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Findings from the use of a narrative story and leaflet to influence shifts along the behavior change continuum toward postpartum contraceptive uptake in Sylhet District, Bangladesh

Journal Article
(Published October, 2014)
Cooper, C. (Author),
Ahmed, S. (Author),
Winch, P. (Author),
Pfitzer, A. (Author),
McKaig, C. (Author),
Baqui, A.H. (Author)
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The study used in-depth interviews and focus group discussions with postpartum women and mothers or mothers-in-law and husbands regarding exposure to a popular story about "Asma" which presented benefits of pregnancy spacing. 

The authors concluded that fictional stories presented in leaflet and oral form during home visits and group discussions provide a promising approach to building support for PPFP uptake, but that remaining barriers to PPFP use must also be addressed. Their findings reinforce the importance of tailoring social and behavior change strategies to respond to the unique needs of postpartum women at various stages of the behavior change continuum, as barriers and motivating factors vary by stage. The authors recommended that Asma's story be incorporated within future efforts to scale up PPFP in Bangladesh and that similar approaches be tailored and tested in other countries.

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Citation: 
Cooper CM, Ahmed S, Winch PJ, Pfitzer A, McKaig C, Baqui AH. Findings from the use of a narrative story and leaflet to influence shifts along the behavior change continuum toward postpartum contraceptive uptake in Sylhet District, Bangladesh.Patient Educ Couns. 2014.