Health workers have received training on delivering postpartum long‐acting reversible contraceptives (LARCs) through several projects in Uganda, yet uptake still remains poor. To understand the reasons, and to gather suggestions for improving uptake, we conducted individual semi‐structured interviews with a total of 80 postpartum parents, antenatal parents, health workers, and village health teams in rural south‐west Uganda. Interviews were recorded, transcribed, translated, and analyzed using qualitative thematic analysis. Specific barriers to uptake of immediate postpartum contraception for women included: the need to discuss this option with their husband, the belief that time is needed to recover before insertion of a LARC, and fear that the baby might not survive. Furthermore, social consequences of side‐effects are more serious in low‐income settings. Suggestions for improving uptake of postpartum contraception included health education by “expert users,” couples counseling during antenatal care, and improved management of side‐effects.

中文翻译：

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接受产后长效可逆避孕的障碍：对乌干达卫生工作者和潜在客户观点的定性研究。

卫生工作者已通过乌干达的多个项目接受了有关产后长效可逆避孕药（LARC）交付的培训，但吸收率仍然很低。为了解原因并收集改善摄取的建议，我们对乌干达西南部农村地区的80位产后父母，产前父母，卫生工作者和乡村卫生小组进行了半结构化访谈。使用定性主题分析对访谈进行记录，转录，翻译和分析。妇女接受立即产后避孕的具体障碍包括：需要与丈夫讨论这一选择，相信在插入LARC前需要时间恢复，并担心婴儿可能无法生存。此外，在低收入环境中，副作用的社会后果更为严重。改善产后避孕措施的建议包括“专家使用者”进行的健康教育，产前护理期间的夫妻咨询以及改善的副作用管理。