Article type
Year
Abstract
Background:
Offering family planning options during antenatal visits ensures better acceptance in the postpartum period. Initiation of family planning at the time of birth is opportune, because few women in low-resource settings who give birth in a facility return for postnatal follow-up. It is widely accepted that offering family planning at birth improves access to contraception. While there is focus on increasing the numbers of women receiving contraception, their satisfaction has not been assessed well. In the present study we aim to improve healthcare provider and client satisfaction using experience-based co-design methods.
Objectives:
To improve the pathway for postpartum contraception in India.
Methods:
An experience-based co-design methodology uses service user and healthcare provider experiences collected using qualitative methods to jointly re-design services. We plan to conduct semi-structured interviews to elicit the views and experiences of at least 10 each of healthcare professionals and women requesting postpartum contraception to understand their satisfaction rates at six weeks postpartum on a five-point scale (ranging from very dissatisfied to very satisfied). We will also record details regarding pain and bleeding patterns.
Firstly, we will identify key themes arising from the healthcare professionals' interviews and 'touch points' (key moments or events related to the experience of care) arising from the interviews with women. We will then hold separate workshops with each group to ensure these resonate and to identify key areas for service improvement. At the first joint workshop a pathway using 'audio clips' demonstrating women's agreed 'touch points' is expected to prompt discussion and joint working to change the pathway. We will hold a second, final workshop to agree changes to the pathway.
Results:
The results of this study will be presented at the Colloquium.
Conclusions:
This study is expected to provide an insight into changes to the pathway agreed using a co-design process, which are acceptable to both healthcare professionals and women, to help implement service modifications.
Patient or healthcare consumer involvement:
Antenatal and postpartum women will be involved.
Offering family planning options during antenatal visits ensures better acceptance in the postpartum period. Initiation of family planning at the time of birth is opportune, because few women in low-resource settings who give birth in a facility return for postnatal follow-up. It is widely accepted that offering family planning at birth improves access to contraception. While there is focus on increasing the numbers of women receiving contraception, their satisfaction has not been assessed well. In the present study we aim to improve healthcare provider and client satisfaction using experience-based co-design methods.
Objectives:
To improve the pathway for postpartum contraception in India.
Methods:
An experience-based co-design methodology uses service user and healthcare provider experiences collected using qualitative methods to jointly re-design services. We plan to conduct semi-structured interviews to elicit the views and experiences of at least 10 each of healthcare professionals and women requesting postpartum contraception to understand their satisfaction rates at six weeks postpartum on a five-point scale (ranging from very dissatisfied to very satisfied). We will also record details regarding pain and bleeding patterns.
Firstly, we will identify key themes arising from the healthcare professionals' interviews and 'touch points' (key moments or events related to the experience of care) arising from the interviews with women. We will then hold separate workshops with each group to ensure these resonate and to identify key areas for service improvement. At the first joint workshop a pathway using 'audio clips' demonstrating women's agreed 'touch points' is expected to prompt discussion and joint working to change the pathway. We will hold a second, final workshop to agree changes to the pathway.
Results:
The results of this study will be presented at the Colloquium.
Conclusions:
This study is expected to provide an insight into changes to the pathway agreed using a co-design process, which are acceptable to both healthcare professionals and women, to help implement service modifications.
Patient or healthcare consumer involvement:
Antenatal and postpartum women will be involved.