Postpartum Contraceptive use and Associated Factors among Women of Reproductive Age Group within the First 12 Months of Delivery in Public Health Facilities of Addis Ababa, Ethiopia
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Date
2017
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Addis Ababa University
Abstract
Background:Globally over 9 out of 10 women wants to avoid pregnancies after having a child but only one in seven of mothers who want to avoid pregnancy are not using family planning method. Majority of the women wanted to space births and hence have high desire to avoid getting pregnant soon after their recent births. However due to various reasons larger number of women get pregnant within 7- 9 months their recent delivery. Objective: To assess the use and factors associated with postpartum family planning among women of reproductive age in Addis Ababa. Method: A health institution based cross sectional study was conducted in Addis Ababa City. A total of 631 women of reproductive age who gave birth in the past 12months prior to the study and who came to the selected health facilities for child immunization services and/or antenatal care services during their postpartum period were interviewed. The collected data were entered into EPI info version 7and transferred to STATA version 14 for analysis. Descriptive statistics has been used to describe the study variable. Bivariate analysis and multi variable logistic regression was done to see the association between independent variable and the outcome variable (Postpartum Family Planning Use). Result: A total of623 respondents have participated in this study, with 98% response rate. From the total respondent 86.2% fall in the age group of 20-34,(97.4%) are currently married and 86.5%. Over all twelve-month’ magnitude of PPFP use was found to be 50.8%.From the total respondents85.4%knewat least one method of postpartum family planning, 97.3% of them had reported that they have ANC attendance,78.5% had obtained (PNC) service. Menses return (OR=1.9), resumed sexual intercourse (OR=7.8), discussion with husband/partner (OR=3.0) and PNC counseling (OR=3.0) were found to have statistically significant association with postpartum family planning use among study participants. Conclusion: contraceptive use during postpartum period is low. Injectable and POP were the most widely used types of method used during postpartum period. It has significant association with factors like discussion with husband, Menses resumed, sex resumed and postpartum counseling. Recommendation: PNC counseling should be stronger in the possible contact of postnatal.
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PNC counseling should be stronger in the possible contact of postnatal