ArticleBMJ open2018
Postpartum family planning integration with maternal, newborn and child health services: a cross-sectional analysis of client flow patterns in India and Kenya.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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Who cites it
14 citing papers in PubMed, 16 citations in OpenAlex.
- Trial
- From integration to use: a qualitative study of barriers and facilitators to postpartum family planning use in northeast Ethiopia-a multistakeholder perspective.AJOG global reports · 2026Article
- Missed opportunity for initiation of modern contraception and associated factors among postpartum women in Kabale municipality, Southwestern Uganda: a cross-sectional study.BMC public health · 2026Article
- The state of postpartum contraceptive use in India: descriptive lessons from nationally representative survey data.Reproductive health · 2025Article
- Cofactors of earlier uptake of modern postpartum family planning methods in Kenya.PLOS global public health · 2025Article
- Application of the integrated gateway model on child nutrition behaviors in Niger: An exploratory analysis.PloS one · 2024Article
- Article
- Acceptability of family planning in a changing context in Uganda: a realist evaluation at two time points.BMJ open · 2022Article
- Missed opportunities for family planning counselling among postpartum women in eleven counties in Kenya.BMC public health · 2022Article
- Development of integration indexes to determine the extent of family planning and child immunization services integration in health facilities in urban areas of Nigeria.Reproductive health · 2021Article
- What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation.BMC public health · 2021Article
- Characteristics of successful integrated family planning and maternal and child health services: Findings from a mixed-method, descriptive evaluation.F1000Research · 2019Article
- Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya.BMJ global health · 2018Article
- The Process of Integrating Family Planning Services with Other Reproductive Health Services in Low and Middle-Income Countries: A Scoping Review.International journal of integrated careArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesMaternal, newborn and child health (MNCH) services represent opportunities to integrate postpartum family planning (PPFP). Objectives were to determine levels of MNCH-family planning (FP) integration and associations between integration, client characteristics and service delivery factors in facilities that received programmatic PPFP support. DESIGN AND
settingCross-sectional client flow assessment conducted during May-July 2014, over 5 days at 10 purposively selected public sector facilities in India (4 hospitals) and Kenya (2 hospitals and 4 health centres).
participants2158 client visits tracked (1294 India; 864 Kenya). Women aged 18 or older accessing services while pregnant and/or with a child under 2 years.
interventionsPPFP/postpartum intrauterine device-Bihar, India (2012-2013); Jharkhand, India (2009-2014); Embu, Kenya (2006-2010). Maternal, infant and young child nutrition/FP integration-Bondo, Kenya (2011-2014). PRIMARY OUTCOME MEASURES: Proportion of visits where clients received integrated MNCH-FP services, client characteristics as predictors of MNCH-FP integration and MNCH-FP integration as predictor of length of time spent at facility.
resultsLevels of MNCH-FP integration varied widely across facilities (5.3% to 63.0%), as did proportion of clients receiving MNCH-FP integrated services by service area. Clients travelling 30-59 min were half as likely to receive integrated services versus those travelling under 30 min (OR 0.5, 95% CI 0.4 to 0.7, P<0.001). Clients receiving MNCH-FP services (vs MNCH services only) spent an average of 10.5 min longer at the facility (95% CI -0.1 to 21.9, not statistically significant).
conclusionsFindings suggest importance of focused programmatic support for integration by MNCH service area. FP integration was highest in areas receiving specific support. Integration does not seem to impose an undue burden on clients in terms of time spent at the facility. Clients living furthest from facilities are least likely to receive integrated services.
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