Factors associated with utilization of modern postpartum family planing methods during the extended postpartum period among mothers who gave birth in the last 12 months at Injibara town, Northwest, Ethiopia: a cross-sectional study

Abstract

Background The extended postpartum period is the first twelve months following childbirth and is an important entry point for family planning service providers to reduce unintended and too closely spaced pregnancies. A modern postpartum family planning service is one of the recommended public health interventions for reducing maternal and child morbidity and mortalities in sitting where maternal mortality is high, like in Ethiopia. Objective This study was aimed to assess factors associated with the utilization of modern family planning methods during the extended postpartum period among mothers who gave birth in the last 12 months at Injibara town, Northwest, Ethiopia. Methods A community-based cross-sectional study design was employed from March 1–15/2019 at Injibara town among 402 mothers. The data was collected by a simple random sampling technique and analyzed using the SPSS 23.0 version. Logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of < 0.05 in multivariable analysis considered statistically significant. Frequency tables and descriptive summaries were used to describe the study variables. Results The total sample size of this study was 402 and among them, 400 postpartum mothers participated in the study with a response rate of 99.5%. The utilization of modern family planning methods during the extended postpartum period among postpartum mothers was 58.5% [95% CI: 53.5- 63%]. Of these, 38.9% and 32.9% of the mothers were using injectables and implants respectively. Secondary and above educational level, having ≥ 3 antenatal care visits, resumption of menstruation, discussing with the partner on utilization of family planning method, being counseled on family planning method utilization during antenatal care visits and immediately after delivery, linkage of the mothers to a family planning unit during child immunization, and having good knowledge of family planning methods were associated with utilization of modern family planning methods during the extended postpartum period. Conclusion The utilization of modern family planning methods during the extended postpartum period among postpartum women was low compared to the world health organization recommendation. Socio-demographic, health care service uptakes, and reproductive characteristics were associated with the utilization of modern family planning methods during the extended postpartum period. We suggest emphasizing the education and counseling of women on the utilization of family planning during maternal and child health care service utilization. Mothers should be encouraged to start using modern family planning methods before the resumption of menses.

Assessment of integration of post-partum and post-abortion family planning with Reproductive, Maternal, Neonatal, Child, Adolescent health and Nutrition services in selected primary health care facilities in Somali Region, Ethiopia. A Qualitative study

“…One of the promising high-impact practices in family planning (FP) (10) (HIPs 2021) is the provision of integrated services. In particular, reproductive, maternal, newborn, child, and adolescent health and nutrition (RMNCAH-N) programs have signi cant chances to reach marginalized clients with FP counseling and services during the prolonged postpartum and post abortion periods (12). However, progress toward fully integrating FP into RMNCAH-N services at various levels of Ethiopia's primary healthcare system, particularly in facility settings is still slowly (13).…”

Factors Influencing Contraceptive Use among Women and Adolescents: A Study at Entebbe Grade B Hospital, Uganda

“…Family planning services are instructive, broad medical or social activities which enable individuals to determine freely the number and spacing and timing of their children, and to select the means by which this may be achieved, furthermore, a woman's ability to space and limit her pregnancies has a direct impact on her health and wellbeing as well as on the outcome of each pregnancy [1,2]. Contraceptives are drugs, methods or objects used for preventing a woman from getting pregnant.…”

“…This can be attributed to the rate of contraceptive use, with the current contraceptive prevalence rate being as low as 35%. Globally, contraception use has risen from 54% in 1990 to 57.35% in 2015, the proportion of women aged 15-49 reporting use of a modern contraceptive method has been minimal between 2008 and 2015 while in Africa it increased from 23.6% to 28.5%, where as it has remained stable in Latin America and the Caribbean at 66.7% [2,6]. According to [2] a number of contraceptive methods are available to prevent unwanted pregnancy.…”

“…Globally, contraception use has risen from 54% in 1990 to 57.35% in 2015, the proportion of women aged 15-49 reporting use of a modern contraceptive method has been minimal between 2008 and 2015 while in Africa it increased from 23.6% to 28.5%, where as it has remained stable in Latin America and the Caribbean at 66.7% [2,6]. According to [2] a number of contraceptive methods are available to prevent unwanted pregnancy. There are a range of contraceptive methods, each with particular advantages and disadvantages.…”

Prevalence and determinants of contraceptive use among women in rural communities in Eastern region of Ghana

“…In sub-Sahara Africa, contraceptive use is a complex individual choice that is in uenced by a variety of contextual factors including socio-demographic, cultural, economic factors and partner in uence [9][10][11][12][13].…”