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Engaging Community Health Workers to Enhance Modern Contraceptive Uptake Among Young First-Time Parents in Five Cities of Uttar Pradesh

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Authors: Mukesh Kumar Sharma, Emily Das, Hitesh Sahni, Jessica Mirano, Kate Graham, Abhishek Kumar, Clea Finkle

In slum settlements, young newly married women and first-time parents (FTPs) have a high need for modern contraceptives to limit and space births. This study describes an intervention that integrated adolescent and youth sexual and reproductive health (AYSRH) services tailored for FTPs into the government’s existing family planning (FP) program in five cities in Uttar Pradesh. In 2019, data from 549 married FTP women in the pilot cities was analyzed and compared with 253 FTP women from other cities without the specific intervention. Results showed that modern contraceptive use was higher among FTPs in the pilot cities (39%) compared to non-pilot cities (32%). Exposure to FP information through health activists or service points was positively associated with contraceptive use, especially in the pilot cities. The study suggests that targeting FTPs within government FP programs can increase contraceptive use. Future research should explore long-term impacts across broader areas with more robust designs.

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Resource Topic: Contraception

Resource Type: Mixed Methods

Year: 2024

Region: Asia

Country: India

Publisher May Restrict Access: No

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