West Shewa Zonal Health Department, Oromia Regional State, Ambo, Ethiopia.
Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Inquiry. 2023 Jan-Dec;60:469580231153268. doi: 10.1177/00469580231153268.
The first year after a woman has given birth is critical for use of contraceptives although many women do not realize that they are at a risk for pregnancy. The main objective of this study was to assess the utilization of modern Postpartum Family Planning (PPFP) and associated factors among postpartum women in a rural district, Ethiopia. A cross-sectional study involving randomly selected 389 postpartum women was conducted in Ambo rural district from May 20, 2021 to June 10, 2021. Data were collected through face to- face interviews, entered into EPI Data version 3.1, and analyzed by SPSS version 25.0. In multivariable binary logistic regression, adjusted odds ratios (AOR) with 95% confidence interval (CI) were computed and statistical significance was declared at < 0.05. The prevalence of modern PPFP was 72.5% (95% CI: 68%, 77%). Utilization of PPFP was significantly associated with women's self decision making (AOR = 6.43, 95% CI: 1.98, 20.90), counseling during antenatal care (AOR = 9.71, 95% CI: 3.83, 24.61), visit health facility after delivery (AOR = 5.24, 95% CI: 2.32, 11.84), ever heard of modern family planning (AOR = 5.17, 95% CI: 1.88, 14.23), perceived partner approval (AOR = 4.31, 95% CI: 1.62, 11.47), and the lowest income (AOR = 0.12, 95% CI: 0.02, 0.68). The use of modern PPFP in the study area was encouraging, which helps to prevent unplanned and unwanted pregnancies and spacing pregnancies. Therefore, family planning providers should focus on raising women's awareness and counseling their partners as part of a continuum of points of contact to encourage women to use the service.
尽管许多女性没有意识到自己有怀孕的风险，但在她们分娩后的第一年是使用避孕药具的关键时期。本研究的主要目的是评估在埃塞俄比亚农村地区产后妇女使用现代产后计划生育（PPFP）的情况及其相关因素。2021 年 5 月 20 日至 6 月 10 日，在 Ambo 农村地区进行了一项横断面研究，随机选择了 389 名产后妇女参与。通过面对面访谈收集数据，将数据录入 EPI Data 版本 3.1，并使用 SPSS 版本 25.0 进行分析。在多变量二项逻辑回归中，计算了调整后的优势比（AOR）及其 95%置信区间（CI），并以 < 0.05 表示统计学意义。现代 PPFP 的流行率为 72.5%（95%CI：68%，77%）。PPFP 的使用与妇女的自主决策（AOR=6.43，95%CI：1.98，20.90）、产前保健期间的咨询（AOR=9.71，95%CI：3.83，24.61）、分娩后到卫生机构就诊（AOR=5.24，95%CI：2.32，11.84）、听说过现代计划生育（AOR=5.17，95%CI：1.88，14.23）、感知伴侣的认可（AOR=4.31，95%CI：1.62，11.47）和最低收入（AOR=0.12，95%CI：0.02，0.68）显著相关。研究地区现代 PPFP 的使用情况令人鼓舞，有助于预防意外和非意愿妊娠以及间隔妊娠。因此，计划生育服务提供者应注重提高妇女的意识，并为其伴侣提供咨询，作为鼓励妇女使用该服务的连续接触点的一部分。
