Assessment of intention to use post partum intra uterine contraceptive device and associated factors among pregnant women attending antenatal clinics in ambo town public health institutions, West Shoa Zone, Oromia Region, Ethiopia, 2018.

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Addis Ababa University


Background: The maternal mortality tragedy is the issue of both developed and developing countries, especially sub-Saharan Africa including Ethiopia. This is known due to poor quality of maternal health care services. So, family planning especially the use of PPIUCD can tackle unintended pregnancy and maternal death. However, intention to use PPIUCD and use of IUCD in general is not well practiced in Ethiopia according to evidences of different literatures. Due to this reason many mothers are exposed to unintended pregnancy and pregnancy related complications. Objective: Assessing Intention to use Post-Partum Intra uterine contraceptive device and Associated Factors among Pregnant Women Attending Antenatal Clinics in Ambo Town Public Health Institutions, Ethiopia, 2018. Methods: Facility based Cross-Sectional study design, was conducted from March – April, 2018 to assess Intention of Pregnant Women about Post-Partum Intra uterine contraceptive device and associated factors on 422 Pregnant Women. Study subjects were selected by using systematic random sampling. Data was collected by 3 BSc midwives recruited from other health facility and supervised by one Assistant Lecturer. Data was collected by questionnaire and entered onto a computer using Epi-info 3.5.4 statistical program then exported to SPSS version 20 for analysis. Logistic regression model was used to predict Intention of Pregnant Women about Post-Partum Intra uterine contraceptive device and associated factors. Lastly, Significant of statistical association was tested using 95% confidence interval (CI) and p value (<0.05). Result. The response rate was 417 (98.3%). This study showed that 145(34.9%) of pregnant women intended to use PPIUCD. Age of pregnant women [AOR= 8.348(CI: 3.602-19.347], educational level [AOR=3.249(1.057-9.985)], occupational status [AOR=4.101(CI: 1.788-9.405)], monthly income [AOR=3.175(CI: 1.423-7.082)] and knowledge [A0R=5.408(2.994-9.767)] have shown significant association with intention to use PPIUCD. Conclusion and recommendation: The proportion of pregnant mothers who intend to use PPIUCD is low and therefore every effort should be made to organize and implement community based information education and communication on PPIUCD and involving pregnant women in family planning programs is essential.



Intention, PPIUCD, Pregnancy; Antenatal; Ambo town