scholarly journals Uptake of postpartum modern family planning and its associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis.

Heliyon ◽  
2022 ◽  
pp. e08712
Author(s):  
Azimeraw Tesfu ◽  
Fentahun Beyene ◽  
Fikadu Sendeku ◽  
Kihinetu Wudineh ◽  
Getnet Azeze
2021 ◽  

Abstract The full text of this preprint has been withdrawn by the authors due to author disagreement with the posting of the preprint. Therefore, the authors do not wish this work to be cited as a reference. Questions should be directed to the corresponding author.


2021 ◽  
Author(s):  
Dereje Bayissa Demissie ◽  
Heran Worku Dadi

Abstract Introduction: The first 48 hours after a woman has given birth is a crucial period for taking the immediate postpartum contraceptive to prevent unintended pregnancy. However many women do not realize that the time to initiate contraceptive. The postpartum period is a critical period for addressing widespread unmet needs in family planning and for reducing the risks of closely spaced pregnancies.Objective: The aim of this study was to determine immediate postpartum modern family planning utilization and associated factors among women attending delivery at Public Health Facilities in Addis Ababa.Methods: A facility based cross-sectional study design was conducted from November to December, 2019. A systematic random sampling technique was used to select the study participants. Data were entered into Epi-data version 4.6.0.0 and analyzed with STATA version 14. Data were mainly analyzed using descriptive statistic and binary logistic regression. For the qualitative study purposive sampling technique was employed, and 7 participants were interviewed. Open coded thematic content analysis was used.Result: Of the total of 586 participants, 12.97 % with 95% CI: (10.1, 15.5) mothers were used immediate postpartum contraceptive methods, of which implant was the most frequently used method. Current knowledge of IPPFP (AOR=1.79, 95% CI: (1.02, 3.24)), Attitude towards IPPFP (AOR=1.73, 95% CI: (1.05, 2.85)) and counseled at delivery room (AOR=5.85, 95% CI: (2.57, 13.14)) were associated factors for utilizing contraceptive in the immediate postpartum period.Conclusion: Utilization of immediate postpartum modern family planning was low as compared to previous study done. This study identified that factors associated with utilization of immediate postpartum modern family planning were:- mothers’ knowledge, attitude towards postpartum modern family planning and had been counseled at delivery room were identified factors may increases likelihood of immediate postpartum family planning utilization. Therefore, these factors should be emphatically considered during antenatal care and post-partum care program development and training to improve contraceptive utilize during immediate postpartum period.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Alemu Degu Ayele ◽  
Habtamu Gebrehana Belay ◽  
Bekalu Getnet Kassa ◽  
Mulugeta Dile Worke

Abstract Background Preconception care is the provision of biomedical, behavioural, and social health interventions provided to women and couples before conception. However, in Ethiopia, little is known and practised to support preconception care. Therefore, this study aimed to assess women’s knowledge and utilisation of preconception care and its associated factors in Ethiopia using systematic review and meta-analysis. Method In the current meta-analysis, variables were searched from different electronic database systems, which included PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature. Data were extracted using a standardised data collection measurement tool. The data were analysed by using STATA 14 statistical software. I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled knowledge and utilisation of preconception care. Results Thirteen full-text studies were included. The pooled prevalence of knowledge and utilisation of preconception care among women in Ethiopia was 30.95% and 16.27% respectivelly. Secondary education (OR = 2.78, 95% CI,2.01–3.85), college and above (OR = 5.05, 95% CI,2.70–9.44), and antenatal care (OR = 3.89, 95% CI, 1.69–8.98) were significantly associated with knowledge level whereas; age (OR = 2.43, 95% CI, 1.30–4.53) and knowledge on preconception care (OR = 3.95, 95% CI,2.35–6.62) were positively associated with utilisation of preconception. Conclusions Women’s level of knowledge and utilisation of preconception care was significantly low. Educational status and antenatal care follow-up were factors shown to affect knowledge of preconception care. Age and having a sound knowledge of preconception care indicated a significant association towards utilisation of preconception care. Thus, integrating preconception care strategies and policies that can address all the components of preconception care services with other maternal and child health services will be essential when designing effective implementation strategies to improve preconception care uptake. Besides this, advocating for better education for women, awareness creation, and increasing antenatal care services are essential. Prospero registration: CRD42020218062


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