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 Contraceptive utilization and associated factors among women in the extended post-partum period in wukro town, Tigray, Ethiopia: a community based cross sectional study

2019 ◽  
Author(s):  
Natnael Etsay Assefa ◽  
Yodit Zewdie Berhe ◽  
Weldu Mammo Werid ◽  
Meresa Berewo Mengesha ◽  
Kidanemariam Berhe Tekola ◽  
...  
Keyword(s):  
Family Planning ◽  
Birth Interval ◽  
Postpartum Period ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Contraceptive Utilization ◽  
Post Partum Period

Abstract Background: The extended post-partum period is the twelve months after delivery, which is a very critical time for mothers to ensure a safe birth interval. Many women do not realize that they are at risk of pregnancy during the postpartum period and the importance of birth interval. Birth interval more than two years reduces maternal and child mortality and give a better health for the mother and the child. Because of this assessing post-partum contraceptive utilization and the determining factors is crucial. Hence, the study was conducted to determine contraceptive utilization and identify factors which affect post -partum contraceptive utilization Methods: A community based cross sectional study was implemented among 422 women who gave birth one year prior to the study period in wukro town. The total sample size was allocated to the three kebeles proportionally. Systematic random sampling technique was used to select study subjects. Data were collected by interviewer administered structured questionnaire. The data were coded and entered using EpiData version 3.1 and transported to Statistical Package for Social Science version 20 for analysis. Binary and multivariable logistic regressions were fitted. Odds ratio with 95% confidence interval was used to measure strength of association. Results: A total of 422 women were enrolled in this study. Nearly half (48.6%) of the women were using contraceptive. Multivariable logistic regression showed that prenatal counseling [AOR 3.06(95% CI; 1.30, 7.22)], menses returned [AOR 3.99(95% CI; 1.96, 8.11)] and resuming sexual activity [AOR 5.96(95% CI; 2.67, 13.3)] were positively associated with utilization of postpartum contraceptive. Conclusions: Postpartum contraceptive use was low. Strengthening prenatal family planning counseling and improving women’s awareness about the return of their fertility after childbirth are suggested to improve family planning utilization in extended postpartum period.

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 <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 Low prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, Northwest Ethiopia: a community based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew
Keyword(s):  
Rural Communities ◽  
Associated Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Active Trachoma ◽  
Study Participants

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

scholarly journals Men’s involvement in family planning service utilization among married men in Kondala district, western Ethiopia: a community-based comparative cross-sectional study

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Lemessa Assefa ◽  
Zemenu Shasho ◽  
Habtamu Kebebe Kasaye ◽  
Edao Tesa ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Family Planning ◽  
Service Utilization ◽  
Family Planning Service ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Planning Service ◽  
Community Based ◽  
Cross Sectional ◽  
Western Ethiopia ◽  
Men’S Involvement

Abstract Background Men involvement is one of the important factors in family planning (FP) service utilization. Their limitation in the family planning program causes a decrease in service utilization as well as the discontinuation of the method which eventually leads to failure of the program. Family planning uptake is low but there is no enough study conducted on the parameters of husband involvement in Ethiopia. Hence, this study focused to assess men’s involvement in family planning service utilization in Kondala district, western Ethiopia. Methods Community based comparative cross-sectional study design was employed in urban and rural kebeles of kondala district using quantitative and qualitative data collection tools. The multi-stage sampling method was employed to select 370 participants from each of the four urban and eight rural kebeles. Logistic regression analysis was used to identify variables that affect husbands’ involvement in FP service utilization. Statistical significance was declared at p-value of < 0.05 with 95% confidence interval (CI) and strength of association was reported by odds ratio (OR). Results The study showed that 203(55.6%) men from urban and 178(48.8%) from rural were involved in FP service utilization. The median age of the respondents was 36+ 8.5 years (IQR: 27.5–44.5) in urban and 35 years (IQR: 25–45) in rural parts. Respondents who had four and above current children (AOR = 3.25, 95%CI = 1.51–7.02) in urban and (AOR = 4.20, 95%CI = 1.80–9.79) in rural were positively associated with men’s involvement in FP service utilization. In the urban setting, being government employee (AOR = 2.58, 95%CI = 1.25–5.33), wishing less than two children (AOR = 3.08, 95%CI = 1.80–5.24) and having a better attitude towards FP methods (AOR = 1.86, 95%CI = 1.16–2.99) were positively associated with FP service utilization. While good educational background (AOR = 2.13, 95%CI = 1.02–4.44), short distance from home to health facility (AOR = 2.29, 95%CI = 1.24–4.19) and having better knowledge (AOR = 4.49, 95%CI = 2.72–7.38) were positively associated with men involvement in FP service utilization in the rural area. Conclusion Low involvement of men in family planning service utilization was reported in both settings. Factors associated with husbands’ involvement were varied between the two setups, except for the current number of children. Future FP program should incorporate infrastructure associated with the health facility, knowledge, and attitudinal factors.

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