Prevalence and Associated Factors of Immediate Postpartum Family Planning Utilization in Nyabihu District, Rwanda, 2021
Introduction: Immediate Postpartum Family Planning (PPFP) is the initiation of Family Planning (FP) methods within 48 hours after delivery; It focuses on preventing unintended births and short inter-birth intervals. This is a main public health concern, as 20 % of obstetrical deaths are related to s...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
African Field Epidemiology Network
2024-06-01
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| Series: | Journal of Interventional Epidemiology and Public Health |
| Subjects: | |
| Online Access: | https://www.afenet-journal.net/content/series/7/3/6/full/ |
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| Summary: | Introduction: Immediate Postpartum Family Planning (PPFP) is the initiation of Family Planning (FP) methods within 48 hours after delivery; It focuses on preventing unintended births and short inter-birth intervals. This is a main public health concern, as 20 % of obstetrical deaths are related to short inter-birth intervals. Therefore, this study aimed to assess the prevalence of immediate postpartum family planning use and associated factors among postpartum women in Nyabihu district.
Methods: A health facility-based cross-sectional study design was used to identify the factors associated with immediate post-partum family Planning utilization by women in Nyabihu District from January to June 2021. Secondary data on social demographic and obstetric characteristics were extracted from health facility medical records. The data were entered in Excel and exported in STATA for analysis. Both bivariate and multivariate logistic regression analyses were performed to identify associated factors. P values < 0.05 with a 95% confidence level were used to declare statistical significance.
Results: Of the 1682 of postpartum women, 38.05% accept immediate postpartum family planning. Having an antenatal care visit (adjusted odds ratio (AOR) =7.7 (95%CI, 4.3-13.5), previous use of family planning (adjusted odds ratio (AOR) = 3.4(95%CI, 2.3-5.03)), being married (adjusted odds ratio (AOR) = 1.9 (1.07 - 3.5) ,having a university level of education (AOR) = 13(2.1-81), having 30-39 years AOR = 0.4 (0.2 - 0.7), being in Ubudehe cat 3 AOR =5.4 (2.1 - 12.2) and having more than 5 children AOR = 9.2 (5.1-16) were significantly associated with utilization of Immediate postpartum family planning.
Conclusion: This study showed the low prevalence of immediate postpartum family in Nyabihu district. Therefore, strengthening family planning counseling during antenatal and postnatal care visits, improving utilization of postnatal care services, and improving women’s educational status are crucial steps to enhance contraceptive use among postpartum women.
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| ISSN: | 2664-2824 |