Introduction Postpartum family planning (PPFP) is critical to reduce maternal–child mortality, abortion and unintended pregnancy. As in most countries, the majority of PP women in Rwanda have an unmet need for PPFP. In particular, increasing use of the highly effective PP long-acting reversible contraceptive (LARC) methods (the intrauterine device (IUD) and implant) is a national priority. We developed a multilevel intervention to increase supply and demand for PPFP services in Kigali, Rwanda. Methods We implemented our intervention (which included PPFP promotional counselling for clients, training for providers, and Ministry of Health stakeholder involvement) in six government health facilities from August 2017 to October 2018. While increasing knowledge and uptake of the IUD was a primary objective, all contraceptive method options were discussed and made available. Here, we report a secondary analysis of PP implant uptake and present already published data on PPIUD uptake for reference. Results Over a 15-month implementation period, 12 068 women received PPFP educational counselling and delivered at a study facility. Of these women, 1252 chose a PP implant (10.4% uptake) and 3372 chose a PPIUD (27.9% uptake). On average providers at our intervention facilities inserted 83.5 PP implants/month and 224.8 PPIUDs/month. Prior to our intervention, 30 PP implants/month and 8 PPIUDs/month were inserted at our selected facilities. Providers reported high ease of LARC insertion, and clients reported minimal insertion anxiety and pain. Conclusions PP implant and PPIUD uptake significantly increased after implementation of our multilevel intervention. PPFP methods were well received by clients and providers. Data are available in a public, open-access repository. Data are available upon reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information. Wall, Kristin, 2018, "Replication Data for: an interim evaluation of a multi-level intervention to improve post-partum intrauterine device (PPIUD) services in Rwanda", , Harvard Dataverse, V1.

中文翻译：

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在卢旺达基加利进行多层次干预后的产后长效避孕药使用和服务提供结果

引言 产后计划生育 (PPFP) 对于降低母婴死亡率、流产和意外怀孕至关重要。与大多数国家一样，卢旺达的大多数 PP 女性对 PPFP 的需求未得到满足。特别是，增加使用高效 PP 长效可逆避孕 (LARC) 方法（宫内节育器 (IUD) 和植入物）是国家优先事项。我们制定了多层次干预措施，以增加卢旺达基加利对 PPFP 服务的供需。方法 从 2017 年 8 月到 2018 年 10 月，我们在六家政府医疗机构实施了我们的干预措施（包括为客户提供 PPFP 推广咨询、对提供者进行培训以及卫生部利益相关者的参与）。虽然增加对宫内节育器的了解和采用是主要目标，讨论并提供了所有避孕方法选择。在这里，我们报告了对 PP 种植体吸收的二次分析，并提供了已发表的关于 PPIUD 吸收的数据以供参考。结果 在 15 个月的实施期间，12 068 名女性接受了 PPFP 教育咨询并在研究机构进行了分娩。在这些女性中，1252 人选择了 PP 植入物（10.4% 摄取），3372 人选择了 PPIUD（27.9% 摄取）。我们干预设施的平均提供者每月插入 83.5 个 PP 植入物和 224.8 个 PPIUDs/月。在我们进行干预之前，我们选择的设施每月植入 30 个 PP 植入物和 8 个 PPIUDs/月。提供者报告 LARC 插入非常容易，客户报告插入焦虑和疼痛最小。结论 实施我们的多层次干预后，PP 植入物和 PPIUD 摄取显着增加。PPFP 方法受到客户和供应商的好评。数据可在公共、开放访问的存储库中获取。可根据合理要求提供数据。所有与研究相关的数据都包含在文章中或作为补充信息上传。沃尔，克里斯汀，2018 年，“复制数据：对改善卢旺达产后宫内节育器 (PPIUD) 服务的多层次干预的中期评估”，，哈佛数据宇宙，V1。