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Family Planning Needs During the Extended Postpartum Period in the Philippines: Reanalysis of the 2008 DHS Data Zhuzhi Moore, MCHIP October 2013
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2 Method use and return to fertility Unmet need Uptake of FP by characteristics Outline
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3 Data and Methodology 2008 Philippines Demographic and Health Survey (PDHS) Extended postpartum period (PP) here is defined as 0-23 months post-delivery Hence, the analysis is based on the sub-sample of ever-married women aged 15-49 who gave birth in the last 23 months Sample size (weighted) Total women 15-49 = 13,671 Postpartum women (0-23 months) = 2,423
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4 Part 1 Method use and return to fertility
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5 Birth-to-Birth Spacing Among All Women Aged 15-49, All Non-first Births in the Last 5 Years (Birth-to-Birth) N of Non-First Births=4,480
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6 Birth-to-Pregnancy Spacing Among All Women Aged 15-49, All Non-first Births in the Last 5 years N of Non-First Births=4,480
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7 Early Childhood Mortality Rates According to Birth-to-Pregnancy Intervals NNMR = Neonatal Mortality Rate PMR = Perinatal Mortality Rate IMR = Infant Mortality Rate U5MR = Under-5 Mortality Rate
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8 Family Planning Use: Comparing All Currently Married Women 15-49 and Postpartum Women
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9 Method Mix for Postpartum FP Users N=1,145
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10 Method Mix Among Non-Postpartum Users N=3,272
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11 Family Planning Use Among All Postpartum Women Across Postpartum Periods
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12 Family Planning Use Among Sexually Active Postpartum Women Across Postpartum Periods
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13 Factors Influencing Return to Fertility Across Postpartum Periods Among All PP Women Postpartum Women: N=2,423
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14 Risk of Pregnancy Among Sexually Active Postpartum Women Across Postpartum Periods Sexually Active Postpartum Women: N=2,001 At Risk of Pregnancy
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15 Part 2 Unmet Need: What is the unmet need among postpartum women?
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16 Unmet Need Among Postpartum Women N=2,423 DHS DefinitionProspective Definition
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17 Prospective Unmet Need Across Postpartum Periods
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18 Postpartum Women with Unmet Need by Place of Delivery Unmet Need to LimitUnmet Need to Space N=482N=740
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19 Method Mix Among Postpartum Women According to Intention of Use Using to Limit Using to Space N=440N=704
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20 Part 3 Uptake of FP: What are the characteristics of postpartum women using family planning methods?
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21 Uptake of Family Planning (FP) During the Postpartum Period by Urban-Rural Residence
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22 Uptake of FP During the Postpartum Period by Women’s Age
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23 Uptake of FP During the Postpartum Period by Parity
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24 Uptake of FP During the Postpartum Period by Socioeconomic Status
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25 Uptake of FP During the Postpartum Period by Number of ANC Visits
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26 Uptake of FP During the Postpartum Period (0- 24 Months Post-Delivery) by Place of Delivery
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27 Uptake of FP During the Postpartum Period by DPT3 Vaccination of Last Child (6-24 Months)
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28 Uptake of FP During the Postpartum Period by Measles Vaccination of Last Child (9-24 Months)
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Take Home Messages One of two women in the Philippines space their pregnancies less than the recommended 24-month birth-to-pregnancy interval. Women in the Philippines have a significant unmet need for FP during the two years after a birth. In the Philippines, risk of pregnancy is high during the postpartum period. Program evidence indicates that offering PPFP counseling during antenatal care and offering PPFP services during all maternal and child health contacts, can be effective for increasing awareness of, demand for and use of FP in this critical period. 29
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