Assessment of intention to use postpartum intrauterine contraceptive device and associated factors among pregnant women attending antenatal clinics in ambo town public health institutions, Ethiopia, 2018

Abstract

Background Maternal mortality tragedy is the issue of both developed and developing countries, especially sub-Saharan Africa including Ethiopia, which is due to poor quality of maternal health care services. Therefore family planning especially the use of Postpartum intrauterine contraceptive devices can tackle unintended pregnancy and maternal death. However,the intention to use PPIUCD and the use of IUCD in general is not well practiced in Ethiopia according to evidences of the literatures. For this reason, many mothers are exposed to unintended pregnancy and pregnancy related complications. The main purpose of the study was to assess the intention to use Post-partum intra uterine contraceptive devices and its associated factors among pregnant women attending Antenatal Clinics in Ambo Town Public Health Institutions, Ethiopia, 2018. Methods A facility-based cross-sectional study design was conducted from March – April 2018 to assess the intention of pregnant women about Postpartum intrauterine contraceptive devices and associated factors in 422 pregnant women. Study subjects were selected using systematic random sampling. Data were collected by structured questionnaire, entered into a computer using Epi-info 3.5.4 statistical program, and exported to SPSS version 20 for analysis. A Logistic regression model was used to predict the intention of pregnant women about Postpartum intrauterine contraceptive devices and associated factors. Lastly, a significant statistical association was tested using 95% confidence interval (CI) and p value (p < 0.05). Results The response rate was 417 (98.3%) and this study showed that 145(34.9%) of pregnant women intended to use Postpartum intrauterine contraceptive device. Age of pregnant women [AOR = 8.348(CI: 3.602–19.347], educational level [AOR = 3.249(1.057–9.985)], occupational status [AOR = 4.101(CI: 1.788–9.405)], monthly income [AOR = 3.175(CI: 1.423–7.082)] and knowledge [A0R = 5.408(2.994–9.767)] have shown significant associations with intention to use Postpartum intrauterine contraceptive devices. Conclusions The study found that 34.9% women intended to use PPIUCD. Maternal age, maternal educational level, occupational status, monthly income and knowledge were significantly associated with pregnant women intention to use PPIUCD.

Factors associated with knowledge of the postpartum intrauterine contraceptive device and attitude towards its use among women attending antenatal care at Debre Tabor town, Northwest Ethiopia, 2021: a cross-sectional study

“…Positive attitude towards PPIUCD was 48.7% in the study area. This finding is in line with the findings of a study done in Ambo town, Ethiopia (49.4%) [ 18 ]. The result of this study was higher than the study done in India (43.3%) [ 29 ], and in Tanzania(33.3%) [ 24 ].…”

“…An intrauterine contraceptive device that can be inserted post placental, intra cesarean, and within 48 hours of delivery [ 18 ].…”

“…Another study done in Uganda showed that 55.9% of women had knowledge about PPIUCD [ 17 ]. The study conducted in Ethiopia also showed that only 49% of women had good knowledge and 49.4% of women had positive attitudes toward PPIUCD [ 18 ]. Another study conducted in Ethiopia indicated that 43.9% of women had the knowledge and 55% of women had a positive attitude toward PPIUCD [ 19 ].…”

“…Studies also showed that the major determinate factors for low IUCD utilization were poor knowledge and negative attitude towards IUCD [14,15]. Even though knowledge and attitude were the determinate factors of IUCD utilization, Knowledge and attitude towards postpartum IUCD were low in the world [16][17][18][19]. The study conducted in India indicated that 22.4% of women were aware of PPIUCD and only 37% of women had a positive attitude toward it [16].…”

Postpartum intrauterine contraceptive device use and its associated factors in Ethiopia: systematic review and meta-analysis

“…In the present review and meta-analysis, subgroup analysis was done by regions, study population, and study design indicated that there were variations in the utilisation of PPIUCD among different included regions, population and study design in Ethiopia. Accordingly, the highest in utilization of PPIUCD was observed in Addis Ababa 25.68% (95% CI: 11.07, 40.29) [ 27 , 32 – 34 ], 34.09% (95% CI: 32.52, 35.66) [ 32 , 35 ], and 21.63% (95% CI: 14.45, 28.81) [ 26 , 32 , 36 ] by region, study population and study design respectively. The observed differences could be due to culture, residence, educational status and religious differences across the region.…”