Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors
نویسندگان
چکیده
OBJECTIVES The postpartum period is a critical period for addressing widespread unmet needs in family planning and for reducing the risks of closely spaced pregnancies. However, contraception during the extended postpartum period has been underemphasized in Ethiopia. Therefore, this study aimed to assess postpartum modern contraceptive use among women in northern Ethiopia and to identify factors associated with modern contraceptive use in the postpartum period. METHODS A community based cross-sectional study was conducted from March to April, 2015. Data were entered using Epi Info version 7 and then exported into Stata version 12 for analysis. Bivariate and multivariate logistic regression models were fitted to identify the determinants of postpartum modern contraceptive use. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated, and p-values <0.05 were considered to indicate statistical significance. RESULTS Nearly half (48.0%) of women used modern contraceptives during the extended postpartum period. Postpartum modern contraceptive use was significantly associated with secondary and tertiary education levels (aOR, 4.25; 95% CI, 1.29 to 14.00; aOR, 5.36 ; 95% CI, 1.14 to 25.45, respectively), family planning counseling during prenatal and postnatal care (aOR, 5.72 ; 95% CI, 2.67, 12.28), having postnatal care (aOR, 2.36; 95% CI, 1.15 to 4.87), resuming sexual activity (aOR, 9.53; 95% CI, 3.74 to 24.27), and menses returning after birth (aOR, 6.35; 95% CI, 3.14 to 13.39). In addition, experiencing problems with previous contraceptive use was negatively associated with modern contraceptive use (aOR, 0.34; 95% CI, 0.16 to 0.72). CONCLUSIONS Low rate of postpartum modern contraceptive use were found in the study area. Therefore, strengthening family planning counseling during antenatal and postnatal care visits, improving utilization of postnatal care services and improving women's educational status are crucial steps for to enhance modern contraceptive use among postpartum women.
منابع مشابه
Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issue in this cross-sectional study
1 We greatly respect the comments made by the above readers of our article, as they have precisely pointed out a methodological limitation of our design. We certainly recognize this study design limitation. In our nation (Ethiopia), the prevalence and associated factors of postpartum contraceptive use have not yet been assessed. Therefore, we as the authors of this study believe that assessing ...
متن کاملPostpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issues in this cross-sectional study
1 Dear Editor, We read the paper entitled ‘Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors,’ written by Abraha et al. [1], which was published in Epidemiology and Health in March 2017. The aim of the study was to assess postpartum modern contraceptive use and associated factors among postpartum women in northern Ethiopia. A multivariable logistic regr...
متن کاملAssessment of contraceptive needs and practices of women during the extended postpartum period in Kiramu Woreda, Western Ethiopia
The extended postpartum period is the time which is usually given less emphasis regarding family planning by policy makers, service providers and users. However, it is a time with a rising risk of unwanted conception and an often-frustrated desire for contraceptive protection. Understanding the contraceptive behaviors, needs and preferences of women in this period is important the main objectiv...
متن کاملAssessment of contraceptive needs and practices of women during the extended postpartum period in Kiramu Woreda, Western Ethiopia
The extended postpartum period is the time which is usually given less emphasis regarding family planning by policy makers, service providers and users. However, it is a time with a rising risk of unwanted conception and an often-frustrated desire for contraceptive protection. Understanding the contraceptive behaviors, needs and preferences of women in this period is important the main objectiv...
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BACKGROUND Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. Though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind in Ethiopia. This study aimed to identify factors associated with modern contraceptive use and to examine its geographical v...
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