Assessment of Intention and Determinantes of Contraceptive Use among Post Partum Married Women in Adama, Ethiopia
No Thumbnail Available
Date
2016-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background- Addressing family planning in the postpartum period is crucial for better maternal,
neonatal and child survival because it enables women to achieve healthy interval between births.
The first year after a woman has given birth is crucial for use of contraceptives to prevent
unwanted pregnancy. Many women, however, do not realize that they are at a risk for pregnancy
during this period. Consequently, contraceptive use by women during this period is low,
resulting to unintended pregnancies and unwanted childbearing.
Objectives -To assess intention and determinants of contraceptive use among postpartum
married women in health centers of Adama.
Method- - A facility based cross sectional study that employed exit interviews with postnatal
clients was conducted in all public health centers, from June –July, 2016 in Adama town. Four
hundred twenty two study subjects were allocated to the institution by proportional based on the
number of deliveries three months prior to the study. Pre tested structured Amharic version
questionnaire was used to collect the data through interview. Both bivariate and multiple logistic
regressions were used to identify determinant factors.
Result -Of 420 postnatal women interviewed 66.2% of them were intention to use contraceptive
methods and 45.5% postnatal mothers stated that they have an intention to start after 45 days of
delivery. However, 43.6% of respondents have negative attitude towards modern contraceptive.
Governmental Occupation, Desire for more children, Frequency of ANC visit and discussion
with providers after delivery were the main determinants of the intention to use postpartum
family planning among the mothers (AOR of 3.029; 95%CI (1.19, 7.70), AOR of 0.45; 95%CI
(0.24, 0.84)), AOR of 0.42; 95%CI (0.20, 0.85) and AOR of 2.98; 95% CI of (1.84, 4.82))
respectively.
Conclusion and Recommendation-This study has revealed that intention to use contraceptive
during post partum period is significantly higher. Family planning programmes should give high
priority to the mothers in order to encourage them uptake contraceptives as early as possible
during their postpartum period. Likewise, there is need to strengthen policies that promote girls
education and opportunity of job. Health professional should discuss about FP after delivery and
during consecutive antenatal visit is crucial to improve contraceptive knowledge and empower
women to make informed choice
Description
Keywords
Addressing family planning