2018 年，埃塞俄比亚亚的斯亚贝巴产后妇女的计划生育利用及其相关因素。
Family planning utilization and associated factors among postpartum women in Addis Ababa, Ethiopia, 2018.
机构信息
Family Health Core Process, Nifas-Silk Lafto Sub-city Health Office, Addis Ababa, Ethiopia.
Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
出版信息
PLoS One. 2021 Jan 22;16(1):e0245123. doi: 10.1371/journal.pone.0245123. eCollection 2021.
BACKGROUND
Pregnancies that occur in the first year after birth can result in adverse outcomes for the mothers and their babies. Postpartum family planning (PPFP) can save lives of many mothers and children. Only few data are available about the magnitude of PPFP use and its determinants in Addis Ababa, Ethiopia.
OBJECTIVE
To assess PPFP utilization and associated factors in Addis Ababa, Ethiopia.
METHOD
A facility-based cross-sectional study was conducted from April to June 2018. A total of 625 women were enrolled in the study. Statistical Package for the Social Sciences (SPSS) software was used to analyze the data. Binary logistic regression model with adjusted odd ratio (AOR) and 95% confidence interval (CI) was used to identify the factors associated with PPFP use. A p-value less than 0.05 was considered as significant.
RESULT
The magnitude of PPFP utilization in Addis Ababa was 71.8%. Previous family planning (FP) information (AOR = 13.2; 95% CI: (1.96, 88.07)), FP information from health facility visit (AOR = 2.23; 95% CI: (1.45, 3.43)), antenatal care (AOR = 4.96; 95% CI: (1.58, 15.64)), counseling on FP at postnatal care (AOR = 1.97; 95% CI: (1.27, 3.05)), menses resumption after birth (AOR = 1.75; 95% CI: (1.11, 2.76)), and commencing sexual activity after birth (AOR = 9.34; 95% CI: (5.39, 16.17)) were the factors associated with PPFP use.
CONCLUSION AND RECOMMENDATION
Though the magnitude of PPFP use is encouraging, still three out of the ten postpartum women did not use PPFP. The determinants of PPFP use were having FP information, having FP information from health facility visit, antenatal care, counseling about FP during postnatal care, menses resumption after birth, and commencing sexual activity after birth. The health system in the City and the healthcare providers should strive to reach every woman who is not accessing the PPFP services and antenatal care services, and improve counseling services on PPFP during delivery and postnatal care services.
背景
产后一年内怀孕可能会对母婴造成不良后果。产后计划生育（PPFP）可以挽救许多母亲和儿童的生命。在埃塞俄比亚的亚的斯亚贝巴，仅有少量数据可用于评估 PPFP 的使用情况及其决定因素。
目的
评估亚的斯亚贝巴的产后计划生育（PPFP）使用情况及其决定因素。
方法
这是一项在 2018 年 4 月至 6 月期间进行的基于设施的横断面研究。共有 625 名妇女参与了这项研究。采用社会科学统计软件（SPSS）进行数据分析。采用二元逻辑回归模型进行调整优势比（AOR）和 95%置信区间（CI）分析，以确定与 PPFP 使用相关的因素。P 值小于 0.05 被认为具有统计学意义。
结果
亚的斯亚贝巴的 PPFP 使用比例为 71.8%。之前有计划生育（FP）信息（AOR = 13.2；95%CI：（1.96，88.07））、从卫生机构就诊时获得的 FP 信息（AOR = 2.23；95%CI：（1.45，3.43））、产前护理（AOR = 4.96；95%CI：（1.58，15.64））、产后护理时的 FP 咨询（AOR = 1.97；95%CI：（1.27，3.05））、分娩后月经恢复（AOR = 1.75；95%CI：（1.11，2.76））和分娩后开始性生活（AOR = 9.34；95%CI：（5.39，16.17））是与 PPFP 使用相关的因素。
结论和建议
尽管产后计划生育（PPFP）的使用比例令人鼓舞，但仍有十分之三的产后女性没有使用 PPFP。PPFP 使用的决定因素包括有计划生育信息、从卫生机构就诊时获得的计划生育信息、产前护理、产后护理时的计划生育咨询、分娩后月经恢复和分娩后开始性生活。该市的卫生系统和医疗保健提供者应努力为每一位未获得产后计划生育服务和产前护理服务的妇女提供服务，并在分娩和产后护理期间改善关于产后计划生育的咨询服务。
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