Postpartum contraceptive choices among women attending a well‐baby clinic in Ghana

Morhe, Emmanuel; Ankobea, Frank; Asubonteng, Gerald O.; Opoku, Baafuor K.; Turpin, Cornelius Archer; Dalton, Vanessa K.

doi:10.1002/ijgo.12216

Cited by 6 publications

(10 citation statements)

References 13 publications

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“…Additionally, 12 primary articles were excluded because of the study population and outcome of interest. Among these, eight of the studies were conducted in Uganda [48,49], Ghana [50,51], Burundi and Rwanda [52], Thailand [53], International Journal of Reproductive Medicine India [54], and Kenya [55]. From the remaining four studies, one was conducted in Addis Ababa, Ethiopia [56] and excluded because of the unreported outcome of interest.…”

Section: Search Resultsmentioning

confidence: 99%

Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis

Mehare

Mekuriaw

Belayneh

et al. 2020

International Journal of Reproductive Medicine

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Background. Postpartum contraceptive use is defined as the avoidance of short spaced pregnancies and unintended pregnancy through the first 12 months after delivery. In Ethiopia, different studies have been conducted to assess the prevalence of postpartum contraceptive use and associated factors. The findings of these studies were inconsistent and characterized by great variability. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence of postpartum contraceptive use and determinants in Ethiopia using the accessible studies. Methods. The articles were identified through electronic search of reputable databases (MEDLINE through PubMed, EMBASE, HINARI, Science Direct, and Cochrane Library) and the hand search of reference listed in previous prevalence studies to retrieve more. 18 articles are included based on a comprehensive list of inclusion and exclusion criteria. Two authors independently extracted all necessary data using a standardized data extraction format. STATA 14 statistical software was used to analyze the data. The Cochrane Q and I2 test were used to assess the heterogeneity between the studies. A random effects model was calculated to estimate the pooled prevalence of postpartum contraceptive use. Moreover, the determinants for family planning use were reviewed. Results. The pooled prevalence of family planning use among mothers during the postpartum period in Ethiopia was 48.11% (95% CI: 36.96, 59.27). Besides, subgroup analysis revealed that the highest family planning use prevalence among postpartum mothers was observed in Addis Ababa, 65.41 (95% CI: 48.71, 82.11). Resumed sexual activity: 7.91 (95% CI: 4.62, 13.55), antenatal care: 4.98 (95% CI: 2.34, 10.21), secondary school and above level of maternal education: 3.53 (95% CI: 1.67, 7.45), postnatal care: 3.16 (95% CI: 1.7, 5.88), menses resumption: 3.12 (95% CI: 1.52, 6.39), and ≥6 months of postpartum period: 2.78 (95% CI: 1.97, 3.93) have shown a positive association with the use of family planning among mothers in the postpartum epoch. Conclusions. In this study, family planning use among mothers of the postpartum period in Ethiopia was significantly low compared to the existing global commendation on postpartum contraceptive use. Resumed sexual activity, antenatal care, secondary and above level of maternal education, postnatal care, menses resumption, and postpartum period≥6 months were found to be significantly associated with postpartum contraceptive use.

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Section: Search Resultsmentioning

confidence: 99%

Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis

Mehare

Mekuriaw

Belayneh

et al. 2020

International Journal of Reproductive Medicine

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“…Based on the review of other studies on postpartum contraceptive use in sub-Saharan Africa [4,6,11,12], a number of predictors were selected. Measurement for the selected predictors of postpartum modern contraceptive uptake is as follows: age of woman (16-24 years, 25-34 years and 35 years and above); marital status (never in union, currently in union, and formerly in union); educational level (no formal education, completed primary, completed middle/junior high school, completed secondary and tertiary/higher education); religion (Pentecostal, Catholic, Anglican/Methodist/presbyterian, other Christians, Moslem and no religion/other); parity (one live birth, two live births and three live births/more); received family planning (FP) counselling during antenatal care (ANC) (yes and no); ANC provider (nurse and physician); attended postnatal care (PNC) after birth (yes and no) and received FP counselling during PNC (yes and no).…”

Section: Methodsmentioning

confidence: 99%

“…Likewise, in Ghana, postpartum modern contraceptive uptake is low. Studies in the country reported postpartum modern contraceptive use among women varying between 25% and 26.5% based on the health facility studied and the location of the facility [5,11,12]. For instance, the reported postpartum modern contraceptive use for Tema General Hospital and Tema Polyclinic, Accra in 2018 was 26.3% whereas 26.5% was reported for a well-baby clinic of Komfo Anokye Teaching Hospital, Kumasi in 2011 [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Studies in the country reported postpartum modern contraceptive use among women varying between 25% and 26.5% based on the health facility studied and the location of the facility [5,11,12]. For instance, the reported postpartum modern contraceptive use for Tema General Hospital and Tema Polyclinic, Accra in 2018 was 26.3% whereas 26.5% was reported for a well-baby clinic of Komfo Anokye Teaching Hospital, Kumasi in 2011 [11,12]. Some of the factors in uencing the use of modern contraceptives by women in Ghana during postpartum period include prior use of contraceptives before pregnancy, return of menstruation, resumption of sexual activity and having received maternal health services such as family planning counselling during antenatal care (ANC) [11].…”

Section: Introductionmentioning

confidence: 99%

“…Though a few postpartum contraceptive use studies have been carried out in Ghana, largely these studies are facility-based [6,11,12]. Moreover, Atiglo and Biney [13] who used a population-based data (Ghana Demographic and Health Survey) to assess postpartum contraceptive use among unmarried young women in Ghana did not give the context of the low-income urban population.…”

Section: Introductionmentioning

confidence: 99%

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Postpartum contraceptive use among low-income urban women: insights from Accra, Ghana

Agula

Henry

Asuming

et al. 2022

Preprint

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Background: Postpartum contraceptives use (PPC) reduces unintended pregnancies and results in better health outcomes for children and women. However, in Ghana, there is a paucity of knowledge on PPC use, particularly among women in low-income urban settings. To shed light on strategies that might enhance access to postpartum family planning services in low-income urban settings, we examined contraceptive use among postpartum women in Accra, Ghana, at one, three, six and twelve months following the birth and the methods used. The predictors of modern contraceptive use in the 12 months postpartum period were also examined.Methods: Data are from a cross-sectional survey that was conducted in 2018 among 624 women aged 16-44 years who reported to have given birth in the past 13-31 months prior to the interview. We generated descriptive statistics to examine the prevalence of contraceptive use among postpartum women at one, three, six and twelve months after birth. We further estimated a binary logistic regression to examine the predictors of 12 months postpartum modern contraceptive use.Results: Data indicate that 40% of postpartum women never used any contraceptive method during one year after birth and of those who used a method, 40% relied on traditional methods. Moreover, 29% of women started using a method in the immediate one-month post-birth. Results further show that postpartum modern contraceptive uptake was positively associated with higher education, having more live births and being currently in a union. Conclusions: Findings highlight the need to improve the quality of counselling during antenatal and postnatal care visits by clients. Community outreach by health providers/promoters or similar models should be promoted in low-income population settings to educate postpartum women on modern contraceptive use. Women who plan to use traditional methods should be provided with information on consistent and correct use of these methods.

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Postpartum contraceptive initiation and use: Evidence from Accra, Ghana

Agula

Henry

Asuming

et al. 2022

Womens Health (Lond Engl)

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Background: Postpartum contraceptive use reduces unintended pregnancies and results in better health outcomes for children and women. However, there is a dearth of knowledge on postpartum contraceptive use in Ghana, particularly among women in low-income urban settings. To shed light on strategies that might enhance access to postpartum family planning services in low-income urban settings, we examined contraceptive use among postpartum women in Accra, Ghana, at 1, 3, 6, and 12 months following the birth and the methods used. The predictors of modern contraceptive use in the 12-month postpartum period were also examined. Methods: Data come from a cross-sectional survey conducted in 2018 among 624 women aged 16–44 years who reported giving birth in the past 13–31 months prior to the interview. We generated descriptive statistics to examine the prevalence of contraceptive use among postpartum women at 1, 3, 6, and 12 months after birth. We further estimated a binary logistic regression to examine the predictors of modern contraceptive use at 12 months postpartum. Results: Forty percent of postpartum women never used any contraceptive method during 1 year after birth and of those who used a method, 40% relied on traditional methods. Moreover, 29% of women started using a method the immediate 1 month post-birth. Results further show that postpartum modern contraceptive uptake was positively associated with higher education, having more live births, and being currently in a union. Conclusions: Findings highlight that there may be opportunities to improve the quality of counseling during antenatal and postnatal care visits by clients to ensure fully informed choices regarding postpartum contraception. Community outreach by health providers/promoters or similar models should be promoted in low-income population settings to educate postpartum women on modern contraceptive use. Women who plan to use traditional methods should be provided with information on the consistent and correct use of these methods.

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Postpartum contraceptive choices among women attending a well‐baby clinic in Ghana

Abstract: Inadequate postpartum family planning counseling and referrals during maternity care were recorded, suggesting that a comprehensive educational intervention is required to improve uptake.

Cited by 6 publications

References 13 publications

Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis

Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis

Postpartum contraceptive use among low-income urban women: insights from Accra, Ghana

Postpartum contraceptive initiation and use: Evidence from Accra, Ghana

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