Silesh Mulualem, Demisse Tesfanesh Lemma, Taye Birhan Tsegaw, Moltot Tebabere, Chekole Moges Sisay, Wogie Girma, Kasahun Fetene, Adanew Solomon
Department of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Front Glob Womens Health. 2023 Aug 22;4:1095804. doi: 10.3389/fgwh.2023.1095804. eCollection 2023.
Family planning integration in areas where women contact the healthcare system routinely is essential for addressing the high unmet need for family planning among postpartum women and reducing the risk of short interpregnancies. Immediate postpartum family planning (IPPFP) is an integrated service, and opportunities exist for women by providing family planning (FP) counseling and contraceptives as part of care following childbirth within 48 h. Therefore, this review aimed to assess the pooled estimate of immediate postpartum family planning utilization and its associated factors in Ethiopia.
Electronic databases were used to conduct an extensive search of all published studies, and the digital library was used to identify any unpublished studies. An observational study that reports the prevalence/magnitude and/or associated factors/predictors/determinants of IPPFP utilization in Ethiopia was included. Data were extracted on the Microsoft Excel spreadsheet and analyzed using STATA Version 11. A random-effects model was applied to determine the pooled prevalence of immediate postpartum family planning utilization with a 95% confidence interval (CI). Inverse variance () was used to identify the presence of heterogeneity, and a funnel plot and Egger's test were used to check the presence of publication bias. Subgroup analysis was conducted based on the sample size, region, and year of study to identify the source of heterogeneity.
Of 15 primary studies, the overall pooled prevalence of immediate postpartum family planning utilization among postpartum women in Ethiopia was 21.04% (95% CI: 13.08, 29.00). Received counseling on FP [OR: 3.59; 95% CI (1.84, 7.01; < 0.001), having a positive attitude toward FP [OR: 3.2; 95% CI (1.23, 8.35); = 0.017], and partner support to use FP [OR: 5.85; 95% CI (1.12, 30.54; = 0.036) were significant predictors of immediate postpartum family planning utilization.
Generally, IPPFP utilization in Ethiopia was insufficient. Therefore, to enhance the utilization, integrating FP counseling at all maternal service care points, strengthening community awareness to develop a favorable attitude toward family planning, and promoting partner involvement in family planning counseling are essential.
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=239053, identifier: CRD42021239053.
在妇女常规接触医疗保健系统的地区整合计划生育对于满足产后妇女对计划生育的高未满足需求以及降低短间隔妊娠风险至关重要。产后即时计划生育（IPPFP）是一项综合服务，通过在分娩后48小时内提供计划生育（FP）咨询和避孕药具作为护理的一部分，为妇女提供了机会。因此，本综述旨在评估埃塞俄比亚产后即时计划生育利用率及其相关因素的汇总估计值。
使用电子数据库对所有已发表的研究进行广泛检索，并使用数字图书馆识别任何未发表的研究。纳入一项报告埃塞俄比亚产后即时计划生育利用率的患病率/幅度和/或相关因素/预测因素/决定因素的观察性研究。数据在Microsoft Excel电子表格中提取，并使用STATA 11版进行分析。应用随机效应模型确定产后即时计划生育利用率的汇总患病率及其95%置信区间（CI）。使用逆方差（）识别异质性的存在，并使用漏斗图和Egger检验检查发表偏倚的存在。基于样本量、地区和研究年份进行亚组分析，以确定异质性的来源。
在15项主要研究中，埃塞俄比亚产后妇女产后即时计划生育利用率的总体汇总患病率为21.04%（95%CI：13.08，29.00）。接受FP咨询[比值比（OR）：3.59；95%CI（1.84，7.01；P<0.001）]、对FP持积极态度[OR：3.2；95%CI（1.23，8.35）；P=0.017]以及伴侣支持使用FP[OR：5.85；95%CI（1.12，30.54）；P=0.036]是产后即时计划生育利用率的显著预测因素。
总体而言，埃塞俄比亚产后即时计划生育的利用率不足。因此，为提高利用率，在所有孕产妇服务护理点整合FP咨询、加强社区意识以培养对计划生育的有利态度以及促进伴侣参与计划生育咨询至关重要。
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=239053，标识符：CRD42021239053 。
