Assessment of a Postpartum Family Planning (PPFP) Intervention in Selected Areas of Bangladesh, 2023

The objectives of this study were to: 1) measure the effect of strengthened and systematic post-partum family planning (PPFP) counseling during antenatal (ANC) visits in health facilities and/or offering FP methods during facility delivery on the acceptance of FP methods during the postpartum period; 2) understand women’s perspectives in receiving counseling on PPFP during ANC visits at health facilities and/or during facility delivery, and their decision-making process to use FP methods within the respective postpartum period; and 3) understand the providers’ perspective of PPFP service delivery, including the service delivery system. This was a comparative study consisting of an intervention arm and a comparison arm. One Mother & Child Welfare Centre (MCWC), one Upazila Health Complex (UHC), and one private hospital from the Chattogram division were intervention facilities where the MaMoni Maternal and Newborn Care Strengthening Project (MaMoni MNCSP) provides technical assistance to the Government of Bangladesh (GoB) for strengthened PPFP counseling and service delivery. One MCWC and one UHC from the Chattogram division were the comparison facilities running only GoB programs. There were two population groups for this study: pregnant women who delivered at the intervention and comparison facilities, and pregnant women who sought ANC services in the intervention and comparison facilities.