Modern contraceptive use among postpartum women living with HIV attending mother baby care points in Kabarole District, Uganda

Abstract Background: The postpartum period is an important entry point for family planning service providers to reduce unintended and too closely spaced pregnancy. A postpartum modern contraceptive service is one of the recommended public health interventions for reducing maternal and child morbidity and mortalities. However, In Ethiopia modern contraceptive use during the postpartum period is low; resulting in unintended pregnancies and unwanted childbearing . there for this study was done to assess utilization and associated factors of modern contraceptives during the postpartum period among women who gave birth in the last 12 months in Injibara Town Awi Zone, North-Western Ethiopia. Methods: A Community based cross-sectional study design was conducted from March 01 to 15/2019 on 400 women who gave birth in the last 12 months preceding the survey. A simple random sampling technique was used to recruit study subjects. Data was collected using interviewer-administered pretested and structured questionnaires. Data were entered using Epi data 3.5 and exported to SPSS version 23 for analysis. The association between variables was analyzed using Bivariate and multivariable logistic regression models and p-value < 0.05 at 95% Confidence interval was considered as statistically significant. Result: The prevalence of modern contraceptive utilization was 58.5% (95% CI: 53.5- 63%) among postpartum mothers. Secondary school and higher educational levels [AOR= 5.02; 95% CI (1.53-16.47)],[AOR= 4.25; 95% CI:(1.32-13.64) respectively)], previous history of abortion [AOR= 3.93; 95%, CI: (1.43-10.84)], having three and four antenatal care visit [AOR= 4.74; 95%, CI: (1.94-11.54)] [AOR= 5.9; 95%, CI: (2.42-14.39) respectively], family planning counselling during antenatal care [AOR=2.81; 95% ,CI: (1.63- 4.86)], having postnatal care [AOR =1.79, 95%, CI: (1.09-2.96)], menses returning after birth [AOR=2.84, 95% CI: (1.77- 4.57)] and resuming sexual activity [AOR= 2.86, 95% CI: (1.71-4.78)] were factors affecting contraceptive use in postpartum period. Conclusion : The prevalence of modern contraceptive use among postpartum women was found to be high in Injibara town. Therefore, strengthen family planning counseling during antenatal care and postnatal care to reduce the missed opportunity of postpartum women to get family planning methods, especially long-acting reversible contraceptives.

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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

BioMed Research International ◽

10.1155/2020/9815465 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Natnael Atnafu Gebeyehu ◽

Eyasu Alem Lake ◽

Kelemu Abebe Gelaw ◽

Gedion Asnake Azeze

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Cross Sectional Study ◽

Postpartum Women ◽

Modern Contraceptive ◽

Sectional Study ◽

Cross Sectional ◽

Care Visit ◽

Modern Contraceptive Use ◽

Study Participants

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.

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Influence Of Antenatal Health Care Visit On Modern Contraceptive Use Among Postpartum Women In Ghana

Reproductive Medicine Gynaecology & Obstetrics ◽

10.24966/rmgo-2574/100054 ◽

2020 ◽

Vol 5 (4) ◽

pp. 1-11

Author(s):

Desmond Klu ◽

Keyword(s):

Health Care ◽

Contraceptive Use ◽

Postpartum Women ◽

Modern Contraceptive ◽

Care Visit ◽

Health Care Visit ◽

Modern Contraceptive Use

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Determinants of modern contraceptive use among postpartum women in two health facilities in urban Ghana: a cross-sectional study

Contraception and Reproductive Medicine ◽

10.1186/s40834-019-0098-9 ◽

2019 ◽

Vol 4 (1) ◽

Cited By ~ 2

Author(s):

Jonathan Ian Coomson ◽

Abubakar Manu

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Contraceptive Use ◽

Male Partner ◽

Postpartum Women ◽

Modern Contraceptive ◽

Cross Sectional ◽

Modern Methods ◽

Modern Contraceptive Use ◽

Contraceptive Uptake

Abstract Background Postpartum contraception is important for spacing and limiting childbirth. Although the use of modern contraception has been shown to reduce maternal and child morbidities and mortalities, postpartum women have one of the highest unmet needs for family planning. Inter-birth intervals less than 24 months have adverse effects on both the mother and the child, yet very limited empirical evidence exist on contraceptive use among postpartum women in Ghana. This study sought to determine the prevalence and determinants of modern contraceptive use among postpartum women in the Tema Metropolis, Ghana. Methods A facility-based cross-sectional survey was conducted among 320 postpartum women with babies aged between three and 15 months. Participants were recruited from child welfare clinics in two government health facilities in the Tema metropolitan area using a simple random sampling technique. Data were analyzed using STATA version 15. Chi-square and multiple logistic regressions techniques were used to examine associations between postpartum contraceptive use and key independent variables. Statistical significance was set at p = 0.05. Adjusted odds ratios and their 95% confidence intervals were used to assess the strength of association. Results The prevalence rate of modern contraceptive use among postpartum women was 26.3%. Postpartum contraceptive use was significantly associated with past contraceptive use [AOR = 7.7 (95%CI: 3.4–17.5)]; return of menses [AOR = 4.3 (95%CI: 1.7–11.3)]; resumption of sexual activity [AOR = 4.7 (95%CI: 1.4–15.4)]; discussion of family planning with male partner [AOR = 3.1 (95%CI: 1.03–9.2)]; male partners’ approval of modern contraception [AOR = 18.1 (95%CI: 6.3–51.6)]; family planning counselling received during antenatal care [AOR = 3.5 (95%CI: 1.3–9.9)] and knowledge of at least one modern methods of contraception available at the health facility [AOR = 4.7 (95%CI: 1.9–11.5)]. Conclusions Postpartum contraceptive uptake is low among women in the Tema area. Factors that influence modern contraceptive uptake among postpartum women include past modern contraceptive use, resumption of sexual activity and menstruation, male partner involvement in contraception, family planning counselling during antenatal care and knowledge of the modern methods of contraception available at the health facility. Strengthening family planning education and counselling during antenatal care and using a multi-prong strategy to engage men as partners in family planning will improve postpartum contraceptive uptake.

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The intention on Modern Contraceptive Use and Associated Factors among Postpartum Women in Public health institutions of Sodo Town, Southern Ethiopia 2019: Institutional Based Cross-Sectional Study.

10.21203/rs.2.22139/v1 ◽

2020 ◽

Author(s):

Natnael Atnafu Gebeyehu ◽

Kelemu Abebe

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Contraceptive Use ◽

P Value ◽

Postpartum Women ◽

Modern Contraceptive ◽

Cross Sectional ◽

Antenatal Care Visit ◽

Care Visit ◽

Modern Contraceptive Use

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 study was aimed to assess the intention of modern contraceptive use and associated factors among postpartum women attending the immunization clinic in Sodo Town.Method: Institutional based cross-sectional study design with a sample size of 416 was conducted from May 25 to June 20, 2019. The data were collected by using a systematic random sampling technique of interviewer-administered questionnaires. Those candidate variables at Bivariate analysis with a p-value<0.2 were moved to the Multivariate logistic regression model to control potential confounding variables and P-value<0.05 at multivariate analysis was considered as a cutoff pointResults: A total of 416 postpartum women participated in the study yielding a response rate of 98.1 % and 291 (70%) of them had an intention on modern contraceptive use. The odds of intention on modern contraceptive use was higher among respondents who had secondary school education (AOR=2.052, 95%CI: 1.064-3.958) than participants with no formal education. It was also higher among antenatal care visit attendees (AOR=1.736,95%CI:1.021-2.951) than those did not attend antenatal care visit. Knowledgeable participants on modern contraceptive use were more likely intend to use (AOR=2.535, 95%CI: 1.499-4.282) than their counterparts. Besides, the odds of the intention of modern contraceptive use among postpartum women who had menses resumption were higher (AOR=2.047,95%CI:1.141-3.675)than those whose menses not resumed.Participants who had husband approval were more likely to intend to use contraceptives (AOR=2.395,95%CI:1.501-5.458) than their counterparts.Conclusion: The intention of modern contraceptives 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.

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Assessment of Modern Contraceptive Utilization and Associated Factors Among Women Living With HIV/AIDS In Debre Tabor Referral Hospital In Debre Tabor Town, South Gondar Zone, North Central Ethiopia

10.21203/rs.3.rs-140041/v1 ◽

2021 ◽

Author(s):

Endeshaw Chekol Abebe ◽

Teklie Mengie ◽

Tadesse Asmamaw Dejenie ◽

Zelalem Tilahun Muchie

Keyword(s):

Associated Factors ◽

Contraceptive Use ◽

Referral Hospital ◽

P Value ◽

Modern Contraceptive ◽

Women Living With Hiv ◽

Contraceptive Utilization ◽

Debre Tabor ◽

Living With Hiv ◽

Hiv Aids

Abstract Introduction: Preventing unintended pregnancy among HIV-positive women constitutes a critical global public health priority for addressing the desperate state of maternal and child health in HIV hyper endemic settings, yet few data exist on contraceptive use among women entering ART follow up in Debre Tabor Referral Hospital. Objective: The main objective of this study was to assess contraceptive utilization and associated factors among women aged 15-49 years living with HIV/AIDS in Debre Tabor Referral Hospital.Methods: Institution based cross-sectional study was conducted from January 02 to February 03, 2020 on women aged 15-49 years living with HIV/AIDS in Debre Tabor Referral Hospital. A total of 415 reproductive women living with HIV/AIDS were selected for the study using simple random sampling technique. Data was collected using a Structured questionnaires through face to face interview by two trained nurses assigned at ART clinic of DTH during data collection period. The data was presented using descriptive statistics of frequency and percentage and the association between dependent and selected independent variables was determined by inferential statistics of chi-square test.Result: The study analysis shows that there is significant association (p-value<0.05) between educational status (p-value=0.000), knowledge about modern contraceptive (p-value=0.000), spouse approval (p-value=0.000) and receive counseling about modern contraceptive (p-value=0.000) with their modern contraceptive use.Conclusion: This study in generally showed lower utilization of modern contraceptive in the study area.

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Assessment of Modern Contraceptive Utilization and Associated Factors Among Women Living With HIV/AIDS In DTRH In Debre Tabor Town, South Gondar Zone, Ethiopia

10.21203/rs.3.rs-196403/v1 ◽

2021 ◽

Author(s):

Endeshaw Chekol Abebe ◽

Teklie Mengie Ayele ◽

Tadesse Asmamaw Dejenie ◽

Zelalem Tilahun Muche

Keyword(s):

Associated Factors ◽

Contraceptive Use ◽

Modern Contraceptive ◽

Global Public Health ◽

Cross Sectional ◽

Women Living With Hiv ◽

Contraceptive Utilization ◽

Debre Tabor ◽

Living With Hiv ◽

Hiv Aids

Abstract Background: Preventing unintended pregnancy among HIV-positive women constitutes a critical global public health priority for addressing the desperate state of maternal and child health in HIV hyper endemic settings, yet few data exist on contraceptive use among women having ART follow up in Debre Tabor Referral Hospital (DTRH). Therefore, the main objective of this study was to assess contraceptive utilization and associated factors among women aged 15-49 years living with HIV/AIDS in DTRH, Ethiopia.Methods: Institution based cross-sectional study was conducted from January 02 to February 03, 2020 on women aged 15-49 years living with HIV/AIDS in DTRH. A total of 415 reproductive women living with HIV/AIDS were selected for the study using simple random sampling technique. Data was collected using structured questionnaires through face to face interview by two trained nurses assigned at ART clinic of DTRH during data collection period. The data was presented using descriptive statistics of frequency and percentage and the association between dependent and selected independent variables was determined by inferential statistics of chi-square test.Result: The study analysis shows that there is significant association (p<0.05) between educational status (p<0.001), knowledge about modern contraceptive (p<0.001), spouse approval (p<0.001) and receive counseling about modern contraceptive (p<0.001) with their modern contraceptive use.Conclusion: This study in generally showed lower utilization of modern contraceptive in the study area.

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Belief System: A Barrier to the Use of Modern Contraceptives among the Idoma of Benue State, North Central Nigeria

Journal of Asian and African Studies ◽

10.1177/0021909619888774 ◽

2019 ◽

Vol 55 (4) ◽

pp. 600-616

Author(s):

Chiemezie Scholastica Atama ◽

Uzoma Odera Okoye ◽

Amelia Ngozi Odo ◽

Aloysius Odii ◽

Uche Teresa Okonkwo

Keyword(s):

Contraceptive Use ◽

Group Discussion ◽

Belief System ◽

Modern Contraceptive ◽

Chi Square ◽

North Central ◽

System A ◽

Modern Contraceptives ◽

Depth Interview ◽

Modern Contraceptive Use

Despite the benefit of modern contraception, its use remains low in Nigeria. This study examined belief system as a barrier to the use of modern contraceptives among the Idoma of Benue State, North Central Nigeria. Questionnaire ( n = 1107), in-depth interview ( n = 6) and focus group discussion ( n = 52) were used to collect data from three local government areas (LGAs). The results showed high levels of knowledge (88.0%), however, only 37.8% used modern contraceptives. The male condom had the highest percentage use (56.7%). Chi-square results showed that LGA, education and occupation were significantly related to the use of modern contraceptives. Being of greater age increased the likelihood of use, whereas higher levels of education and income decreased the likelihood of modern contraceptive use ( p < 0.05). Qualitative data indicated that married women were expected to eschew modern contraceptives due to their belief in Alekwu, the community deity. Designing interventions that are culturally specific could promote use of modern contraceptives among the group.

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