Utilization and predictors of postpartum modern family planning methods in Felegehiwot referral hospital, Northwest Ethiopia

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Abstract Achieving adequate spacing between pregnancies is a major pathway through which contraceptive practice can render benefits. Directing efforts to increase modern contraception among postpartum women could have a significant impact on increasing contraceptive prevalence rate and other health benefits. However, contraceptive use in the postpartum period is less emphasized by policymakers and program designers in Ethiopia. Therefore, information about the current utilization of modern contraceptives and its associated factors among postpartum women is needed to design strategies and improve service delivery practices in health institutions. The objective of the study is to assess the utilization and factors associated with modern contraceptives use among postpartum women in Felegehiwot referral hospital, Bahirdar city, Northwest Ethiopia. A facility-based cross-sectional study was employed from January 1-31, 2019 among postpartum women in Felegehiwot referral hospital. The data were collected through a face to face interview for 425 women who were attending basic maternal and child health services. Bivariable and multivariable logistic regression was employed to identify the association between the dependent variable, utilization of postpartum family planning, and the explanatory variables. The association was considered statistically significant when P-value was < 0.05. A total of 425 postpartum women participated in the study with a 100% response rate. Over half (53%) of women interviewed used modern contraceptives during the postpartum period. Women who are aware of PPFP during ANC and PNC visits (AOR, 16.99; 95% CI, 2.85 to 101.16); married (AOR 3.052; 95% CI, 1.644 to 5.667); and higher age (AOR, 5.825; 95%CI, 2.519 to 13.467) were more likely to use modern contraceptives in the postpartum period. However, educational status, parity, the spousal reaction for FP related discussions, and contraceptive education failed short of any statistically significant association with modern postpartum contraceptive use. The utilization of modern contraceptives in the postpartum period was found to be relatively lower. Proper counseling on available methods for postpartum women at different instances coupled with increasing contraceptive method mix, enhancing male engagement in family planning programs, and expanding contraceptive information during facility visits for antenatal and postnatal care using different media outlets are important measures to boost contraceptive use.
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Utilization and predictors of postpartum modern family planning methods in Felegehiwot referral hospital, Northwest Ethiopia | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Utilization and predictors of postpartum modern family planning methods in Felegehiwot referral hospital, Northwest Ethiopia Fisseha Moges This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4525462/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Achieving adequate spacing between pregnancies is a major pathway through which contraceptive practice can render benefits. Directing efforts to increase modern contraception among postpartum women could have a significant impact on increasing contraceptive prevalence rate and other health benefits. However, contraceptive use in the postpartum period is less emphasized by policymakers and program designers in Ethiopia. Therefore, information about the current utilization of modern contraceptives and its associated factors among postpartum women is needed to design strategies and improve service delivery practices in health institutions. The objective of the study is to assess the utilization and factors associated with modern contraceptives use among postpartum women in Felegehiwot referral hospital, Bahirdar city, Northwest Ethiopia. A facility-based cross-sectional study was employed from January 1-31, 2019 among postpartum women in Felegehiwot referral hospital. The data were collected through a face to face interview for 425 women who were attending basic maternal and child health services. Bivariable and multivariable logistic regression was employed to identify the association between the dependent variable, utilization of postpartum family planning, and the explanatory variables. The association was considered statistically significant when P-value was < 0.05. A total of 425 postpartum women participated in the study with a 100% response rate. Over half (53%) of women interviewed used modern contraceptives during the postpartum period. Women who are aware of PPFP during ANC and PNC visits (AOR, 16.99; 95% CI, 2.85 to 101.16); married (AOR 3.052; 95% CI, 1.644 to 5.667); and higher age (AOR, 5.825; 95%CI, 2.519 to 13.467) were more likely to use modern contraceptives in the postpartum period. However, educational status, parity, the spousal reaction for FP related discussions, and contraceptive education failed short of any statistically significant association with modern postpartum contraceptive use. The utilization of modern contraceptives in the postpartum period was found to be relatively lower. Proper counseling on available methods for postpartum women at different instances coupled with increasing contraceptive method mix, enhancing male engagement in family planning programs, and expanding contraceptive information during facility visits for antenatal and postnatal care using different media outlets are important measures to boost contraceptive use. Health Economics & Outcomes Research Postpartum Modern family planning Predictors Ethiopia Full Text Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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