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

Abstract

Introduction While family planning (FP) is important throughout an individual’s and couple’s reproductive life, postpartum family planning (PPFP) focuses on the prevention of unintended and closely spaced pregnancies through the first 12 months following childbirth. However, modern contraception utilization practice during the postpartum period is underemphasized in Ethiopia. Objective This study aimed to assess postpartum modern contraceptive utilization and associated factors among postpartum women in Addis Zemen, South Gondar, Ethiopia in 2019. Methods Community-based cross-sectional study was conducted from January 1 to February 30, 2019 on 402 women. Study subjects were selected by simple random sampling technique. The data were collected by a structured and pretested, face-to-face, interviewer-administered questionnaire, entered into EpiData 4.2 and analyzed by using SPSS 23 software. Bivariate and multivariable analyses were used to examine the association. Odds ratio, 95% confidence interval (CI) and P-value <0.05 were used to determine the statistical association. Results The prevalence of postpartum family planning utilization was 54.7%. Maternal educational status (adjusted odd ratio (AOR)=2.99, 95% CI (1.72, 5.19)), menses return (AOR=4.76, 95% CI (3.03, 7.48)), less than four alive children (AOR=3.61, 95% CI (1.51, 4.51)), postnatal care follow-up (AOR=2.96, 95% CI (1.57, 5.57)), length of time after delivery (AOR=1.80, 95% CI (1.16, 2.79)) and knowledge (AOR=1.69, 95% CI (1.07, 2.66)) were significantly associated with postpartum modern contraceptive utilization. Conclusion The postpartum modern contraceptive utilization was low. Therefore, health care providers should strengthen the integration of family planning services with maternal and child health service, provide health information about timely use of contraceptives and improve postnatal care follow-up after giving birth.

Magnitude of Modern Contraceptive Utilization and its Associated Factors Among Postpartum Women in Bench Sheko Zone, Southwest Ethiopia, 2021: Community-Based Cross-Sectional Study

“…Our study revealed that mothers who attended formal education were more likely to uptake modern contraceptives as compared to their counterparts during the period of postpartum. The result was in agreement with studies done in Gondar (Nibret Mihretie et al, 2020), and Uganda (Rutaremwa et al, 2015). This could be justified by educated mothers are more likely to have good knowledge and better ability to decide on uptake of contraceptives and other reproductive health services during the period of postpartum.…”

“…In this study, the prevalence of the utilization of contraceptives during the period of postpartum was 50.4% (95% CI: 45.3–55.3). The result was consistent with studies investigated in Ethiopia, for instance, the South Gondar (54.7%) (Nibret Mihretie et al, 2020), Gondar town (45.8%) (Abera et al, 2015), and Aksum (48%) (Abraha et al, 2017). It was also supported with researches done in Kenya (46%) (Mai & David, 2013), and Mexico (47%) (Ringheim et al, 2007).…”

“…The data were taken using an interviewer-administered structured, and pretested questionnaire adapted from other similar research with some contextual modification (Abraha et al, 2017; Belete et al, 2019; Demie et al, 2018; Gebremedhin et al, 2018; Gejo et al, 2019; Nibret Mihretie et al, 2020; Tegegn et al, 2017). To determine its consistency, the questionnaire was initially prepared in English and translated to the local language (Amharic), then back to English by language experts.…”

“…In 2020 a review conducted in Ethiopia, found that the uptake of contraceptives during the first year after childbirth was 48.11% (Mehare et al, 2020). Also, different studies conducted in Ethiopia found low uptake of modern contraceptives within 1 year after childbirth (Abraha et al, 2017; Demie et al, 2018; Gejo et al, 2019; Nibret Mihretie et al, 2020; Tegegn et al, 2017; Wassihun et al, 2021) and socio-demographic (i.e., educational status, religion, and poor economic status), and other influencing factors like menses returned, sexual intercourse started, desired to be fertile, antenatal care service uptake, delivered at health facility, age of woman, postnatal care and having knowledge were identified as major factors hindering the uptake of modern family planning within the first year after childbirth (Abraha et al, 2017; Bwazi et al, 2014; Demie et al, 2018; Eliason et al, 2013; Fantahun, 2015; Gejo et al, 2019; Nibret Mihretie et al, 2020; Tegegn et al, 2017; Wassihun et al, 2021).…”

Acceptance, utilization, and factors associated with immediate postpartum intrauterine contraceptive device among mothers delivered at public health facilities in Hawassa city, Ethiopia: Institution-based study

“…This study revealed that mothers with more than three children were above four times more likely to utilize immediate PPIUCD than their counterparts. Similar findings were reported by a study conducted in China [35], Nigeria [41], Rwanda [4,21], and other parts of Ethiopia [34,42,43]. The plausible justification might be due to the fact that mothers who have a large number of children may be inspired to prevent additional pregnancies to limit their family size.…”