Prevalence and factors associated with postpartum use of long-acting reversible contraception in Bukombe District, Geita Region, Tanzania: a community- based study

Kiondo, Kiondo Solomon; Maro, Eusebious; Kiwango, Sophia; Alloyce, Julius Pius; Shayo, Benjamin C.; Mahande, Michael Johnson

doi:10.1186/s40834-020-00122-9

Cited by 8 publications

(7 citation statements)

References 19 publications

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“…The consistency of these findings could be explained by the study's population characteristics, as the majority of adolescent girls and young women chose short contraceptive methods over the LARCs . However, the findings of this study are higher than other studies in Tanzania [ 26 ], North Ethiopia [ 27 ] and Guatemala [ 28 ]. It is possible that the use of LARCs in the study group has only lately risen.…”

Section: Discussioncontrasting

confidence: 95%

Long-acting reversible contraceptives use among adolescent girls and young women in high fertility countries in sub-Saharan Africa

et al. 2022

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Background Given the instrumental role long-acting reversible contraceptives (LARCs) play in reducing unintended pregnancies, there is a need to understand the factors that predict their use among adolescent girls and young women in high fertility countries. Our study examined the prevalence and predictors of LARCs use among adolescent girls and young women in high fertility countries in sub-Saharan Africa. Materials and methods We pooled data from the women’s files of the most recent Demographic and Health Surveys (DHS) from 2010 to 2020 of the top ten high fertility countries in sub-Saharan Africa, which are part of the DHS programme. The total sample was 5854 sexually active adolescent girls and young women aged 15–24 who were using modern contraceptives at the time of the survey. Descriptive and multilevel logistic regression models were used in the analyses. The results were presented using percentages and adjusted odds ratio (AOR) with their respective 95% confidence intervals (CIs). Results At the descriptive level, the overall prevalence of LARCs utilisation was 17.6% in the ten countries, with the lowest of 1.7% in Angola and the highest of 55.8% in Mali. Adolescent girls and young women who were married had a lower likelihood of LARCs utilisation than those who were never married [AOR = 0.63, 95% CI = 0.45, 0.88]. Adolescent girls and young women who wanted no more children had higher odds of LARCs use compared to those who wanted more children [AOR = 1.56, 95% CI = 1.09, 2.26]. Adolescent girls and young women with one to three births [AOR = 6.42, 95% CI = 4.27, 9.67], and those with four or more births [AOR = 7.02, 95% CI = 3.88, 12.67] were more likely to use LARCs compared to those who had no children. Countries in sub-Saharan Africa with lower probability of utilizing LARCs were Angola, Niger and Mozambique, whereas adolescent girls and young women in Mali had higher probability of utilizing LARCs. Conclusion Our findings suggest that LARCs utilisation among adolescent girls and young women is low in high fertility countries in sub-Saharan Africa. To reduce the rates of unplanned pregnancies and induced abortions, it is imperative that adolescent girls and young women in sub-Saharan Africa are educated on the advantages of utilising LARCs. Additionally, governments, policymakers, and stakeholders in sub-Saharan Africa should raise awareness by executing health promotion measures to enhance the demand for LARCs among adolescent girls and young women. Achieving these would not only prevent unplanned pregnancies and induced abortions, but also help meet the United Nation’s health and well being for all as enshrined in Sustainable Development Goals 3 and 5.

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Section: Discussioncontrasting

confidence: 95%

Long-acting reversible contraceptives use among adolescent girls and young women in high fertility countries in sub-Saharan Africa

et al. 2022

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“…The overall prevalence of immediate postpartum long-acting reversible contraceptives utilization was 30.7% [95% CI (26.1, 35.3)]. This result is lower than study finding at Jimma which was 53.2% [ 19 ]. This variation might possibly be due to differences in inclusion criteria.…”

Section: Discussionmentioning

confidence: 78%

Utilization of immediate post-partum long acting reversible contraceptives and its associated factors among mothers who gave birth in Addis Ababa public hospitals, Ethiopia: An institutional based cross-sectional study

Wudineh,

Desalegn,

Ewunetu

et al. 2023

PLoS ONE

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Background An immediate postpartum period is a good opportunity to utilize immediate postpartum long-acting reversible contraceptives for women whom they want to delay pregnancy. Long-acting reversible contraceptive methods like intrauterine device, Jaddel and implants can improve maternal and newborn health by preventing unintended pregnancy. Despite on their advantage, evidence on its utilization and associated factors is limited in our study area.Ethiopia. This study assessed the utilization of immediate postpartum long acting reversible contraceptives and its associated factors among mothers who delivered in selected public hospitals of Addis Ababa, Ethiopia, 2022. Method An institutional-based cross-sectional study design was conducted among 420 study participants to assess the immediate postpartum long-acting reversible contraceptive utilization and its associated factors from August 30- September 25, 2022. Systematic sampling technique was used to select study participants. Data was entered into epi-data version 4.6 and analysis was performed by using SPSS version 25. Descriptive statistics and logistic regression were used. All statistical tests were significant at P-value < 0.05. Result A total of 417 postpartum women were participated in the study making a response rate of 99.3%. Of the total study participants, 30.7% [95% CI (26.1, 35.3)] utilized immediate postpartum family planning. Women at the age of 25–34 years (AOR = 3.228[95% CI: 1.140–9.136]), had discussion with their partners about family planning (AOR = 1.891[95% CI: 1.003, 3.565]), received counseling about immediate post-partum long acting reversible contraceptive (AOR = 3.146 [95% CI: 1.489, 6.647]), had positive attitude towards immediate post postpartum long acting reversible contraceptive (AOR = 3 [95% CI: 1.770–5.648]) were associated with utilization of immediate post-partum long acting reversible contraceptive. Conclusion and recommendation Almost one in three women delivering in health facilities of Addis Ababa Ethiopia started using immediate post-partum long acting reversible contraceptives. Discussion about contraception with partners, getting counseling about family planning on antenatal care, attitude toward contraception and the age of women were all factors that could increase IPPLARC uptake. Healthcare providers clarify any rumors about contraceptives to assure a positive and supportive attitude to increase its uptake.

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“…In this study, women with a good knowledge of long-acting reversible contraceptive methods were signi cantly associated with the use of long-acting reversible contraceptives. Many studies show that well-advised, informed women have a good knowledge of long-acting reversible contraceptive methods and choose long-acting reversible contraceptive methods [15,[27][28][29][30]. The possible reason could be that women who have su cient information about the effectiveness of long-acting reversible contraceptive methods to prevent unwanted pregnancy, side effects and health risks of long-acting reversible contraceptive methods prefer to use long-acting reversible contraceptive methods.…”

Section: Sociodemographic Factorsmentioning

confidence: 99%

Utilization and associated factors for long-acting reversible contraceptive methods in Gondar City, Amhara Region, Ethiopia, 2022

Tarekegn,

Gesesse

2023

Preprint

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Sexual and reproductive health issues associated with modern family planning methods remain a community problem in developed and developing countries due to population growth and related factors. Unmet needs for family planning leads to unwanted pregnancies, unsafe abortions, and health problems for mothers and children. The intent of this study is to determine utilization of long-acting reversible contraceptive methods and related factors in the community of Gondar City administration. A community-based cross-sectional study design was used for this study, conducted from March 1st to April 30th, 2022 in the Gondar City community. Binary logistic regression was used to determine the relationship between independent and dependent variables. Data were analyzed using SPSS version 22 software to identify associated variables with long-acting reversible contraceptive methods with a P-value of 0.05 at a 95% confidence level. The response rate was 90.1% (508 participants). Most of the study participants were married women (86.6%), had little knowledge (75.2%) and negative attitudes (70.5%) about long term reversible contraceptive methods. Among modern family planning practitioners, 21.7% (18.1%, 25.2%) used long-acting reversible contraceptive methods. Knowledge, age at first marriage, level of education and number of children, and abortion experience were significantly associated with the use of long-acting reversible contraceptives. The uptake of reversible long-acting contraceptives is lower than studies conducted in health care settings. The government, non-governmental organizations, working in sexual and reproductive health, shall increase community knowledge about the benefits of long-acting reversible contraceptive methods and shall promote the participation of women in formal education.

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Prevalence and factors associated with postpartum use of long-acting reversible contraception in Bukombe District, Geita Region, Tanzania: a community- based study

Cited by 8 publications

References 19 publications

Long-acting reversible contraceptives use among adolescent girls and young women in high fertility countries in sub-Saharan Africa

Long-acting reversible contraceptives use among adolescent girls and young women in high fertility countries in sub-Saharan Africa

Utilization of immediate post-partum long acting reversible contraceptives and its associated factors among mothers who gave birth in Addis Ababa public hospitals, Ethiopia: An institutional based cross-sectional study

Utilization and associated factors for long-acting reversible contraceptive methods in Gondar City, Amhara Region, Ethiopia, 2022

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