and that they perceived and recognised the recommendation “immedi- ate” and “exclusive” in this setting. In line with our study, comprehensive and integrated counselling strategies have been described as very successful in changing behaviour and health outcomes, as was the case from a large trial in Haryana, India [37,38]. Further, subjective intrinsic factors determining behaviour change are deeply embedded in cultural norms and traditions, thus understanding context of relevant barriers related to self-efficacy, beliefs and attitudes is key to meet and counsel the women in a meaningful way [38,39].