Acceptance, Utilization and Factors Associated With Immediate Postpartum Intrauterine Contraceptive Devise Among Mothers Delivered in Public Health Facilities of Hawassa City, Sidama Regional State, Ethiopia.

Abstract

Background: Immediate Postpartum intra uterine contraceptive device (IPPIUCD) placement within 10minute after delivery is a safe and effective method when provided after comprehensive counseling. Studies on its acceptance and utilization are scarce in study area. This study aims to assess the acceptance and utilization of IPPIUCD.Methods: A cross sectional study was conducted among mothers delivered in the public health facilities in Hawassa city administration. EPI-Data version 7.2 was used for data entry and STATA 14 for analysis. To measure association a binary logistic regression and multivariable logistic regression model were used. Statistical significance was determined at p value of 0.05 with 95% confidence interval.Result: The mean (± SD) age of study participants was 25 years (±4.5). Acceptance and utilization of immediate post-partum IUCD were 64(16.4%) & 39(10%) respectively. Counseling about IPPIUCD, Attitude, plan to have another child, and birth Interval were associated with acceptance of immediate PPIUCD while husband support for family planning use, delivery time and number of children had significant association with utilization of immediate PPIUCD. Conclusion: The study found a relatively low proportion of acceptor and utilizer of immediate post-partum IUCD in the study area. To improve the acceptance and utilization of immediate PPIUCD among mothers, all stake holders concerned with family planning need to mitigate and promote the challenges and facilitating factors respectively.

Determinants of immediate postpartum long acting reversible contraceptive utilization among women who gave birth in public health facilities in northwest Ethiopia: unmatched case-control study design

“…This finding aligns with studies conducted in the west Gojjam zone, south Gondar zone, Bale zone, Hawassa, Ethiopia, Uganda, India, low-income countries, and low and middle-income countries. 24,[31][32][33]36,[39][40][41][42][43][44] One plausible explanation is that an increase in women's educational attainment tends to positively influence healthcare-seeking behavior. Additionally, heightened education levels enable women to comprehend the advantages and drawbacks of contraceptives, providing them with accurate information about fertility and contraception.…”

“…This finding is consistent with studies conducted in the Sidama zone, West Gojjam zone, Hawassa, South Gondar zone, Bahir Dar, Addis Ababa, Ethiopia, and low and middle-income countries. 24,[31][32][33]36,43,46,48,49 According to the World Health Organization (WHO), postpartum family planning counseling is ideally initiated during antenatal care (ANC), offering an opportune time to counsel women. However, counseling during early labor and immediately postpartum is also deemed acceptable.…”

“…This finding aligns with studies conducted in Hawassa City and the Sidama zone. 36,48 The overarching objective of family planning programs is to assist women who wish to delay or avoid childbearing in achieving these stated fertility goals. This approach offers the additional advantage of affording mothers sufficient time to recover from the physical stress of one pregnancy before embarking on the next, allowing for adequate lactation periods.…”

“…To gather data, a structured interviewer-administered questionnaire was utilized, adapted and refined from various literature sources. [31][32][33][34][35][36][37][38] Prior to distribution, a panel of experts in the field assessed its content validity. Additionally, a 5% sample size test was conducted in the Legambo district, and modifications were made based on expert feedback and pretest results.…”