Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia

Getaneh, Mekonnen; Jara, Dube; Alle, Atsede; Arora, Amit; Birlew, Tesfa; Birhanu, Molla Yigzaw

doi:10.2147/ijgm.s317649

Cited by 5 publications

(8 citation statements)

References 24 publications

(42 reference statements)

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“…The ndings of our study are however low compared to results from studies conducted in eastern Uganda (60%), Kenya (78.4%), and Ethiopia (60.6%) (15,19,20). This might be due to the differences in the populations considered.…”

Section: Discussioncontrasting

confidence: 91%

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Prevalence, Barriers and Facilitators Influencing Modern Contraceptive Use Among Postpartum Mothers at Ober and Barapwo Health Centre III, Lira City: a Cross Sectional Design

Robert

Kunihira

Apili

2022

Preprint

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Background Short Births to Pregnancy intervals have been associated with maternal mortality and morbidity as they increase the risk for pregnancy related complications. Modern contraceptive use during postpartum period has proved to be effective in reducing maternal morbidity and mortality through prolonging the birth to pregnancy interval and preventing unplanned and unwanted pregnancies. However little is known about the prevalence of use as well as the factors influencing the use of these modern contraceptives in Lira city, Northern Uganda. Objective To find out the prevalence, barriers and facilitators associated with utilization of modern contraceptive methods among postpartum women at Barapwo Health Centre III and Ober Health Centre III, Lira city, Northern Uganda. Methods A facility-based cross-sectional study design. Data were collected using an interviewer-administered semi-structured questionnaire. Analysis was done by both bivariable and multivariable logistics regression considering p-vale < 0.005 to be significant and a 95% confidence interval. The prevalence was determined quantitatively by ascertaining number of mother who were using modern contraception at the time of study while the factors influencing postpartum modern contraceptive use were obtained both using structured questions and open ended questions. The study included 391 postpartum women who were randomly selected and were receiving care at Ober and Barapwo Health Centre III. Results The prevalence of utilization of modern contraceptives among postpartum women was 49.4%. from multivariable logistics regression, partner acceptance, > 500000 average household income, resumption of menses, 7–12 weeks postpartum, 37–72 weeks postpartum, resumption of sex, ever used contraception, feeling it is okay, health education and counselling on family planning were 13.46, 2.36, 4.42, 2.22, 3.89, 2.82, 2.44, 31.53, 1.78 and 2.38 times respectively more likely to use modern contraception. Conclusion and recommendation: The modern contraceptive use among postpartum women attending Ober and Barapwo health center IIIs is high compared to the national contraceptive use. Therefore, interventions to sensitize the population about the use of these methods should be done to address barriers to uptake.

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Section: Discussioncontrasting

confidence: 91%

“…These results are consistent with ndings from studies conducted among women in the late postpartum period in Kenya (19,20). Partner acceptance and being married/ cohabiting were also found to enhance the use of modern contraception and these results were consistent with those from a study in Ghana and Kenya respectively (19,24).…”

Section: Discussionsupporting

confidence: 90%

Prevalence, Barriers and Facilitators Influencing Modern Contraceptive Use Among Postpartum Mothers at Ober and Barapwo Health Centre III, Lira City: a Cross Sectional Design

Robert

Kunihira

Apili

2022

Preprint

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“…In this study, injectable was the most commonly used modern contraceptive method (40.5%). There are differences in percent distribution by the method between studies conducted in Hosana town (87.7%) 29 and Goncha Siso Enesie district of East Gojjam Zone (60.6%) 18 in Ethiopia, but the finding in this study is higher than a community-based study in a district in Nepal (29.3%). 27 In this study, nearly half (47%) of postpartum women used reversible long-acting contraceptives (intrauterine device or implants), which is higher than the national estimate (36.2%) for 2020.…”

Section: Discussioncontrasting

confidence: 84%

“…This finding is consistent with studies from Gida Ayana, Western Ethiopia, 23 and Northwest Ethiopia. 18 The possible reason for this could be that counseling during ANC would provide women with more exposure to information and awareness about birth spacing through the use of modern contraceptives after each birth.…”

Section: Discussionmentioning

confidence: 99%

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Modern Postpartum Family Planning and Associated Factors Among Postpartum Women in a Rural District of Ethiopia, 2021: A Cross-Sectional Study

Nugussa

Tesfaye

Tadelu

2023

INQUIRY

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The first year after a woman has given birth is critical for use of contraceptives although many women do not realize that they are at a risk for pregnancy. The main objective of this study was to assess the utilization of modern Postpartum Family Planning (PPFP) and associated factors among postpartum women in a rural district, Ethiopia. A cross-sectional study involving randomly selected 389 postpartum women was conducted in Ambo rural district from May 20, 2021 to June 10, 2021. Data were collected through face to- face interviews, entered into EPI Data version 3.1, and analyzed by SPSS version 25.0. In multivariable binary logistic regression, adjusted odds ratios (AOR) with 95% confidence interval (CI) were computed and statistical significance was declared at p < 0.05. The prevalence of modern PPFP was 72.5% (95% CI: 68%, 77%). Utilization of PPFP was significantly associated with women’s self decision making (AOR = 6.43, 95% CI: 1.98, 20.90), counseling during antenatal care (AOR = 9.71, 95% CI: 3.83, 24.61), visit health facility after delivery (AOR = 5.24, 95% CI: 2.32, 11.84), ever heard of modern family planning (AOR = 5.17, 95% CI: 1.88, 14.23), perceived partner approval (AOR = 4.31, 95% CI: 1.62, 11.47), and the lowest income (AOR = 0.12, 95% CI: 0.02, 0.68). The use of modern PPFP in the study area was encouraging, which helps to prevent unplanned and unwanted pregnancies and spacing pregnancies. Therefore, family planning providers should focus on raising women’s awareness and counseling their partners as part of a continuum of points of contact to encourage women to use the service.

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Extended postpartum intimate partner violence and its associated factors: community-based cross-sectional study design

Wedajo,

Mamo,

Alemu

et al. 2023

BMC Women's Health

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Background Intimate partner violence is a global problem that threatens mothers. It has multidimensional consequences but has not gained attention from scholars after childbirth. Objective To assess the prevalence of extended postpartum intimate partner violence and its associated factors. Method A community-based cross-sectional study design was employed among 570 postpartum mothers in Arba Minch Town, Southern Ethiopia, from May 21st to June 21st, 2022. A pretested, face-to-face interviewer-administered structured questionnaire was used. Bivariable and multivariable logistic regression analyses were used. The level of statistical significance was declared at P < 0.05 with a 95% CI. Results Overall, the prevalence of extended postpartum intimate partner violence was 45% (95% CI: 40.89, 49.20). Participants whose husband has no formal education (AOR = 3.62; 95%CI: 1.32, 9.90) and only secondary education (AOR = 2.96; 95%CI: 1.56, 5.48), husband alcohol consumption (AOR = 1.73; 95%CI: 1.06, 2.80), husband dominance in decision-making (AOR = 1.94; 95%CI: 1.13, 3.33), husband disappointment in the gender of the baby (AOR = 2.13; 95%CI: 1.28, 3.56), previous history of intimate partner violence (AOR = 5.71; 95%CI: 3.59, 9.07), and low social support (AOR = 4.37; 95%CI: 2.53, 7.55) were significantly associated factors. Conclusions and recommendations The prevalence of extended postpartum intimate partner violence was found to be high. Thus, increasing awareness of husbands with no formal education and having lower academic achievement, incorporating maternal social support assessment into maternity and child health care; teaching on alcohol reduction behavior and gender roles; and screening of mothers during the prenatal period should be given.

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Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia

Cited by 5 publications

References 24 publications

Prevalence, Barriers and Facilitators Influencing Modern Contraceptive Use Among Postpartum Mothers at Ober and Barapwo Health Centre III, Lira City: a Cross Sectional Design

Prevalence, Barriers and Facilitators Influencing Modern Contraceptive Use Among Postpartum Mothers at Ober and Barapwo Health Centre III, Lira City: a Cross Sectional Design

Modern Postpartum Family Planning and Associated Factors Among Postpartum Women in a Rural District of Ethiopia, 2021: A Cross-Sectional Study

Extended postpartum intimate partner violence and its associated factors: community-based cross-sectional study design

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