ArticlePloS one2024
Barriers and enablers to the implementation of immediate postpartum and post-abortion family planning service integration in primary health care units of Wolaita Zone, Southern Ethiopia: A baseline study for implementation research.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- 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
- Bridging policy and practice: a scoping review of health system implementation research practice in Ethiopia.Implementation science communications · 2026Review
- Immediate postpartum long-acting reversible contraception in Ethiopia: A scoping review.PloS one · 2026Article
- Attitudes and Perceptions of Health Workers Towards Immediate Postpartum Family Planning at Soroti Regional Referral Hospital: A Qualitative Study.Open access journal of contraception · 2026Article
- Effect of mHealth on Postpartum Family Planning and Its Associated Factors Among Women in South Ethiopia: A Cluster-Randomized Controlled Trial.Journal of clinical medicine · 2025Article
- Intentions and barriers to using long-acting reversible contraceptives among young women seeking safe abortion care in Addis Ababa, Ethiopia: a qualitative study.BMC public health · 2025Article
- Immediate Postabortion Family Planning Uptake and Its Associated Factors Among Women Seeking Abortion Services at Health Facilities in East Shewa Zone, Ethiopia: A Multicenter Cross-Sectional Study.TheScientificWorldJournal · 2025Article
- Immediate Postpartum Family Planning Utilization and Associated Factors Among Postpartum Women at Public Hospitals in Addis Ababa, Ethiopia.SAGE open nursingArticle
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Authors and funding
12 authors.
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Abstract
introductionEvidence indicates that postpartum and post-abortion women accept family planning at a higher rate when offered timely at appropriate sites. Therefore, this study explored barriers and enablers of postpartum and post-abortion family planning utilization in primary health care units of Wolaita Zone, Southern Ethiopia, from June 20 to July 25, 2022.
methodsWe used a case study strategy of qualitative research using both the Consolidated Framework for Implementation Research (CFIR) and Gender, Youth, and Social Inclusion (GYSI) frameworks was conducted from June to July 2022. We conducted 41 in-depth and key informant interviews and six focus group discussions. We also used Open Code software version 4.02 for coding and further analysis and applied a framework analysis.
resultsThe analysis of this study identified barriers and enablers of postpartum and post-abortion family planning service uptake in five CFIR domains and four GYSI components. The barriers included misconceptions and sole decision-making by husbands, cultural and religious barriers, and healthcare providers paying less attention to adolescents and husbands, which prevented them from using immediate postpartum and postabortion family planning services. The health facilities were not adequately staffed; there was a shortage and delay of supplies and infrastructure, trained staff turnover, and poor accountability among service providers. The existence of community structure, equal access and legal rights to the service, and having waivered services were enablers for postpartum and post-abortion family planning service uptake. CONCLUSION AND RECOMMENDATION: The current study identified various barriers and enablers to the uptake of postpartum and post-abortion family planning. Therefore, there is a need for high-impact interventions such as targeting male partners and girls, ensuring infrastructure, supplies, and equipment, building staff capacity, and making decisions jointly.
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