative, specifically: establishment of a project steering committee and a data safety monitoring committee, audits of structure and process, and regular feedback of each center's performance to stimulate maintenance and enhancement of activities. Postnatal follow-up was challenging in many countries with fragmented maternity systems. CONCLUSION: The importance of professional leadership and commitment backed by robust data for monitoring and feedback are essential for success.

Item Type: Article
Additional Information: © 2018 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Counselling, FIGO initiative, Family planning, Implementation, LMICs, PPIUD, Postpartum intrauterine device
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Int J Gynaecol Obstet
ISSN: 1879-3479
Language: eng
Dates:
DateEvent
18 September 2018Published
10 July 2018Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
UNSPECIFIEDFIGO initiativeUNSPECIFIED
PubMed ID: 30225869
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110174
Publisher's version: https://doi.org/10.1002/ijgo.12598

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