Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in southern Ethiopia

Mesfin, Yibeltal; Wallelign, Abraham

doi:10.1186/s13690-021-00683-4

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…14 Moreover, FP slows population growth, which aids the women to possess good income potential and dedicate enough for each child, resulting in reductions in poverty. 17 The published reviews explored the variation effectiveness of contraceptive health interventions for different contraceptive outcomes. 5,18,19 The review indicated that interactive health education messages and communication with a counselor improved contraception outcomes, and the combination of unidirectional and interactive educational messages improved adherence to using contraceptives.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Health Education Interventions Methods to Improve Contraceptive Knowledge, Attitude, and Uptake Among Women of Reproductive Age, Ethiopia: A Systematic Review and Meta-Analysis

Galgalo

Abeya

Hailu

et al. 2023

Health Services Research and Managerial Epidemiology

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Background Globally, about 600,000 women die yearly as a result of pregnancy-related causes. Access to contraceptive health education has been described as one of the crucial interventions to confront maternal mortality. Nevertheless, the effectiveness of these interventions has not been systematically reviewed. Objective To access the effectiveness of health education intervention methods to improve contraceptive knowledge, attitude, and uptake among reproductive age group women. Methods This systematic review was conducted under Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through a systematic literature search of articles published between 2010 and 2022 comprising information on the effects of health education on contraceptive knowledge, attitude, attitude, and utilization among the reproductive age group of women. The most known bibliographic databases and libraries: PubMed/Medline, Embase, and Cochrane library were used. Result Eleven quasi-experimental studies fulfilled the inclusion criteria were included in the review. In a random effects model, the pooled estimate of the health education effect became 0.15 (95% CI = 0.104–0.206) at a P value of .001, and the pooled confidence intervals of the combined estimate of effect size occur on the positive side of zero. Therefore, contraceptive health education has a statistically significant positive effect on the contraceptive outcome despite variation between interventional and control groups. Conclusion and recommendation This review found that interactive communication supported by various health education delivery methods like brochures, booklets, peer educators, and the use of different behavioral change theories are more effective than the one-way and routine counseling of the family planning (FP) health education approach.

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Section: Introductionmentioning

confidence: 99%

“…14 Moreover, FP slows population growth, which aids the women to possess good income potential and dedicate enough for each child, resulting in reductions in poverty. 17…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Health Education Interventions Methods to Improve Contraceptive Knowledge, Attitude, and Uptake Among Women of Reproductive Age, Ethiopia: A Systematic Review and Meta-Analysis

Galgalo

Abeya

Hailu

et al. 2023

Health Services Research and Managerial Epidemiology

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Determinants of postpartum long-acting reversible contraceptives in the extended postpartum period in Shashago district, Central Ethiopia: a cross-sectional study conducted in the community

Eristu,

Mekis,

Abdo

2024

Contracept Reprod Med

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Background Women who fail to initiate contraceptive use within the first year after childbirth face an increased likelihood of experiencing unintended pregnancies in close succession. In regions with limited resources, the use of postpartum contraceptives, particularly long-acting reversible contraceptives, remains notably low. Consequently, this study sought to assess the prevalence and determinants of postpartum long acting reversible contraceptives in the extended postpartum period in the Shashago district, Central Ethiopia. Methods This study employed a community-based cross-sectional design, conducted between March 1, 2021, and April 15, 2021, involving a total of 617 women of reproductive age. The selection of study participants was performed using a multistage stratified sampling technique. Data collection was carried out through the use of a structured interviewer-administered questionnaire. Subsequently, the collected data were entered into Epi-data version 3.1 and exported to SPSS version 25 for further analysis. Bivariate and multivariable logistic regression analyses were conducted, and statistical significance was determined using a P value of 0.05, along with adjusted odds ratios (AORs) and their corresponding 95% confidence interval (CI). Results A total of 224(36.3%) women used long-acting contraceptives after giving birth. Among these women, 31.1% used Implanon, while 5.2% used an intrauterine device (IUD). Factors significantly associated with the use of long-acting contraceptives after childbirth included age 25–29 years (AOR: 1.8, 95% CI: 1.1-3.0), age ≥ 35 years (AOR = 8.7, 95% CI: 3.6–21.5), primary education (AOR = 3.3, 95% CI: 1.6–6.7), secondary education and above (AOR = 3.5, 95% CI: 1.5–8.3), and history of abortion (AOR = 2.7, 95% CI: 1.3–5.4). Additionally, having good knowledge of long-acting contraceptives after childbirth (AOR: 2.4, 95% CI: 1.5–3.9) was significantly associated with their use. Conclusion This study revealed that a small number of women opt for long-acting contraceptives after childbirth, with Implanon being more popular than IUDs. Factors such as age, education level, abortion history, pregnancy counseling, and knowledge about long-acting contraceptives were linked to their usage. Integrating contraceptive counseling into routine antenatal and postnatal care is essential for ensuring access to postpartum contraception. Tailored interventions based on age and education level could also help promote long-acting contraceptive use. More research and targeted interventions are needed to overcome these barriers and improve access to these methods for postpartum women.

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Prevalence of long acting reversible contraceptives utilization and associated factors among Ethiopian women: A systematic review and meta-analysis

Lemma

Abdissa

Kolola

2023

Preprint

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Background Contraception has become an essential, safe and cost effective component in the lives of women of reproductive age since it avoids the depletion of maternal nutritional reserves and lowers the risk of anaemia caused by many pregnancies and deliveries. Objective The aim of the study was to determine the pooled prevalence of long acting reversible contraceptive utilization and associated factors among Ethiopian women. Methods Systematic review and meta-analysis was conducted using PRISMA flow diagram to initially identify (n = 435 databases) and (n = 5 registers). We searched different databases (Pub Med, Scopus, Science Direct, Web of Science, and Google Scholar) to access published articles between 2017 to March 2022. Heterogeneity between studies was measured using 12 indexes and subgroup analysis was done to determine the possible causes of heterogeneity. Results A total of 440 studies identified and 75 were included in a full review. Only 27 studies met the inclusion criteria. Long-acting reversible contraceptives users were identified in 3,588 of the 12,741 women studied, making a 29% overall prevalence (95% CI: 26–32). With considerable heterogeneity (X2 = 505.29, P = 0.001, I2 = 94.85%), the estimated prevalence differed significantly between studies. The odds of using Long acting reversible contraceptive was four times higher among those who have had previous history of LARC utilization (P = 0.001, 95% CI 2.55, 4.57), women with a positive attitude towards birth control (P = 0.001, 95% CI 1.5–2.3), and having good knowledge (p = 0.001, 95% CI 1.16–1.98) were two times more likely to use LARC compared to their counter parts Conclusion Prevalence of Long acting reversible contraceptive was low among Ethiopian women 29% (95%CI (26–32 ). Previous Long acting reversible contraceptive use, positive attitude towards birth control, and having good knowledge were independent predictors of LARC utilization.

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Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in southern Ethiopia

Cited by 4 publications

References 23 publications

Effectiveness of Health Education Interventions Methods to Improve Contraceptive Knowledge, Attitude, and Uptake Among Women of Reproductive Age, Ethiopia: A Systematic Review and Meta-Analysis

Effectiveness of Health Education Interventions Methods to Improve Contraceptive Knowledge, Attitude, and Uptake Among Women of Reproductive Age, Ethiopia: A Systematic Review and Meta-Analysis

Determinants of postpartum long-acting reversible contraceptives in the extended postpartum period in Shashago district, Central Ethiopia: a cross-sectional study conducted in the community

Prevalence of long acting reversible contraceptives utilization and associated factors among Ethiopian women: A systematic review and meta-analysis

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