Effect of one-to-one versus group counseling on uptake of postpartum contraception in selected hospitals in Ghana: A prospective cohort study

Kwaku Asah-Opoku, Kareem Mumuni, Donne Kofi Ameme, Abdul Gafaru Mohammed, Ali Samba, Kobinah Nkyekyer

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To compare the effect of one provider to one client counseling and one provider to a group client counseling on the uptake of postpartum contraception. Methods: This was a hospital-based prospective cohort study among women attending a postpartum clinic at Korle-Bu Teaching Hospital and Greater Accra Regional Hospital. Postpartum mothers were recruited daily from April 1, 2017 to November 28, 2017. Mothers from this cohort that used a contraceptive method within a year postpartum were determined at 3, 6, 9, and 12 months after recruitment. A P value of less than 0.05 was considered statistically significant for all analyses. Results: Of 982 women surveyed, contraceptive uptake among women who received one-to-one counseling was 306/600 (51.0%) and that for women who received group counseling was 48/382 (12.6%) (P < 0.001). Factors associated with contraceptive uptake during postpartum period were: one-to-one counseling (adjusted odds ratio [aOR] 7.05, 95% confidence interval [CI] 4.94–10.07), mothers' age (aOR 0.95, 95% CI 0.91–0.98), being single (aOR 0.54, 95% CI 0.35–0.85), cohabiting (aOR 0.39, 95% CI 0.22–0.69), and previous use of contraception (aOR 1.55, 95% CI 1.12–2.15). Conclusion: One-to-one counseling was associated with a significantly greater uptake of contraception during the postpartum period compared with group counseling. Other factors associated with uptake were age, marital status, and history of contraceptive use.

Original languageEnglish
Pages (from-to)794-802
Number of pages9
JournalInternational Journal of Gynecology and Obstetrics
Volume161
Issue number3
DOIs
Publication statusPublished - Jun 2023

Keywords

  • contraceptives
  • counseling
  • family planning
  • group
  • one-to-one
  • postpartum

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