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“Now that they come to our doorsteps to teach us these things…” – Postpartum contraception outcomes from a pre-post effectiveness-implementation study of an integrated community health worker intervention in rural Nepal

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Authors: Nandini Choudhury, Wan-Ju Wu, Rekha Khatri, Aparna Tiwari, Aradhana Thapa, Samrachana Adhikari, Indira Basnett, Ved Bhandari, Aasha Bhatta, Bhawana Bogati, Laxman Datt Bhatt, David Citrin, Scott Halliday, Sonu Khadka, Yashoda Kumari Bhat Ksetri, Lal Bahadur Kunwar, Kshitiz Rana Magar, Nutan Marasini, Duncan Maru, Isha Nirola, Rashmi Paudel, Bala Rai, Ryan Schwarz, Sita Saud, Dikshya Sharma, Goma Devi Niraula, Ramesh Shrestha, Poshan Thapa, Hari Jung Rayamazi, Sheela Maru, Sabitri Sapkota

This study looked at whether full-time, paid community health workers could improve contraceptive use after childbirth in remote areas of Nepal. After the program started, many more women used contraception both soon after giving birth and later in the postpartum period. Ongoing support from community health workers helped women make decisions despite fears about side effects and social pressures. The findings suggest that well-supported community health workers can improve access to family planning over time, even in hard-to-reach settings.

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Resource Topic: Contraception, Maternal healthcare, Reproductive Health/Family Planning, Reproductive health

Resource Type: Qualitative

Year: 2025

Region: Asia

Country: Nepal

Publisher May Restrict Access: No

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