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Knowledge, Acceptance, and Uptake of Family Planning: A Cluster Randomized Controlled Trial of Group Antenatal Care in Ghana

Author

Listed:
  • Ruth Zielinski

    (Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA)

  • Samia Abdelnabi

    (Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA)

  • Georgina Amankwah

    (Dodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana)

  • Vida A. Kukula

    (Dodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana)

  • Veronica Apetorgbor

    (Dodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana)

  • Elizabeth Awini

    (Dodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana)

  • John Williams

    (Dodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana)

  • Cheryl Moyer

    (Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI 48109, USA)

  • Bidisha Ghosh

    (Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA)

  • Jody R. Lori

    (Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA)

Abstract

The use of family planning (FP) methods significantly contributes to improved outcomes for mothers and their offspring. However, the use of FP remains low, particularly in low- and middle-income countries. A cluster randomized controlled clinical trial was implemented in Ghana, comparing group antenatal care (ANC) with routine care. The group ANC intervention included eight meetings where the seventh group meeting incorporated information and discussion regarding methods of FP. Data collection occurred at five time points: baseline (T0), 34 weeks’ gestation (T1), 6–12 weeks post birth (T2), 5–8 months post birth, and 11–14 months post birth (T4). At T1, there was a significantly greater increase in the knowledge of FP methods as well as the intention to use FP after the birth among the intervention group. The uptake of FP was significantly higher in the intervention group for all post-birth timepoints except for T4 where the control group had significantly higher rates. The reasons for the diminishing effect are unclear. An increasing uptake of FP methods requires a multifaceted approach that includes increasing accessibility, knowledge, and acceptability as well as addressing societal and cultural norms.

Suggested Citation

  • Ruth Zielinski & Samia Abdelnabi & Georgina Amankwah & Vida A. Kukula & Veronica Apetorgbor & Elizabeth Awini & John Williams & Cheryl Moyer & Bidisha Ghosh & Jody R. Lori, 2024. "Knowledge, Acceptance, and Uptake of Family Planning: A Cluster Randomized Controlled Trial of Group Antenatal Care in Ghana," IJERPH, MDPI, vol. 21(8), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1025-:d:1449281
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    References listed on IDEAS

    as
    1. Stella Babalola & Neetu John & Bolanle Ajao & Ilene Speizer, 2015. "Ideation and intention to use contraceptives in Kenya and Nigeria," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 33(8), pages 211-238.
    2. Aisha Dasgupta & Mark Wheldon & Vladimíra Kantorová & Philipp Ueffing, 2022. "Contraceptive use and fertility transitions: The distinctive experience of sub-Saharan Africa," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 46(4), pages 97-130.
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