Modern contraceptive use and factors associated with use among postpartum women in Ethiopia; further analysis of the 2016 Ethiopia demographic and health survey data.
BMC Public Health
; 20(1): 661, 2020 May 12.
Article
em En
| MEDLINE
| ID: mdl-32398123
ABSTRACT
BACKGROUND:
The postpartum period is a critical time to improve maternal and child health. It is a time for accessing contraceptives to prevent short inter-pregnancy intervals. More than 95% of postpartum women do not want to get pregnant within 12 months. However, many women in Ethiopia experience an unintended pregnancy, and there is low information about postpartum contraceptive use among women who have family planning demand. Therefore, this study aimed to estimate the prevalence of postpartum contraceptive use and its predictors among women who give birth 12 months before the survey in Ethiopia.METHODS:
We used the 2016 Ethiopia demographic health survey data for this analysis. The survey was a community-based cross-sectional study conducted from January 18 to June 27, 2016. The survey employed a two-stage stratified cluster sampling technique. A total of 2304 postpartum women were included. Bivariate and multivariable logistics regressions were done to identify factors associated with postpartum contraceptive use. A p-value < 0.05 was used to declare statistical significance.RESULTS:
About 23.7% (23.7, 95% CI 20.7-27.0%) of postpartum women were using modern contraceptives. Women who were urban residents (AOR = 2.18; 95%CI 1.34-3.55), those who attended secondary or higher education (AOR = 1.79; 95%CI 1.04-3.10), women who attended 1-3 (AOR = 2.33; 95%CI1.27-4.25) or 4 or more ANC visits (AOR = 2.59; 95%CI1.43-4.69) and women who delivered at a health facility (AOR = 1.86; 95%CI 1.23-2.81) had higher odds of modern contraceptive use during the postpartum period. Similarly, women who reported the last child was no more wanted (AOR = 1.83; 95%CI 1.01-3.31), women who decided for contraceptive use (AOR = 2.03; 95%CI 1.13-3.65) and women whose recent child was male (AOR = 1.38; 95%CI 1.01-1.88) had higher odds of modern contraceptive use.CONCLUSION:
Postpartum contraceptive use was low in Ethiopia. Strengthening health facility delivery, promoting girls' education and encouraging women's participation in deciding for contraceptive use would improve the uptake of modern contraceptives use during the postpartum period.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamento Contraceptivo
/
Período Pós-Parto
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Gravidez não Planejada
/
Serviços de Planejamento Familiar
Tipo de estudo:
Observational_studies
/
Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
BMC Public Health
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Etiópia
País de publicação:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM