The Intention on Modern Contraceptive Use and Associated Factors among Postpartum Women in Public Health Institutions of Sodo Town, Southern Ethiopia 2019: An Institutional-Based Cross-Sectional Study

Abstract

Background. The postpartum period is an important transitional time for couples to put the decision on family planning utilization. However, women in Ethiopia are usually uncertain about the use of family planning during this period. This cross-sectional study was, therefore, aimed at determining the intention of modern contraceptive use and associated factors among postpartum women attending the immunization clinic in Sodo town, Ethiopia. Method. This institution-based cross-sectional study was conducted among 416 study participants from May 25 to June 20, 2019. The data were collected by using a systematic random sampling technique of interviewer-administered questionnaires. Descriptive analysis was done, and results were presented in texts and tables. Variables at bivariate analysis with a p value < 0.2 were moved to the multivariate logistic regression model to control potential confounding variables. Statistical tests at p value < 0.05 during multivariate analysis were considered as a cutoff point to determine statistical significance. Results. A total of 416 postpartum women participated in the study yielding a response rate of 98.1%. The prevalence of intention on modern contraceptive use among study participants was 70%. The odds of intention on modern contraceptive use was higher among study participants who had secondary school education (AOR=2.052, 95% CI: 1.064-3.958), antenatal care visit (AOR=1.74; 95% CI: 1.02-2.95), knowledge on modern contraceptive use (AOR=2.54; 95% CI: 1.50-4.28), menses resumption (AOR=2.05; 95% CI: 1.14-3.68), and husband approval to use contraceptives (AOR=2.395, 95% CI: 1.501-5.458). Conclusion. The intention of modern contraceptive use among postpartum women was low. Family planning providers should emphasize reducing barriers of intention like lack of education, knowledge, male partner approval, antenatal care visit, and advise the impact of menses on fertility.

Do health service contacts with community health workers influence the intention to use modern contraceptives among non-users in rural communities? Findings from a cross-sectional study in Nigeria

“…The prevalence as found in this study may thus be expected to differ from those found in studies that covered larger groups of women. Two, the prevalence found in the current study also differs from the prevalence reported in an existing hospital-based study [43]. Usually, hospital-based studies covered a smaller proportion of childbearing women which often makes the result inconsistent with findings in population-based studies.…”

“…This provides support for findings in several existing studies conducted in Nigeria and elsewhere [41,46,47]. Also, the study revealed that several relational characteristics such as partners' education, women's financial autonomy, safer sex negotiation, and participation in household decisions may have a strong influence on the intention to use modern contraceptives in line with findings in previous studies [42,43]. The import of these findings is that the socio-demographic context of rural women cannot be exonerated from poor use or non-intention to use modern contraceptives.…”

“…We, therefore re-grouped the outcome variable into two categories, namely, 'intend to use' or 'otherwise' . This measure was consistent with how the intention to use contraceptives was operationalized in existing studies [41][42][43][44]. The main explanatory variable in the study was health service contacts.…”

“…Also, religion (Christianity, Islam, and others) was examined. Previous studies [42,43,[45][46][47] have shown that these variables are important correlates of the intention to use contraceptives.…”

Predictors of Willingness to Use Modern Contraceptives among female undergraduate students in a tertiary institution in Nigeria: The Health Belief Approach

“…This finding is consistent with a study carried out in Sodo Town, Southern Ethiopia, in which 70% of the participants were willing to use modern contraceptives. 26 It is also similar to findings of a study conducted in Ghana where the magnitude of the intention of postpartum family planning was 70%. 27 The prevalence of modern contraceptive use in this study was low (9.2%).…”