Molecular Characterization of Sterol C4-Methyl Oxidase in Leishmania major

Background: Despite progress in access to family planning services in many sub-Saharan 11 African countries in recent decades, advances in early postpartum contraceptive adoption remain 12 low, and the unmet need for early postpartum contraceptives is high. According to the Ethiopia 13 Demographic and Health Survey report, early postpartum modern contraceptive method uptake is 14 still unacceptably low in Ethiopia. Objectives: This study aimed to determine the magnitude of 15 intention to adoption of early postpartum modern contraceptive methods and its associated factors 16 among pregnant women in Dessie and Kombolcha town zones, northeast Ethiopia. Methods: A 17 community-based cross-sectional study was deployed from January 15–February 15, 2023, in the 18 Dessie and Kombolcha zones, north-east Ethiopia among pregnant women. The study involved 780 19 pregnant women using the cluster sampling technique. A census was conducted in 20 randomly 20 selected clusters to identify eligible pregnant women. Actual data were collected home-to-home in 21 the community through face-to-face interviews. Data were collected by Open Data Kit (ODK) and 22 exported to STATA 17 for analysis. A multivariable logistic regression analysis was done and the 23 goodness of the model was checked by Hosmer-Lemeshow's test statistic and rock curve. An ad- 24 justed odds ratio with a 95% confidence interval and P-value < 0.05 was considered statistically sig- 25 nificant. Result: The study revealed that 49.6% of pregnant women lack autonomy and 50% lack 26 knowledge about early postpartum contraception, with participants' wealth index status ranging 27 from rich (36.6%) to poor (33.2%). The study found that 75.8% of pregnant women intended to adopt 28 early postpartum modern contraceptive methods early after childbirth. After controlling the poten- 29 tial confounder’s mothers age (AOR = 6.2 [2.6–14.6], birth interval (AOR = 2.5 [1.6–3.7]), have paid 30 work (AOR = 1.9 [1.3–2.8]), health facility from home (AOR=2.6[1.5-4.4]), last delivery 31 Place(AOR=2.4[1.1-5.7]), knowledge on (AOR = 1.5 [1.1-2.1]), and antenatal care follow-up (AOR = 32 1.9 [1.2-3.3]) were significant associated factors of intention to uptake early postpartum modern con- 33 traceptive methods among pregnant women. Conclusion: The study found that 75% of the partici- 34 pants had the intention to adoption of contraceptive methods during the early postpartum period. 35 Identified factors influencing this intention were age, birth interval, women's employment status, 36 area of residence, distance to health facilities, last delivery place, knowledge of early postpartum 37 modern contraception, gravidity, and antenatal care follow-up. These findings highlight the need 38 for targeted interventions to address these factors, framing the intended users and enabling access 39 to early adoption of postpartum contraceptive methods.