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Abstract：
BACKGROUND: Postpartum family planning (PPFP) is important in helping couples to achieve their reproductive intentions. National surveys have consistently reported higher fertility, lower use of family planning (FP), and higher unmet needs for FP in Upper Egypt. This study aims to identify the factors associated with the use of PPFP in Assiut Governorate, Upper Egypt, and to assess the current status of integration of PPFP counseling in the existing maternal and child health services (MCH).
METHODS: The study employed a cross-sectional study design, collecting data from 455 postpartum women aged 15 to 49 years in 4 primary health care (PHC) centers in Assiut Governorate, Upper Egypt. The women were interviewed using a structured questionnaire. The questionnaire consisted of 4 sections: the first section included the participants\' demographic characteristics; the second section included women\'s obstetric history; the third section included questions about PPFP knowledge, attitude, past and current use of contraception; and the fourth section assessed the current status of integrating PPFP counseling within antenatal, natal, and postnatal services.
RESULTS: In total, 54.5% of postpartum women were using a modern contraceptive method. The significant predictors of using PPFP methods were as follows: receiving information about PPFP from health care providers (AOR = 11.46, p < 0.001), better attitude towards PPFP (AOR = 10.54, p < 0.001), using modern FP methods (AOR = 6.98, p < 0.001), resumption of menstruation (AOR = 4.11, p < 0.001), older age (AOR = 2.15, p < 0.05), and better PPFP knowledge (AOR = 1.72, p < 0.001). Only 5.3%, 1.3%, and 3.5% received PPFP counseling during antenatal care (ANC), delivery, and the postpartum period, respectively.
CONCLUSIONS: Postpartum contraception use was associated with receiving PPFP counseling by health care providers and women\'s knowledge and attitude regarding PPFP. However, FP counseling was not integrated with other MCH services. Updating the components of MCH services to include PPFP counseling during ANC, at delivery, and during the postpartum period should be prioritized by program planners and policymakers.
METHODS: The study employed a cross-sectional study design, collecting data from 455 postpartum women aged 15 to 49 years in 4 primary health care (PHC) centers in Assiut Governorate, Upper Egypt. The women were interviewed using a structured questionnaire. The questionnaire consisted of 4 sections: the first section included the participants\' demographic characteristics; the second section included women\'s obstetric history; the third section included questions about PPFP knowledge, attitude, past and current use of contraception; and the fourth section assessed the current status of integrating PPFP counseling within antenatal, natal, and postnatal services.
RESULTS: In total, 54.5% of postpartum women were using a modern contraceptive method. The significant predictors of using PPFP methods were as follows: receiving information about PPFP from health care providers (AOR = 11.46, p < 0.001), better attitude towards PPFP (AOR = 10.54, p < 0.001), using modern FP methods (AOR = 6.98, p < 0.001), resumption of menstruation (AOR = 4.11, p < 0.001), older age (AOR = 2.15, p < 0.05), and better PPFP knowledge (AOR = 1.72, p < 0.001). Only 5.3%, 1.3%, and 3.5% received PPFP counseling during antenatal care (ANC), delivery, and the postpartum period, respectively.
CONCLUSIONS: Postpartum contraception use was associated with receiving PPFP counseling by health care providers and women\'s knowledge and attitude regarding PPFP. However, FP counseling was not integrated with other MCH services. Updating the components of MCH services to include PPFP counseling during ANC, at delivery, and during the postpartum period should be prioritized by program planners and policymakers.
摘要：
背景：产后计划生育（PPFP）在帮助夫妻实现生育意图方面很重要。全国调查一直报告生育率较高，减少计划生育(FP)的使用，以及上埃及对FP的更高未满足的需求。本研究旨在确定与在Assiut省使用PPFP相关的因素，上埃及,并评估PPFP咨询在现有妇幼保健服务（MCH）中的整合现状。
方法：本研究采用横断面研究设计，在Assiut省的4个初级保健（PHC）中心收集455名15至49岁的产后妇女的数据，上埃及。使用结构化问卷对妇女进行了采访。问卷由4部分组成：第一部分包括参与者的人口统计学特征；第二部分包括妇女的产科史；第三部分包括关于PPFP知识的问题，态度,过去和目前使用的避孕方法;第四部分评估了在产前整合PPFP咨询的现状，出生,和产后服务。
结果：总计，54.5%的产后妇女使用现代避孕方法。使用PPFP方法的重要预测因素如下：从医疗保健提供者那里获得有关PPFP的信息（AOR=11.46，p<0.001），对PPFP的态度更好(AOR=10.54，p<0.001)，使用现代FP方法(AOR=6.98，p<0.001)，月经恢复（AOR=4.11，p<0.001），年龄较大(AOR=2.15，p<0.05)，和更好的PPFP知识（AOR=1.72，p<0.001）。只有5.3%，1.3%,3.5%在产前护理(ANC)期间接受了PPFP咨询，delivery,和产后，分别。
结论：产后避孕与卫生保健提供者接受PPFP咨询以及妇女对PPFP的知识和态度有关。然而,FP咨询未与其他MCH服务整合。在ANC期间更新MCH服务的组成部分，以包括PPFP咨询，交货时，在产后期间，项目规划者和政策制定者应该优先考虑。
方法：本研究采用横断面研究设计，在Assiut省的4个初级保健（PHC）中心收集455名15至49岁的产后妇女的数据，上埃及。使用结构化问卷对妇女进行了采访。问卷由4部分组成：第一部分包括参与者的人口统计学特征；第二部分包括妇女的产科史；第三部分包括关于PPFP知识的问题，态度,过去和目前使用的避孕方法;第四部分评估了在产前整合PPFP咨询的现状，出生,和产后服务。
结果：总计，54.5%的产后妇女使用现代避孕方法。使用PPFP方法的重要预测因素如下：从医疗保健提供者那里获得有关PPFP的信息（AOR=11.46，p<0.001），对PPFP的态度更好(AOR=10.54，p<0.001)，使用现代FP方法(AOR=6.98，p<0.001)，月经恢复（AOR=4.11，p<0.001），年龄较大(AOR=2.15，p<0.05)，和更好的PPFP知识（AOR=1.72，p<0.001）。只有5.3%，1.3%,3.5%在产前护理(ANC)期间接受了PPFP咨询，delivery,和产后，分别。
结论：产后避孕与卫生保健提供者接受PPFP咨询以及妇女对PPFP的知识和态度有关。然而,FP咨询未与其他MCH服务整合。在ANC期间更新MCH服务的组成部分，以包括PPFP咨询，交货时，在产后期间，项目规划者和政策制定者应该优先考虑。
