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

Kassa, Bekalu Getnet; Ayele, Alemu Degu; Belay, Habtamu Gebrehana; Tefera, Adanech Getie; Tiruneh, Gebrehiwot Ayalew; Ayenew, Netsanet Temesgen; Mihiretie, Gedefaye Nibret; Tenaw, Lebeza Alemu; Semahegn, Abenezer Melkie; Worku, Mulugeta Dilie

doi:10.1186/s12978-021-01273-x

Cited by 13 publications

(20 citation statements)

References 39 publications

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“…The prevalence of IPPIUCD utilization in this study was 22.1% (95% CI: 17.3 – 25.2), which was consistent with studies done in North Shoa (21.3%), 20 Sidama, (21.9%), 17 and pooled prevalence in Ethiopia (21.6%). 21 However, it was higher than the studies conducted in Uganda (16.3%), 22 Bale zone (12.4%), 23 Bahir Dar (13.3%), 24 and Debre Tabor (3.3%), Ethiopia. 25 These variations might be due to differences in sociocultural and demographic characteristics, and the number of facilities involved in the study.…”

Section: Discussionmentioning

confidence: 68%

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Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia

Aemro¹,

Abdo

Deksisa

et al. 2022

SAGE Open Medicine

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Objectives: The evidence on utilization of immediate postpartum intrauterine contraceptive devices (IPPIUCDs) and its associated factors are limited in Ethiopia. Hence, this study intended to assess IPPIUCD utilization and related factors among women who gave birth in Adama town public hospitals, Ethiopia. Method: A facility-based cross-sectional study was done among 493 postpartum mothers at selected government health facilities in Adama town from January 20 to February 20, 2021. All women who gave birth in selected government health facilities and within 48 h of postpartum were included in the study. Data were collected using an interviewer-administered questionnaire. Logistic regression models were used to identify the factors associated with IPPIUCD utilization. Adjusted odds ratios (AORs) with 95% confidence interval (CI) were calculated to measure the strength of association and statistical significance was declared at p < 0.05. Result: In this study, 22.1% (95% CI: 17.3–25.2) of the mothers used IPPIUCDs within 48 h of giving birth. Having three or more children (AOR = 4.18, 95% CI: 1.79–9.79), having no desire to have another child (AOR = 3.9, 95% CI: 1.86–8.17), counseling after delivery (AOR = 3.1 95% CI: 1.52–6.34), and having good knowledge about PPIUCD (AOR = 3.82, 95% CI: 1.94–7.49) were significantly associated with IPPIUCD utilization. Conclusion: The utilization of IPPIUCD in this study was low. Strategies to raise pregnant mothers’ awareness of IPPIUCD through mass media, and integrating standard counseling on immediate postpartum intrauterine device (IPPIUD) during antenatal care, and the immediate postpartum period are required to improve IPPIUD utilization.

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Section: Discussionmentioning

confidence: 68%

“…This is comparable with the study done in Addis Ababa, 19 and meta-analysis finding in Ethiopia. 21 This could be because mothers who had good knowledge about PPIUCD may have better practice and they are more likely to use the method consistently and effectively than their counterparts.…”

Section: Discussionmentioning

confidence: 99%

Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia

Aemro¹,

Abdo

Deksisa

et al. 2022

SAGE Open Medicine

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“…A person whose age was between 20 and 24 years old were 2.38 times more likely to utilized SRH service compared to age less than 20 years old. This is supported by a systematic review and meta-analysis conducted in Ethiopia before covid 19 pandemic (15,17). This could be potentially explained by individuals above age 20 has a chance to hear about the SRH service utilization from different medias and electronic web sites.…”

Section: Discussionmentioning

confidence: 77%

Utilization and contributing factors of sexual and reproductive health services in Ethiopia during COVID-19 pandemic፡ A systematic review and meta-analysis

Angaw

Endehabtu

Gonete

et al. 2023

Preprint

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Background: The COVID-19 pandemic has reduced access to and utilization of essential health services, including sexual and reproductive health services. The indirect supply-side and demand-side effects of the coronavirus pandemic has shown moderate service reduction scenarios can lead to a large number of additional maternal deaths Objective: Determine the pooled proportion and contributing factors of sexual and reproductive health care in Ethiopia during the COVID-19 pandemic was the primary goal of this systematic review and meta-analysis. Methods: The Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-2020) statement guided the conduct of this systematic review and meta-analysis. Electronic databases like SCOPUS, EMBASE, PubMed, and Science Direct were used to search for the papers. Studies were searched utilizing additional data sources such as Google scholar's advanced search and Google. The COVID 19 period and the latest search dates of June 6, 2022 were used for the primary research. Heterogeneity was evaluated using I2 and Q-statistics. Wherever possible subgroup analysis was planned by study setting, and overall risk of bias (study quality). To test the small study effect; funnel plot and egger's test were applied in the Meta-analysis Result: A total of six studies with 3848 participants included in this Meta-analysis. the pooled proportion of sexual and reproductive health service utilization reported by 6 studies was 32% (95%CI (18,46%)). In the sub group analysis, the pooled proportion of SRH service utilization for study done at the community level was 26% (95% CI:6-46%) and 38% (95% CI: 26-50%) among institutional based studies. Participants age 20-24 (OR=2.4 95% CI:1.07-5.3) Participate in youth club (OR=2.74; 95% CI:10.07-6.99), Ever had sexual partner (OR=1.65; 95% CI:1.11-2.45), Participated in peer-to-peer education (OR=1.71; 95% CI:1.12-2.62), and having pocket money (OR=2.5;3 95% CI:1.03-6.19) where variables had positively associated with sexual and reproductive health service utilization. Conclusion: The pooled SRH service utilization in Ethiopia during COVID 19 was decreased compared to SRH service utilization before the pandemic. Participants age 20-24, Participate in youth, ever had sexual partner, participated in peer-to-peer education, and having pocket money where variables had positively associated with sexual and reproductive health service utilization.

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“…Met analysis from African regions have detailed in their systematic reviews that the prevalence of acceptance PPIUCD utilization within Ethiopian women was 21.63% and ranged between 14.46% to 28.81%. 12 Similarly, a meta-analysis research conducted in Uganda and Sub Saharan Africa also reported then antennal counselling outcomes with an uptake of PPIUCD with a prevalence of 16.3% and 41.2% respectively 13,14 . It has proven that if a contraceptive method is provided prior to hospital discharge then there is a high reduction in unwanted pregnancies and subsequently decreases in mother and child life threatening outcomes.…”

Section: Discussionmentioning

confidence: 95%

Effectiveness of Antenatal Counselling in Increasing the Acceptability and Insertion of Postplacental IUCD in Postpartum

Shams¹,

Ashraf²,

Moon³

et al. 2023

PJMHS

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Aim: To evaluate effectiveness of antenatal counselling in increasing the acceptability and insertion of Post Placental Intrauterine Contraceptive Device in postpartum women Study design: Prospective study. Place and duration of study: Department of Obstetrics & Gynaecology, Hayatabad Medical Complex, Peshawar from 1st April 2022 to 30th September 2022. Methodology: Fifty pregnant women were enrolled. The age of the pregnant women was taken within 18-43 years. The couples were counselled for the uptake of PPIUCD through gynaecological professional assistance. The counselling was done at 28 weeks followed by at 36 weeks. The misconceptions and myths were eradicated through the use of one-to-one interview as well as focus group discussions. The fears of the patients and their spouse were addressed through detailed discussion. Results: The mean age was 24.8±4.06 years. There were 70% of the pregnant women who agreed to get PPIUCD inserted, however only 42% actually underwent the procedure. Majority of the cases were within the age group of 18-28 years. The reasons recorded for not getting PPIUCD insertion previously presented data where 23% of the pregnant women had no awareness provided about PPIUCD before while 13% preferred other contraceptive methods. Conclusion: The outcomes of the antenatal counselling are higher uptake of post placental intrauterine contraceptive device with a rate of 42% increase in post-partum women. There is an evident reduction in misconceptions and myths about post-placental intrauterine contraceptive device through antenatal counselling. Key words: Antenatal counselling, Outcome, Intrauterine contraceptive device, Post-partum

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

Cited by 13 publications

References 39 publications

Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia

Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia

Utilization and contributing factors of sexual and reproductive health services in Ethiopia during COVID-19 pandemic፡ A systematic review and meta-analysis

Effectiveness of Antenatal Counselling in Increasing the Acceptability and Insertion of Postplacental IUCD in Postpartum

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