<p>Utilization of Family Planning Methods Among Postpartum Mothers in Kailali District, Nepal</p>

Abstract

Background: Postpartum contraceptives use offers a distinctive opportunity to maintain appropriate birth spacing for health benefits to both mother and child. However, the concept of postpartum family planning (PPFP) is poorly understood and contraceptives use during the postpartum period remains low in Nepal. Therefore, this study aimed to assess the factors affecting the utilization of family planning (FP) methods among postpartum mothers in the Kailali district, Nepal. Methods: A community-based cross-sectional study was conducted between September and October 2013 among postpartum mothers in Kailali district. Simple random sampling was applied to select a total of 427 study participants. A pre-tested standard semi-structured questionnaire was used for gathering data. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0. Results: Overall, 32.8% of the postpartum women used different types of contraceptives. Condoms (37.1%) followed by Depo-Provera 29.3% were the most used postpartum contraceptives. Half (50%) of the postpartum women had an unmet need for family planning. Multiple logistic regression model revealed that the occupation of husband [AOR=3.2 (95% CI: 2.0-6.00], past use of family planning methods [AOR=4.0 (95% CI:2.4-6.5)] and resumption of menstruation [AOR=2.5 (95% CI:1.6-4.1)] were significantly associated with the use of modern contraceptives during the first year of the postpartum period. Conclusion: Contraceptive uptake within the first year of postpartum was found to be low among women in the Kailali district, Nepal. Previous experience with the use of family planning methods, occupation of the husbands, and resumption of menstruation are important factors in the PPFP decisions of women in this population. Therefore, the family planning program should work on improving couples' knowledge of the risk of pregnancy, fertility returning time and modern contraceptives use during the postpartum period targeting women whose husbands are in migrant occupations, who are not menstruating and who have not used FP before.

Postpartum Modern Contraceptive Utilization and Associated Factors Among Women Who Gave Birth in the Last 12 Months in Addis Zemen, South Gondar, Ethiopia: Community-Based Cross-Sectional Study

“…In this study, mothers whose menses was resumed were 4.76 times more likely to use postpartum family planning utilization as compared to their counterparts who did not resume menses. This is consistent with a studies done in Gondar Town, 21 Butajira, 22 Nepal 31 and Addis Abeba. 32 This could be described by the fact that women who had resumed menses reflect themselves as susceptible to risk of unplanned pregnancy.…”

“…This study aimed to determine the prevalence of postpartum contraceptive utilization and identify factors that affect contraceptive utilization. The prevalence of postpartum contraceptive utilization was 54.7%, which was higher than studies conducted in Kenya (46%), 29 Gondar Town (48.4%), 21 Mexico (47%), 30 Butajira (47%), 21 Debre Birhan (41.6%), 17 Nepal (32.8%), 31 Oromia region (45.4%) 32 and Uganda (28%). 33 This disparity might be due to difference in study location, study residents and time period of the study.…”

Knowledge and Utilization of Family Planning Services among Women of Reproductive Age in Ilishan Community Health Center, Ogun State

“…Majority of the respondents were between the of ages 15-25 which was in line with findings from studies of Joshi et al (2020), Egenti et al (2019) but contrary to findings from studies such as Duru et al (2018), Alhassan (2018), Essien et al (2018), Seifu et al (2020). Also, most of the participants from the study had secondary education as compared to tertiary education which was in agreement with findings from Duru et al, (2018), Essien et al, (2018), Alege et al (2016) but at variance with the findings from Alhassan (2018), Joshi et al (2020). Most of the participants were married which agreed with results reported by Duru et al (2018), Alhassan (2018), Abdu (2018), Essien et al (2018).…”

“…In terms of occupation, majority were traders, while in terms of monthly income some earned below 30,000 naira as their average monthly income with majority having no income in agreement with Duru et al (2018), Alhassan (2018), Abdu (2018), Alege et al (2016). Many of the participants have just 1 child per household in agreement with findings from Joshi et al (2020) but disagreed with Hussain and Lefta (2020). Lastly, most of the study participants were between the ages of 19-30years as at first pregnancy.…”

“…Most of the participants were married which agreed with results reported by Duru et al (2018), Alhassan (2018), Abdu (2018), Essien et al (2018). Also, the majority of the study participants were practicing Christians which agreed with studies such as Duru et al (2018), Alenoghena et al (2019) but disagreed with Abdu (2018), Joshi et al (2020). In terms of occupation, majority were traders, while in terms of monthly income some earned below 30,000 naira as their average monthly income with majority having no income in agreement with Duru et al (2018), Alhassan (2018), Abdu (2018), Alege et al (2016).…”