Table 2 Summary list of initially-proposed postpartum family planning (PPFP) interventions in Burkina Faso and the DRC and main reasons why they were not retained
Initially-proposed PPFP interventions | Main reasons why they were not retained |
|---|---|
Demand-side interventions | |
Mass sensitization campaign (e.g., multimedia, community-based champions) | Outside the scope of the research project; perceived as resource-intensive; researched elsewhere [39, 40] |
Community-based interventions for men, such as “école des maris” (school for husbands) or through religious or community leaders | Outside the scope of the research project; perceived as resource-intensive; researched elsewhere [41, 42] |
Outreach interventions through community health workers | Outside the scope of the research project; perceived as resource-intensive; researched elsewhere [43] |
Appointment reminders through mobile or fixed telephone calls or messaging | Time-consuming and costly for the clinic and not feasible due to the weak level of telephone ownership at the community level |
Supply-side interventions | |
Increasing the number of trained providers in health centers | Perceived as not sustainable |
Integration of PPFP into pre-service training | Not feasible within the scope, timeframe, and funding of the research project |
Integration with immunization programs | Perceived as not feasible and costly due to limited human and financial resources; researched elsewhere [44] |
Free contraceptive methods | Perceived as not sustainable |
Postpartum intra-uterine devices | Procedure not allowed to be performed by auxiliary midwives who are the main staff offering reproductive, maternal, newborn, and child health services at the primary healthcare level |