Family Planning Knowledge,
Perceptions, and Needs of Women
Receiving Antenatal and Postpartum
Care at St. Luke Catholic Hospital
By: Louisa Griggs
Introduction
• National Population Policy
• GDHS
• Central Region: High Teenage
Pregnancy and High average
number of children
Introduction cont.
• Johnson et al. used small-area estimation technique
to learn more about variation between the
contraceptive needs amongst districts
• Districts in Central have high unmet demand for
contraception
Methods
Results
Results
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7
Sterilization
IUD
Lactational Amenorrhea
Implanon
Condom
Pills
Injectables
Coitus Interuptus
Rhythm Method
Figure 3. Frequncy Family Planning Method was
Mentioned
Results
0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45
Radio/TV
Friends
Healthcare Prof
Mother
Sister
Other
Figure 5. Primary Source for Family Planning
Information
0 2 4 6 8 10
Named 0
Named 1
Named 2
Named 3
Named 4
Named 5
Number of WomenNu
mb
er
of
Meth
od
s N
am
ed
Figure 4. Number of Family Planning Methods Listed
Results
88%
12%
Figure 10. Desired More
Information About
Family Planning
Yes
No65%
35%
Figure 9. Curious About a
Particular Method of
Contraception
Yes
No
14%
86%
Figure 8. Received Post-
Natal Family Planning
Counseling
Yes
No
35%
65%
Figure 7. Received Antenatal
Family Planning Counseling
Yes
No
46%
54%
Figure 6. Intention to Use
Family Planning in the
Future
Yes
No
Discussion
• There is a need for formal FPM counseling
• Knowledge of methods and purposes
• Antenatal and Postpartum time not used optimally
for Family Planning Counseling
• Anecdotal information seems to influence women’s
FPM decisions
Conclusion & Limitations
• Women and their reproductive goals in Apam could benefit from collaboration between St. Luke Catholic Hospital and ARCHC beyond referral
• Split Antenatal session
• Joint pregnancy school setting could help achieve this goal
• Small Sample Size
• Translation v. Interpretation of Survey
• Open Space
Acknowledgements
• I would also like to thank all of the women who
participated.
• I would like to thank the nursing staff at St. Luke’s
Catholic Hospital for their help translating my
survey into Fanti for the women interviewed.
• I would like to thank GE and NMF for providing
this opportunity over the past 7 weeks
References
• National Population Council (NPC), Ghana (1994). National population policy, revised edition, Accra, Ghana: National Population Council.
• Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF Macro. (2009). Ghana Demographic and Health Survey 2008. Accra, Ghana: GSS, GHS,
and ICF Macro.
• Adanu, R.M., Seffah, J.D., Anarfi, J.K., Lince, N., and Blanchard, K. Sexual and Reproductive Health in Accra, Ghana. Ghana Medical Journal June 2012;
46(2):58-65
• Fiifi Amoako Johnson , Sabu S. Padmadas , Hukum Chandra , Zoe Matthews & Nyovani J. Madise (2012): Estimating unmet need for contraception by
district within Ghana: An application of small-area estimation techniques, Population Studies: A Journal of Demography, 66:2, 105-122
• Life Choices Poster at Apam Reproductive and Child Health Center
• Amekah, E. Annual Performance Review 2012 St. Luke Catholic Hospital
• Yee and Somin. Urban Minority Women’s Perceptions of and preferences for postpartum contraceptive counseling. J Midwifery Womens Health. 2011
January ; 56(1): 54–60.
• Apam Reproductive and Child Health Center 2012 Records
• Gordon, J. D. et. al. Obestrics, Gynecology, and Infertility: Handbook for Clinicians 6th Edition. 2007. Scrub Hill Press.
• Canning, D. and Schultz, T. The economic consequences of reproductive health and family planning. www.thelancet.com. July 14, 2012. Vol. 380:165-171
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