Study design and setting
A retrospective observational study was carried out regarding the details of the PPIUD Project from to 2014 to 2019 in THMG.
Funding, advocacy and stakeholders
This PPIUD project was carried out by the Sri Lanka College of Obstetricians and Gynecologists (SLCOG) with the collaboration of Family Health Bureau (FHB), Ministry of Health, Sri Lanka as the key stakeholder. The project had been funded by International Federation of Gynaecology and Obstetrics (FIGO).
Basic outline of the project in Sri Lanka
This has outlined in Figure 01. The PPIUD project was implemented in two phases: phase I, involving six hospitals began in 2013; and phase II with 12 hospitals began in 2015 (23). Hospitals were selected based on the number of deliveries and other criteria covering implementation issues. THMG was included in phase I. A facility coordinator was appointed to conduct the project at THMG (Author LD) by the SLCOG. Trainer’s Notebook on Postpartum Intrauterine Contraceptive Device (PPIUD) Services provided the necessary information (24).
Figure 01: Basic outline of the project in Sri Lanka.
THMG: Teaching Hospital Mahamodara Galle, PHNS: Public Health Nursing Sister.
Data collection
A trained data collecting officer was involved in PPIUD project at THMG. Women were interviewed at four points: baseline, 4-8 weeks postpartum, six months postpartum and one year postpartum. Outcome measures were assessed quantitatively using an interviewer-administrated questionnaire. The regular review of the data set was performed by the facility coordinator to ensure the quality and accuracy of data.
Details regarding the percentage of community staff trained for counseling and follow up, percentage of clinicians trained for PPIUD insertion, percentage of antenatal women counseled for PPFP percentage of antenatal women consented for PPIUD, percentage of women with withdrawal of the consent, percentage of women who had spontaneous expulsion, percentage of women who got pregnant at the end of one year and sustainability; continuation of PPIUD at the end one year were taken in addition to the basic demographic data. Data was collected using an electronic assisted personal interview (EAPI) format using commcare survey management system on android based tablets.
Data management and analysis.
Data had been securely transferred from the android tablet on to a commcare supported secure cloud survey provided by the FIGO. Nominal and categorical variables were presented as percentages.
Ethical considerations
Ethical approval was obtained from the Ethical Review Committee, Faculty of Medicine, University of Ruhuna. Prior approval was also taken from SLCOG to publish the data taken from THMG separately.