Contraceptive use among lactating women in Ganta-Afeshum District, Eastern Tigray, Northern Ethiopia, 2015: a cross sectional study

Abstract

BackgroundWomen who are not exclusively breastfeeding are at risk of pregnancy after four to six weeks of childbirth. Postpartum contraceptive use is crucial to prevent unintended pregnancy, and to have spaced births. The study was conducted to determine the magnitude of modern contraceptive utilization and factors associated with it among lactating women in Ganta-Afeshum district.MethodsA community based cross sectional study was conducted among lactating women with children in the age group of six to twelve months. A total of 605 women were included in the study. The study participants were selected using cluster sampling method. Data were collected using structured interviewer administered Tigrigna version questionnaire. Data were analyzed using SPSS version 21. Multivariable logistic regression was used to control the effect of confounders.ResultsThe magnitude of institutional delivery was 96.5%. The mode of delivery of the participants was spontaneous, instrumental and caesarean section, 95.5%, 2.0%, and 2.5%, respectively. The magnitude of modern contraceptive (MC) utilization was 68.1% (95% CI: 64.4–71.8). The contraceptive method mix was dominated by Depo-Provera (58.8%) followed by implants (31.8%). Almost all the study participants had at least one antenatal care (ANC) visit (99.7%) during the pregnancy of their index child. Participants who had radio and those who delivered their recent child by assisted delivery had higher odds of modern contraceptive use.ConclusionsThe magnitude of contraceptive utilization among lactating mothers in the study area was higher than the national survey reports. However, significant numbers of women are not using contraceptives in their postpartum period, making them at risk of pregnancy. Mode of delivery of the women and having radio at home were significantly associated with the women’s contraceptive utilization. Family planning information dissemination using radio in rural settings should be encouraged to increase the uptake of contraceptives in the lactating women.

Postpartum modern contraception utilization and its determinants in Ethiopia: A systematic review and meta-analysis

“…Eighteen articles were cross-sectional in design while one article was a follow-up study with a sample size ranging from 248 in Debre Berhan town [ 25 ] to 1109 in the Tigray region [ 26 ]. With regard to the region in which the study conducted, nine Articles were from the Amhara region [ 16 , 18 , 19 , 25 , 27 – 31 ], two from Oromia [ 19 , 32 ], Three from Tigray [ 26 , 33 , 34 ] two from SNNP [ 16 , 35 ], two from Addis Ababa [ 14 , 36 ] and one from Somali [ 15 ] region with publication year ranging from 2015 to 2019 ( Table 1 ).…”

Fear of infertility limits contraceptive usage among first-time mothers in Ghana: A cross-sectional study

“…Further research indicates that first-time mothers prefer to receive counselling that includes peer support and is more in-depth, 38 , 39 provided by well-trained community health workers who demonstrate competency in counselling. 40 Similarly, other groups of new mothers expressed their desire for counselling services provided by midwives before and after delivery.…”

Prevalence of post partum modern family planning utilization and associated factors among postpartum mothers in Debre Tabor town, North West Ethiopia, 2018

“…A single population proportion formula was used to calculate the sample size of 550. The following assumptions were made to calculate the sample size, magnitude of PPFP utilization 68.1% [9] from a previous study, 95% confidence interval, 5% margin of error, a design effect of 1.5 and nonresponse rate of 10%. Three out of the six Kebeles (kebele1, kebele2, and kebele5) were selected by simple random sampling Then, the study participants were all mothers between 6 and 12 months of delivery in the selected Kebeles.…”

“…Utilization of PPFP : If a woman is using any one of the following modern contraceptive methods between 6 and 12 months following her recent childbirth: pill, intrauterine device, injectable, condom (men or women), women sterilization, implants [9, 10].…”