Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issue in this cross-sectional study

Background Short inter-pregnancy interval is an interval of <24 months between the dates of birth of the preceding child and the conception date of the current pregnancy. Despite its direct effects on the perinatal and maternal outcomes, there is a paucity of evidence on its prevalence and determinant factors, particularly in Ethiopia. Therefore, this study assessed the prevalence and associated factors of short inter-pregnancy interval among pregnant women in Debre Berhan town, Northern Ethiopia. Methods A community based cross-sectional study was conducted among a randomly selected 496 pregnant women in Debre Berhan town from February 9 to March 9, 2020. The data were collected by using an interviewer-administered questionnaire and analyzed using STATA (14.2) statistical software. To identify the predictors of short inter-pregnancy interval, multivariable binary logistic regression was fitted and findings are presented using adjusted odds ratio (AOR) with 95% confidence interval (CI). Result The overall prevalence of short inter-pregnancy interval (<24 months) among pregnant women was 205 (40.9%). Being over 30 years of age at first birth (AOR = 3.50; 95% CI: 2.12–6.01), non-use of modern contraceptive (AOR = 2.51; 95% CI: 1.23–3.71), duration of breastfeeding for less than 12 months (AOR = 2.62; 95% CI: 1.32–5.23), parity above four (AOR = 0.31; 95% CI: 0.05–0.81), and unintended pregnancy (AOR = 5.42; 95% CI: 3.34–9.22) were independently associated factors with short inter-pregnancy interval. Conclusion Despite the public health interventions being tried in the country, the prevalence of short inter-pregnancy interval in this study is high. Therefore, it implies that increasing contraceptive use and encouraging optimal breastfeeding might help in the efforts made to avert the problem.

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Intimate partner violence and current modern contraceptive use among married women in Uganda: a cross-sectional study

Pan African Medical Journal ◽

10.11604/pamj.2018.30.85.12722 ◽

2018 ◽

Vol 30 ◽

Author(s):

Stephen Ojiambo Wandera ◽

Betty Kwagala ◽

Clifford Odimegwu

Keyword(s):

Intimate Partner Violence ◽

Partner Violence ◽

Contraceptive Use ◽

Cross Sectional Study ◽

Intimate Partner ◽

Married Women ◽

Modern Contraceptive ◽

Sectional Study ◽

Cross Sectional ◽

Modern Contraceptive Use

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Can community health workers increase modern contraceptive use among young married women? A cross-sectional study in rural Niger

Reproductive Health ◽

10.1186/s12978-019-0701-1 ◽

2019 ◽

Vol 16 (1) ◽

Cited By ~ 1

Author(s):

Mohamad I. Brooks ◽

Nicole E. Johns ◽

Anne K. Quinn ◽

Sabrina C. Boyce ◽

Ibrahima A. Fatouma ◽

...

Keyword(s):

Community Health ◽

Contraceptive Use ◽

Health Workers ◽

Cross Sectional Study ◽

Married Women ◽

Modern Contraceptive ◽

Sectional Study ◽

Cross Sectional ◽

Modern Contraceptive Use ◽

Rural Niger

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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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