Effectiveness of Family Planning Practice Among High-Risk Postnatal Patients at Buntong Health Clinic
Abstract:
Background: High-risk postnatal patients require effective family planning to prevent unintended pregnancies and associated complications. This study evaluates the quality and effectiveness of family planning services at Buntong Health Clinic.
Methods: A retrospective audit was conducted from January 1, 2025, to February 14, 2025, involving 56 high-risk postnatal patients. Data on contraceptive methods and follow-up adherence were collected from January 1, 2024, to December 31, 2024. Universal sampling was applied, including patients with prior obstetric complications, medical conditions, or high-risk reproductive history.
Results: Structural indicators achieved 100% compliance, reflecting strong infrastructure support. Process indicators showed high compliance, with 98% of patients receiving counselling and adopting the Code 1 contraceptive method. However, 16.1% defaulted on follow-ups, indicating a need for improved patient engagement. Outcome indicators demonstrated a 100% success rate in preventing unintended pregnancies among patients adhering to follow-up schedules.
Conclusion: The family planning services at Buntong Health Clinic are highly effective, with excellent compliance and outcomes. Further improvements should focus on reducing follow-up defaulters, enhancing patient education, and implementing digital health records to streamline care.
KeyWords:
family planning service
References:
- Cleveland Clinic. High-Risk pregnancy: Age, Complications, and Management. (2024) Cleveland Clinic.
- Malaysia Population Research Hub . (2024) Evolution of Population Policy.
- MyGOV - the government of Malaysia’s official portal. (2024). Family Planning Service. MyGovernment.
- Charlafti I. A right for family planning: the benefits of contraception for women’s health and social status. EMBO Rep. 2002 Mar;3(3):211-3. doi: 10.1093/embo-reports/kvf063. PMID: 11882538; PMCID: PMC1084027.
- Leow, S. N., Tang, W. S., Pararajasingam, R. P., & Ee, W. S. (2020). Patient perception of pre-pregnancy care and family planning among reproductive-age female diabetes mellitus patients in a primary care clinic in Penang, Malaysia. Malaysian Family Physician: The Official Journal of the Academy of Family Physicians of Malaysia, 15(3), 35–42.
- Tran, Nguyen Toan, et al. “Effectiveness of Post-Partum Family Planning Interventions on Contraceptive Use and Method Mix at 1 Year after Childbirth in Kinshasa, DR Congo (Yam Daabo): A Single-Blind, Cluster-Randomised Controlled Trial.” The Lancet Global Health, vol. 8, no. 3, Mar. 2020, pp. e399–e410, https://doi.org/10.1016/s2214-109x(19)30546-7.
- Lauren B. Zapata, Sarah Murtaza, Maura K. Whiteman, Denise J. Jamieson, Cheryl L. Robbins, Polly A. Marchbanks, Denise V. D’Angelo, Kathryn M. Curtis, Contraceptive counseling and postpartum contraceptive use,https://www.sciencedirect.com/science/article/pii/S0002937814008084
- Buku Panduan Kriteria Kelayakan Perubatan & Soal Jawab Amalan Penggunaan Kaedah Kontraseptif (Manual of Medical Eligibility Criteria & Questions and Answers on the practice of Contraception) https://jknselangor.moh.gov.my/documents/pdf/2016/garis panduan/kesihatan_ibu/article1.pdf
- Protokol Pengendalian Amalan Perancang Keluarga Yang Berkesan Di Kalangan Pelanggan Berisiko Di Peringkat Penjagaan Kesihatan Primer https://jknselangor.moh.gov.my/documents/pdf/2016/garis_panduan/kesihatan_ibu/article12.pdf