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

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

scholarly journals 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

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.

scholarly journals 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.

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.

scholarly journals Postpartum Visit Attendance Increases the Use of Modern Contraceptives

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Saba W. Masho ◽  
Susan Cha ◽  
RaShel Charles ◽  
Elizabeth McGee ◽  
Nicole Karjane ◽  
...  
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Care Organization ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Good Opportunity ◽  
Modern Contraceptive Use ◽  
Managed Care Organization

Background. Delays in postpartum contraceptive use may increase risk for unintended or rapid repeat pregnancies. The postpartum care visit (PPCV) is a good opportunity for women to discuss family planning options with their health care providers. This study examined the association between PPCV attendance and modern contraceptive use using data from a managed care organization. Methods. Claims and demographic and administrative data came from a nonprofit managed care organization in Virginia (2008–2012). Information on the most recent delivery for mothers with singleton births was analyzed (N = 24,619). Routine PPCV (yes, no) and modern contraceptive use were both dichotomized. Descriptive analyses provided percentages, frequencies, and means. Multiple logistic regression was conducted and ORs and 95% CIs were calculated. Results. More than half of the women did not attend their PPCV (50.8%) and 86.9% had no modern contraceptive use. After controlling for the effects of confounders, women with PPCV were 50% more likely to use modern contraceptive methods than women with no PPCV (OR = 1.50, 95% CI = 1.31, 1.72). Conclusions. These findings highlight the importance of PPCV in improving modern contraceptive use and guide health care policy in the effort of reducing unintended pregnancy rates.

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

2019 ◽  
Vol 4 (1) ◽  
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.

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

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.

scholarly journals Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Setegn Muche Fenta ◽  
Shewayiref Geremew Gebremichael
Keyword(s):  
Rural Women ◽  
Contraceptive Use ◽  
Community Level ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
Sexually Active ◽  
Contraceptive Methods ◽  
Contraceptive Usage ◽  
Modern Contraceptive Use ◽  
Multi Level

Abstract Background Ethiopia is one of the Sub-Saharan Africa countries with the lowest modern contraceptive prevalence rate and the highest fertility rate. This study aimed to assess individual and community-level predictors of modern contraceptive use among sexually active rural women in Ethiopia. Data and methods A sample of 9450 sexual active rural women aged 15-49 was extracted from the 15, 683 nationally representative samples of 2016 Ethiopian Demographic and Health Survey (EDHS). Multi-level logistic regression model was considered to identify determinant factors of modern contraceptive use among sexually active rural women in Ethiopia. Result The prevalence of modern contraceptive use among respondents was 20% in rural Ethiopia. Injection (66.35%) was the most common type of modern contraceptive use. In the last full model of the multilevel analysis, individual and community-level factors accounted for 86.69% of the variation in the use of modern contraceptive methods. Secondary and above-educated women (AOR = 1.39, 95%CI: 1.06, 2.81), having 1-4 living children (AOR = 2.70, 95%CI: 2.07, 3.53), rich wealth status (AOR = 2.26, 95%CI: 1.96, 2.60), married women (AOR = 17.31, 95%CI: 10.72, 27.94), having primary educated husband (AOR = 1.45, 95%CI: 1.27, 1.67) and being working husband (AOR = 2.26, 95%CI: 1.96, 2.60) were significantly positively associated with individual-level factors of the use of modern contraceptive methods. Besides, modern contraceptive use was negatively associated with Muslim women (AOR = 0.29, 95%CI: 0.25, 0.33). Compared to the Tigray region, women living in the Afar, Somali, Harari, and Dire Dawa regions had lower use of modern contraceptive methods. Women who had access to mass media (AOR = 1.35, 95%CI: 1.16, 1.57) were more likely to use contraceptives than their counterparts. Conclusion The prevalence of modern contraceptive use among rural women has very low. Both individual and community-level factors were significant predictors of modern contraceptive use. Consequently, the government and other stakeholders need to address educational opportunities; creating awareness about modern contraception and valuable counseling would increase modern contraceptive methods utilization.

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