Abstract

Despite global commitments of policy makers to improve maternal health through capacity strengthening and provision of high-quality reproductive health services, family planning services still face great challenges in Africa. A nationwide cross-sectional study conducted in 2019 in Benin involving health facilities showed gaps in Knowledge Attitudes and Practices (KAP) in meeting family planning guidelines. A total of 446 health providers were interviewed. Data analysis relied on the calculation of tertiles and chi-square tests were computed to assess the differences at 5% level of significance. Results reveal that most health providers (92.9%) showed a good knowledge of the standard guidelines of FP, one fourth (23.4%) showed a wrong knowledge of the advantages and about half (51.6%) of them lacked extended knowledge of FP methods. Results also underscore discrepancies between most providers' attitudes and existing FP guidelines which were in line with the inadequate practices showed by half of respondents. Results underscore the need for the development and implementation of basic training programs and capacity strengthening interventions toward health providers in order to improve performances of FP services in Benin.

Highlights

  • Every year, nearly 800,000 women of childbearing age die from pregnancy, childbirth and postpartum complications worldwide [1]

  • The data was based on Knowledge Attitudes and Practices (KAP) of health providers on Family Planning (FP) and abortion care in Benin

  • This study aimed to examine the knowledges, attitudes and practices of health providers in line with the standard guidelines as far as FP in Benin

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Summary

Introduction

Nearly 800,000 women of childbearing age die from pregnancy, childbirth and postpartum complications worldwide [1]. Planning (FP) has been proven to be one of the most effective strategies for reducing maternal mortality It is an essential or primary prevention strategy that is effective in reducing maternal deaths from induced abortion [6]. According to Benin Demographic and Health Surveys, modern contraceptive prevalence rate among women aged between 15 and 49 years living in union increased from 3% in 1996 to 6% in 2006, 8% in 2011-2012 and 12% in 2017-2018. Despite this gradual improvement, FP remains underutilized, with 32% of unmet need in 2017-2018 [8]. This reflects the situation in most sub-Saharan African countries over the last two decades, where overall contraceptive demand is about 36% to 45%, compared to a satisfaction rate of 5% to 12% [9]

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