Family planning utilization among postpartum women in the Bule Hora District, southern Ethiopia
BackgroundContraception use remains low in Ethiopia, particularly within the first year after childbirth. While some women might have medical conditions that limit their contraceptive options, the primary obstacle to wider family planning adoption is not a specific health problem. Instead, it is the...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2024.1323024/full |
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| author | Nurye Sirage Zewuditu Desalegn Wako Golicha Wako Ali Yimer Fassikaw Kebede Bizuneh Sefineh Fenta Feleke Adem Yesuf Belda Negesa Beyene |
| author_facet | Nurye Sirage Zewuditu Desalegn Wako Golicha Wako Ali Yimer Fassikaw Kebede Bizuneh Sefineh Fenta Feleke Adem Yesuf Belda Negesa Beyene |
| author_sort | Nurye Sirage |
| collection | DOAJ |
| description | BackgroundContraception use remains low in Ethiopia, particularly within the first year after childbirth. While some women might have medical conditions that limit their contraceptive options, the primary obstacle to wider family planning adoption is not a specific health problem. Instead, it is the lack of equitable access to high-quality family planning services. This barrier significantly hinders women's ability to make informed decisions about their reproductive health. This study examines postpartum family planning utilization and its associated factors among postpartum mothers in the Bule Hora District.MethodsWe conducted a community-based cross-sectional study. A multistage sampling technique was employed to recruit a total of 630 women who had given birth. To collect the data, structured, standardized, and pretested questionnaires were used, and the collected data were coded and entered into Epi-data version 4.6. The data were analyzed using SPSS version 25. Both bivariable and multivariable logistic regressions were used to identify factors associated with postpartum family planning utilization.ResultsThe study found that 71.3% of women utilized postpartum family planning. Significant associations were found between postpartum family planning utilization and various factors, including counseling on family planning during pregnancy [adjusted odds ratio (AOR) = 1.79, 95% confidence interval (CI) 1.61–2.82], delivery (AOR = 2.62, 95% CI 1.56–4.38), and the postpartum period (AOR = 2.71, 95% CI 1.75–4.21). Women who resumed sexual activity after birth (AOR = 1.92, 95% CI 1.25–2.96), and who had at least four antenatal care visits (AOR = 3.09, 95% CI 1.61–5.92) were also more likely to use postpartum family planning. Women with grand multiparity were 69% less likely to use family planning methods than primiparous women (AOR = 0.31, 95% CI 0.13–0.73).ConclusionPostpartum family planning use in this study was higher than the national average. Factors such as parity; counseling during the pregnancy, delivery, and postpartum periods; and early resumption of sexual activity were linked to increased contraceptive use. These findings suggest that enhanced counseling during antenatal, delivery, and postnatal care could significantly increase contraceptive use. |
| format | Article |
| id | doaj-art-fb80ca9ef01d4fe5bd7cfdcd22fd9850 |
| institution | OA Journals |
| issn | 2673-5059 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj-art-fb80ca9ef01d4fe5bd7cfdcd22fd98502025-08-20T02:20:51ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592024-12-01510.3389/fgwh.2024.13230241323024Family planning utilization among postpartum women in the Bule Hora District, southern EthiopiaNurye Sirage0Zewuditu Desalegn1Wako Golicha Wako2Ali Yimer3Fassikaw Kebede Bizuneh4Sefineh Fenta Feleke5Adem Yesuf6Belda Negesa Beyene7School of Midwifery, College of Health Sciences, Woldia University, Woldia, EthiopiaDepartment of Nursing, Bule Hora University Teaching Hospital, Bule Hora, EthiopiaDepartment of Public Health, Institute of Health, Bule Hora University, Bule Hora, EthiopiaSchool of Public Health, College of Health Sciences, Woldia University, Woldia, EthiopiaSchool of Public Health, College of Health Sciences, Woldia University, Woldia, EthiopiaSchool of Public Health, College of Health Sciences, Woldia University, Woldia, EthiopiaSchool of Midwifery, College of Health Sciences, Woldia University, Woldia, EthiopiaDepartment of Midwifery, Institute of Health, Bule Hora University, Bule Hora, EthiopiaBackgroundContraception use remains low in Ethiopia, particularly within the first year after childbirth. While some women might have medical conditions that limit their contraceptive options, the primary obstacle to wider family planning adoption is not a specific health problem. Instead, it is the lack of equitable access to high-quality family planning services. This barrier significantly hinders women's ability to make informed decisions about their reproductive health. This study examines postpartum family planning utilization and its associated factors among postpartum mothers in the Bule Hora District.MethodsWe conducted a community-based cross-sectional study. A multistage sampling technique was employed to recruit a total of 630 women who had given birth. To collect the data, structured, standardized, and pretested questionnaires were used, and the collected data were coded and entered into Epi-data version 4.6. The data were analyzed using SPSS version 25. Both bivariable and multivariable logistic regressions were used to identify factors associated with postpartum family planning utilization.ResultsThe study found that 71.3% of women utilized postpartum family planning. Significant associations were found between postpartum family planning utilization and various factors, including counseling on family planning during pregnancy [adjusted odds ratio (AOR) = 1.79, 95% confidence interval (CI) 1.61–2.82], delivery (AOR = 2.62, 95% CI 1.56–4.38), and the postpartum period (AOR = 2.71, 95% CI 1.75–4.21). Women who resumed sexual activity after birth (AOR = 1.92, 95% CI 1.25–2.96), and who had at least four antenatal care visits (AOR = 3.09, 95% CI 1.61–5.92) were also more likely to use postpartum family planning. Women with grand multiparity were 69% less likely to use family planning methods than primiparous women (AOR = 0.31, 95% CI 0.13–0.73).ConclusionPostpartum family planning use in this study was higher than the national average. Factors such as parity; counseling during the pregnancy, delivery, and postpartum periods; and early resumption of sexual activity were linked to increased contraceptive use. These findings suggest that enhanced counseling during antenatal, delivery, and postnatal care could significantly increase contraceptive use.https://www.frontiersin.org/articles/10.3389/fgwh.2024.1323024/fullutilizationpostpartumfamily planningcontraceptive methodspostpartum family planning utilization |
| spellingShingle | Nurye Sirage Zewuditu Desalegn Wako Golicha Wako Ali Yimer Fassikaw Kebede Bizuneh Sefineh Fenta Feleke Adem Yesuf Belda Negesa Beyene Family planning utilization among postpartum women in the Bule Hora District, southern Ethiopia Frontiers in Global Women's Health utilization postpartum family planning contraceptive methods postpartum family planning utilization |
| title | Family planning utilization among postpartum women in the Bule Hora District, southern Ethiopia |
| title_full | Family planning utilization among postpartum women in the Bule Hora District, southern Ethiopia |
| title_fullStr | Family planning utilization among postpartum women in the Bule Hora District, southern Ethiopia |
| title_full_unstemmed | Family planning utilization among postpartum women in the Bule Hora District, southern Ethiopia |
| title_short | Family planning utilization among postpartum women in the Bule Hora District, southern Ethiopia |
| title_sort | family planning utilization among postpartum women in the bule hora district southern ethiopia |
| topic | utilization postpartum family planning contraceptive methods postpartum family planning utilization |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2024.1323024/full |
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