scholarly journals Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in southern Ethiopia

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Yibeltal Mesfin ◽  
Abraham Wallelign
Keyword(s):  
Family Planning ◽  
Sexual Intercourse ◽  
Postpartum Period ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Postpartum Family Planning ◽  
Contraception Use ◽  
Family Planning Counseling ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

Abstract Background Postpartum long-acting reversible contraceptive is important to prevent unintended and closed spaced pregnancy following the first 12 months of childbirth. Few data were available on postpartum long-acting reversible contraceptive use in Ethiopia. So, this study aimed to assess the long-acting reversible contraception use and associated factors among women who gave birth in the last 12 months. Methods A community-based cross-sectional study was conducted from October 1st to November 2019. Systematic random sampling was applied to recruit a total of 416 study participants. Data were collected using a structured questionnaire. Data were entered using Epidata 4.6 and exported to SPSS version 25 for analysis. P-value < 0.05 with 95% confidence interval (CI) used to declare statistical significance. Result In this study, long acting contraceptive utilization among women in the extended postpartum period was 22.6%. Maternal age ≤ 24 years (AOR = 3.7, 95% CI: 1.5, 8.9), being married (AOR =3.5 95% CI: (1.17–10.28)), menses resumption (AOR = 4.9 95% CI: (2.92, 8.20)), sexual intercourse resumption (AOR = 7.1 95% CI: (4.03, 12.56)) and received postpartum family planning counseling (AOR = 3.2 95% (1.95, 5.28)) were the factors associated with Long-acting reversible contraception use. Conclusion This finding showed postpartum women’s long-acting reversible contraceptive use during the extended postpartum period was low. The factors significantly associated with extended postpartum modern contraceptive use were women’s age, being married, menses resumption, sexual intercourse resumption, and got postnatal family planning counseling. Strengthening Antenatal and postnatal counseling of postpartum family planning would improve long-acting reversible contraception use.

scholarly journals Utilization and associated factors of modern contraceptives during postpartum period among women who gave birth in the last 12 months in injibara town Awi Zone, North-West Ethiopia 2019

2019 ◽  
Author(s):  
Getachew Andualem Belete ◽  
Almaz Aklilu Getu ◽  
Getahun Belay Gela
Keyword(s):  
Family Planning ◽  
Antenatal Care ◽  
Postpartum Period ◽  
Postnatal Care ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Postpartum Women ◽  
Modern Contraceptive ◽  
Modern Contraceptives ◽  
Modern Contraceptive Use

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.

scholarly journals Prevalence and pattern of long acting reversible contraceptive (LARC) methods use in immediate postpartum period at Jimma University Medical Center, Ethiopia

2019 ◽  
Author(s):  
Wariyo Duba Arero ◽  
Woubishet Girma Teka ◽  
Habtemu Jarso Hebo
Keyword(s):  
Postpartum Period ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Postpartum Family Planning ◽  
Completed Family Size ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive ◽  
Jimma University

Abstract Background Postpartum family planning (PPFP) is defined as the prevention of unintended pregnancy and closely spaced pregnancies through the first twelve months following childbirth. The immediate postpartum period is particularly favorable time to provide long-acting reversible contraceptive (LARC) methods and postpartum provision of LARC is safe and effective. Despite the advantages of LARCs, they are infrequently used in Ethiopia.Objective This study assessed the prevalence and pattern of LARC methods use among counseled mothers in immediate postpartum.Methods A cross-sectional study was conducted on 393 women who gave birth at Jimma University Medical Centre from 12 November 2016 to 21 January 2017. Data were collected by face-to-face interview and record review using pre-tested questionnaire and analysed using SPSS 20. Logistic regression was used to identify associated factors for LARCs use.Results Prevalence of LARCs use among immediate postpartum mothers was 53.2% (209/393) and more than three-fourths (78.0%) of participants used implanon. The most common reported reason for not using LARCs was preference of other method (25.5%). Having more than four alive kids (95% CI: 1.15,5.95), high monthly income (≥1000 ETB) (95% CI: 1.08,7.20), planning to delay next pregnancy by more than 2 years (95% CI: 1.60,9.28), completed family size (95% CI: 1.12,3.15), prior use of LARCs (95% CI: 1.30,7.20) and receiving counseling during antenatal care (ANC) follow-up and before delivery (95% CI: 1.01, 4.73) were associated with immediate postpartum LARCs use.Conclusion Although the prevalence of LARC methods use in immediate postpartum was good, counseling mothers during ANC follow-up and before delivery can further increase its use. Therefore, the need for providing counseling during ANC follow up and before delivery to increase utilisation of immediate postpartum LARC use is emphasised.Key terms Long-acting reversible contraception (LARC), Immediate postpartum, Ethiopia

scholarly journals Contraceptive use and associated factors among adolescents on Santiago Island - Cape Verde - Western Africa

2010 ◽  
Vol 10 (2) ◽  
pp. 229-236 ◽  
Author(s):  
Carlos Mendes Tavares ◽  
Néia Schor ◽  
Ivan França Junior
Keyword(s):  
Public Schools ◽  
Sexual Intercourse ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Cape Verde ◽  
Capital City ◽  
Cross Sectional ◽  
Contraception Use ◽  
Santiago Island ◽  
Years Of Schooling

OBJECTIVE: to estimate the prevalence of contraceptive use and associated factors among adolescents attending public schools on Santiago Island, Cape Verde. METHODS: a cross-sectional study was carried out with 368 sexually active adolescents aged 13-17years attending eight public elementary and high schools, randomly selected, on Santiago Island, Cape Verde, between January and March 2007. Poisson regression with robust variance was used for the multiple analysis of risk factors, at a 5% level of significance. RESULTS: among 368 adolescents, 69.3% reported having used a contraceptive method during the last act of sexual intercourse. The most frequently used method were condom (94.9%) and pill (26.4%). Factors significantly and positively associated with contraceptive use were: living in the capital (PR=1.23; CI95%: 1.07; 1.39); having dated and had sexual intercourse (PR =1.53; CI95%: 1.14;2.06); and having more than nine years of schooling (PR=1.19; CI95%: 1.02; 1.38). CONCLUSIONS: more educated adolescents who studied in Praia (the capital city) and were dating at the time of the study were more likely to use contraception. The high prevalence of condom use and the association between contraception use and years of schooling among adolescents may indicate that sexual and reproductive health policies have produced positive outcomes that may account for the decrease in HIV infection.

Assessing (in) equalities in contraceptives use and family planning demand satisfied with modern contraceptives in Kenya

2020 ◽  
Author(s):  
Peter Gichangi ◽  
Alfred Agwanda ◽  
Mary Thiongo ◽  
Michael Waithaka ◽  
Amy Tsui ◽  
...  
Keyword(s):  
Higher Education ◽  
Family Planning ◽  
Older Women ◽  
Contraceptive Use ◽  
Wealth Quintile ◽  
Married Women ◽  
Modern Contraceptives ◽  
Contraception Use ◽  
Contraceptive Prevalence ◽  
Long Acting

Abstract Background: Family planning plays an important role in reducing high-risk and unwanted pregnancies and associated complications. Kenya has made progress increasing the use of modern contraceptives. We assessed inequalities in contraceptive use and family planning demand satisfied.Methods: We used data from seven rounds of Performance, Monitoring and Accountability 2020 cross-sectional surveys, 2014-2018. Women aged 15-49 years were interviewed after informed consent was obtained. Contraceptive prevalence and demand for family planning satisfied standard definitions were used. Data were stratified by type of contraception (long-acting/permanent, short-acting, or traditional); wealth, residence, education, age, and wealth. Data were analysed using Stata v14.Results: Modern contraceptive prevalence has increased from 58.7% in 2014 to 64.2% in 2018 among sexually active married women. Total demand for family planning satisfied (DFPS) has increased from 70.5% in 2014 to 79.0% in 2018. There was a significant increase in long acting/permanent methods from 27.1% in 2014 to 42.9% in 2018 and a decrease in short acting methods from 71.6% in 2014 to 54.0% in 2018. The odds of contraception use among older women was 1.48 times higher than among adolescents (aOR=1.48; 95% CI: 1.21, 1.81); among married women 0.74 times compared to the unmarried women (aOR 0.74; 95% CI: 0.63, 0.86). The odds of contraception use increased with increasing education (secondary or higher education: aOR 3.78; 95% CI: 2.90, 4.92) and wealth quintiles (highest wealth quintile: aOR = 1.36; 95% CI: 1.12, 1.65). There were significant differences in DFPS by modern methods: older women vs adolescents (aOR = 2.40; 95% CI: 1.96, 2.93); married vs unmarried women (aOR = 1.53; 95% CI: 1.32, 1.78); secondary or higher education vs no education: aOR 2.39 (95% CI: 1.95, 2.94); and highest vs lowest wealth quintile: aOR = 1.53 (95% CI: 1.24, 1.89).Conclusion: Contraceptive use and specifically long-acting reversible contraceptives are on the rise in Kenya. However, persistent inequities need to be addressed if no women are going to be left behind to access and use family planning/contraceptives. Current achievements should be maintained while targeting women who are poor, uneducated/illiterate, young, and living in rural areas.

scholarly journals Postpartum Family Planning Utilization and Associated Factors among women who gave birth in the past 12 months, Hawassa Town, Southern Ethiopia: a community based cross-sectional study

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Family Planning ◽  
Postpartum Period ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Modern Contraceptive ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Immunization Service ◽  
Postpartum Family Planning

Background: Addressing family planning in the postpartum period is crucial for better maternal, neonatal and child survival because tenable women to achieve healthy interval between births. Many women do not realize that they are at a risk for pregnancy during this period. Thus, the objective of this study was to assess the utilization of postpartum family planning services among postpartum women and associated factors in Hawassa, Ethiopia. Methods: A community based cross-sectional study was conducted among 381 women in Hawassa City from April to May 2018 in Hawassa City. Study subjects were selected by systematic random sampling technique. Structured questionnaire was used to collect the data through interview. Data analyzed by SPSS 20. Multi-variable logistic regression was used and significance declared at p-value ≤ 0.05. Results: The prevalence of contraceptive utilization was found to be 147 (38.6%) among women in the postpartum period. The majority of current contraceptive users were injectable (35.4%).The odds of postpartum family planning utilization was statistically significantly associated with received FP education after delivery at immunization service [AOR=4.11; 95% CI ; 2.143,7.864 ], mothers’ discussion with husband on family planning issue [AOR=9.7; 95% CI;4.15, 22.6], Family planning problem [AOR=0.5;95% CI; 0.28,0.89 ], 0-6 month of postnatal period [AOR=0.23; 95% CI;0.124, 0.430] and 1-4 number of pregnancy [AOR=0.05; 95% CI; 0.0124, 0.170] History of abortion [AOR=0.23; 95% CI;0.124, 0.430] . Conclusion: Postpartum family planning use is still low. Consequently, this finding implies the need to get better with those factors to enhance the uptake of postpartum modern contraceptive through well-organized family planning education and follow up for the reproductive age women.

scholarly journals Uptakes and associated factors of postpartum family planning in southern Ethiopia: A cross-sectional study

2021 ◽  
Vol 8 (3) ◽  
pp. 388-396
Author(s):  
Dubale Dulla Koboto ◽  
Sintayehu Assefa
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
First Year ◽  
Sectional Study ◽  
Cross Sectional ◽  
Postpartum Family Planning

Post-partum family planning aims to prevent unintended pregnancy within the first year postpartum. Closely spaced pregnancy within the first year of post-partum (PP) is associated with higher risk of preterm birth, low birth weight or small for gestational age. However, the perceived uptakes of postpartum contraceptives is very low. The intention of this study was determine uptakes and associated factors of postpartum family planning in southern Ethiopia. The study was conducted in Hawassa city administration which is the capital of SNNPR. Community based cross-sectional study was employed women who gave birth in the last 12 months before survey. Data was collected using structured questionnaire proceeding informed verbal consent. Logistic regression model was used to identify associations between variables and findings were presented by tables and figures. The prevalence of current post-partum contraceptive use was 85.1%. After adjusting for covariates; the odds of using postpartum contraceptive were 1.31 times, 12.13 times, 5.17 times, 10.77 time and 4.69 times higher among women with, knowledge about advantages and side effects of contraceptives, partner support for contraceptive use, previously contraceptive use and not returned period respectively with (P &#60;0. 05).uptakesofpostpartum contraceptives in Hawassa city administration was promising. Detailed counseling about postpartum contraceptive use, could assist equipping women with knowledge of family planning methods; empowering them to be decisive in the health and positivity of male partners are very crucial to promote postpartum use of contraceptives.

scholarly journals Prevalence of postpartum family planning utilization and associated factors among postpartum mothers in Arba Minch town, South Ethiopia

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Biresaw Wassihun ◽  
Kidist Wosen ◽  
Asmare Getie ◽  
Kalkidan Belay ◽  
Rehal Tesfaye ◽  
...  
Keyword(s):  
Family Planning ◽  
Antenatal Care ◽  
Odds Ratio ◽  
Postnatal Care ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Educational Status ◽  
Postpartum Women ◽  
Postpartum Family Planning ◽  
Study Participants

Abstract Background Contraception allows women to realize their human right to decide if and when to have children and helps people to attain their desired family size. Yet 214 million women of a reproductive age in developing countries who want to avoid pregnancy are not using a modern contraceptive method. Women who have recently given birth are among the group with the highest unmet need for contraception. Therefore, this study was aimed to assess the prevalence of postpartum family planning use and associated factors among postpartum women in Southern Ethiopia. Methods Institution based cross-sectional study design was conducted. A structured and pretested interviewer-administered questionnaire was used to collect the data from study participants. Study participants were selected using a systematic random sampling technique by allocating proportionally to each health facility. The data was entered using EPI data version 3.1statistical software and exported to Statistical Package for Social Sciences version 22.0 for further analysis. Both bivariate and multivariate logistic regression analyses were performed to identify associated factors. P values < 0.05 with 95% confidence level was used to declare statistica significance. Result Overall, 44% of postpartum women utilize postpartum family planning. Having an antenatal care visit [adjusted odds ratio (AOR) =1.89(95%CI, 2.42–7.90), having planned pregnancy [adjusted odds ratio (AOR) = 1.17(95%CI, 1.60–2.28)], being married (adjusted odds ratio (AOR) =2.86(1.94–8.73), and having a college and above level educational status (AOR) =1.66(1.28–3.55) were significantly associated with utilization of postpartum family planning. Conclusion This study showed that the prevalence of postpartum family planning was 44%. Marital status, educational status of mothers, the status of pregnancy, and having an antenatal care follow-up during pregnancy were some factors associated with postpartum family planning utilization. Therefore, strengthening family planning counselling during antenatal and postnatal care visits, improving utilization of postnatal care services and improving women’s educational status are crucial steps to enhance contraceptive use among postpartum women.

Contraception in Adolescents

2021 ◽  
Author(s):  
Shandhini Raidoo ◽  
Marit Pearlman Shapiro ◽  
Bliss Kaneshiro
Keyword(s):  
Contraceptive Use ◽  
Unwanted Pregnancy ◽  
Healthcare Providers ◽  
The United States ◽  
Sexually Active ◽  
Contraceptive Methods ◽  
Contraceptive Counseling ◽  
Unscheduled Bleeding ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.

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