Prevalence of post partum modern family planning utilization and associated factors among postpartum mothers in Debre Tabor town, North West Ethiopia, 2018

Taye, Eden Bishaw; Mekonen, Dawit Gebeyehu; Debele, Tibeb Zena

doi:10.1186/s13104-019-4464-0

Cited by 39 publications

(54 citation statements)

References 13 publications

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“…Counselling for mothers during prenatal visits increase the awareness for mothers regarding the PPIUCD. In this study, counselling the couple during antenatal was signi cantly associated with the use of PPIUCD, which was consistent with the various studies done in West central Africa and Ethiopia (20) (21). The role of counselling was also con rmed in the in-depth interviews, where midwives noted that counselling during antenatal care increased the demand and utilization of PPIUCD as is the convenience and suitable time for counselling.…”

Section: Discussionsupporting

confidence: 90%

Factors Associated with the Uptake of Immediate Postpartum Intrauterine Contraceptive Devices(PPIUCD) in Rwanda: A Mixed Methods Study

Kanakuze¹,

Dan

Musabirema³

et al. 2020

Preprint

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Abstract Background: Rwanda has a high unmet need for family planning which could be reduced by improving access to postpartum intrauterine contraceptives device (PPIUCD) insertion. The objective of the study was to assess the prevalence and factors associated with the uptake of PPIUCD among postpartum women in Muhima Hospital.Methods: A concurrent mixed method study was used. Three hundred eight three (383) immediate postpartum mothers, and 10 health services providers were interviewed using structured questionnaire and in-depth interview respectively. Logistics regression was done to assess for factors associated with PPIUCD uptake and thematic analysis was used for qualitative data.Results: The prevalence for PPIUCD use was 28.1% , women who had normal delivery were more likely to take up PPIUCD (Adjusted Odds Ratio (AOR) 2.623, 95%CI=2.017-6.507 compared to those who had cesarean section; women who received PPIUCD counselling during antenatal period were more likely to use PPIUCD ((AOR 2.072, 95%CI=1.018-4.218) as compared to those who didn’t receive any form of counselling ; mothers who received spouse approval were more likely to use PPIUCD (AOR 2.591,95%CI= 1.485-4.492);as compared to those who didn’t receive any spousal approval; women who had more than one child were more likely to use PPIUCD (AOR =2.265, 95%CI=1.472-3.163) as compared to prime gravida; Mothers with birth to pregnancy interval less than two years were more likely to use PPIUCD (AOR =2.123, CI =1.477-2.706) as compared to those who had birth to pregnancy interval more than 2 years. From the qualitative, health education of mothers and partners on PPIUCD, training of health care providers and availability of supplies to provide PPIUCD influenced use of PPIUCD.Conclusion: The acceptability to use for PPIUCD was high in this population. PPIUCD uptake was associated with normal birth, PPIUCD counselling, spousal approval, parity, birth interval, level of education. Health education of mothers and partners on PPIUCD, training of health providers and availability of supplies to provide PPIUCD influenced use PPIUCD.

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Section: Discussionsupporting

confidence: 90%

Factors Associated with the Uptake of Immediate Postpartum Intrauterine Contraceptive Devices(PPIUCD) in Rwanda: A Mixed Methods Study

Kanakuze¹,

Dan

Musabirema³

et al. 2020

Preprint

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“…In this study, modern contraceptive practice during the extended postpartum period was found to be 59.5% (95% CI: 56.8-62.2%). The finding is comparable with the finding of the study done in Debre Tabor town, Northwest Ethiopia 63.0% (95% CI: 59%; 67.4%) [26]. This result was, however, higher than the 31.7% prevalence in Southern Ethiopia [20], 45.4% in western Ethiopia [27], and 29.3% in Northern Ethiopia [19], and lower when compared to the studies done in Hosana town (72.9%), Addis Ababa, Ethiopia (80.3%), and 86.3% of Kenya [28][29][30].…”

Section: Discussionsupporting

confidence: 88%

“…The low level of contraceptive use found in this study might reflect the over-reliance of lactating women on breastfeeding and menstruation status. It is evidenced that these group of women oftentimes do not realize that they are at risk of pregnancy when they are amenorrheic or breastfeeding [15,20,26]. Though breastfeeding is universal in Ethiopia, and exclusive breastfeeding up to 6 months after birth is an important contraceptive method which is highly recommended by the Ministry of Health of Ethiopia, the status of exclusive breastfeeding in the country is less than the global recommendations [31].…”

Section: Discussionmentioning

confidence: 99%

The role of maternal health care services as predictors of time to modern contraceptive use after childbirth in Northwest Ethiopia: Application of the shared frailty survival analysis

2020

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OPEN ACCESSCitation: Emiru AA, Alene GD, Debelew GT (2020) The role of maternal health care services as predictors of time to modern contraceptive use after childbirth in Northwest Ethiopia: Application of the shared frailty survival analysis. PLoS ONE 15 (2): e0228678. https://doi.org/10.A substantial proportion of women did not use modern contraceptive methods in the first year after birth. Maternal services were found to be the sole predictors in postpartum contraceptive use. Findings suggest the importance of linking postpartum family planning along the continuum of care. The observed heterogeneity at cluster level also urges the need of disaggregating data for decision-making.Predictors of time to contraceptive use after birth PLOS ONE | https://doi.org/10.

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“…Also subsequent conceptions and births negatively affect mothers' decisions to continue breastfeeding children [22]. Some local studies have focused on assessing the contraceptive utilization status of reproductive women generally [16,17], only two local studies in Ethiopia targeted to urban lactating women [23,24]. Thus, the lactating period is a window of opportunity to improve contraceptive utilization [7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

et al. 2020

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Background: Contraceptive utilization is a guarantee to avert unwanted pregnancies. In Ethiopia however, more than half of the rural women have shorter birth intervals. Consequently, 17 and 8% of the births have been either mistimed (wanted at later date) or unwanted, respectively. Therefore, this study investigated modern contraceptive utilization and its predictors among rural lactating women. Methods: A community based-cross-sectional study was conducted from May 01 to June 29, 2019, in Dabat and Gondar zuria districts, northwest Ethiopia. Data from 603 lactating mother were collected through face to face interviews using a structured questionnaire. Bivariate and multivariate logistic regression analyses were fitted to identify the independent predictors of modern contraceptive utilization. Results: The overall prevalence of modern contraceptive (MC) utilization rate was 45.8% [95% CI: 38.01, 53.59]. The contraceptive method mix was dominated by Depo-Provera (39.8%) followed by implants (4.8%). The odds of utilization of contraceptive were 5.58 times higher among mothers of children with fully immunized [AOR = 5.58, 95% CI: 3.45, 9.01] compared to mothers whose children were vaccinated partially or not at all. Mothers who received antenatal [AOR = 1.74, 95% CI: 1.13, 4.43] and postnatal care [AOR = 2.02, 95%CI: 1.24, 2.91) were 1.74 and 2.02 folds more likely to utilize modern contraceptives than mothers who did not receive such care, respectively.

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Prevalence of post partum modern family planning utilization and associated factors among postpartum mothers in Debre Tabor town, North West Ethiopia, 2018

Cited by 39 publications

References 13 publications

Factors Associated with the Uptake of Immediate Postpartum Intrauterine Contraceptive Devices(PPIUCD) in Rwanda: A Mixed Methods Study

Factors Associated with the Uptake of Immediate Postpartum Intrauterine Contraceptive Devices(PPIUCD) in Rwanda: A Mixed Methods Study

The role of maternal health care services as predictors of time to modern contraceptive use after childbirth in Northwest Ethiopia: Application of the shared frailty survival analysis

Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

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