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.