Oljira Rut, Tilahun Temesgen, Tiruneh Gashaw, Bekuma Tariku Tesfaye, Getachew Motuma, Seme Assefa, Getahun Ayantu, Dereje Lemane, Mosisa Alemnesh, Turi Ebisa
Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Department of Obstetrics & Gynecology, School of medicine, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Contracept Reprod Med. 2023 Nov 1;8(1):53. doi: 10.1186/s40834-023-00252-w.
The first twelve months after a woman has given birth is crucial for the use of contraceptives to prevent unintended pregnancy. Most women, especially in developing countries, do not realize that they are at risk for pregnancy during this period. Due to this, contraceptive use by women is ignored at this time.
This study assessed the associated factors of postpartum family planning (PPFP) service uptake in the Asosa zone.
A facility-based cross-sectional study was conducted among 396 postpartum women in the Asosa zone. An interviewer-administered, structured, and pre-tested questionnaire was used to collect data. Data entry and cleaning were done using Epi Info version 7.0 and analyzed using SPSS version 25 software. Multivariate logistic regression analysis was employed to identify factors associated with postpartum family planning uptake.
The majority of the study participants, 384 (97.2%), had heard about at least one method of family planning. Nearly two-thirds of the study participants (64.1%) had resumed sexual intercourse. Only 53.5% of the participants started using PPFP. Injectable forms (54.7%) and implants (26.4%) were the most commonly used methods. More than one-fourth (27.4%) did not use their preferred methods. Family planning use before index pregnancy (AOR = 4.8, 95% CI: 2.65, 8.82), previous use of PPFP (AOR = 2.4, 95% CI: 1.33, 4.38)] and health facility delivery (AOR = 2.8, 95% CI: 1.46, 5.49)] were significantly associated with uptake of postpartum family planning.
Postpartum family planning uptake in the study area was low. Uptake of PPFP was correlated with prior family planning usage and delivery at a healthcare facility. Given these factors, we recommend all study area stakeholders to promote family planning use among women of reproductive age and to encourage deliveries at healthcare facilities. Designing a method to reach women who give birth at home for a variety of reasons is also advisable. Unavailability of different forms of FP also made the participants not use the preferred option. Therefore, we recommend the stakeholders in the study area to avail variety of FP methods.
女性产后的头十二个月对于使用避孕药具预防意外怀孕至关重要。大多数女性，尤其是发展中国家的女性，并未意识到她们在此期间有怀孕风险。因此，这一时期女性的避孕措施使用情况被忽视。
本研究评估了阿索萨地区产后计划生育（PPFP）服务利用的相关因素。
在阿索萨地区对396名产后妇女进行了一项基于机构的横断面研究。使用由访谈员实施、结构化且经过预测试的问卷收集数据。使用Epi Info 7.0版本进行数据录入和清理，并使用SPSS 25软件进行分析。采用多变量逻辑回归分析来确定与产后计划生育利用相关的因素。
大多数研究参与者，即384人（97.2%），听说过至少一种计划生育方法。近三分之二的研究参与者（64.1%）恢复了性生活。只有53.5%的参与者开始使用产后计划生育服务。注射剂（54.7%）和植入物（26.4%）是最常用的方法。超过四分之一（27.4%）的人没有使用他们首选的方法。索引妊娠前使用计划生育服务（调整后比值比[AOR]=4.8，95%置信区间[CI]：2.65，8.82）、先前使用产后计划生育服务（AOR=2.4，95%CI：1.33，4.38）以及在医疗机构分娩（AOR=2.8，95%CI：1.46，5.49）与产后计划生育服务的利用显著相关。
研究地区的产后计划生育服务利用率较低。产后计划生育服务的利用与先前的计划生育服务使用情况以及在医疗机构分娩相关。鉴于这些因素，我们建议研究地区的所有利益相关者促进育龄妇女使用计划生育服务，并鼓励在医疗机构分娩。设计一种方法来接触因各种原因在家分娩的妇女也是可取的。不同形式的计划生育服务不可用也导致参与者未使用首选方案。因此，我们建议研究地区的利益相关者提供多种计划生育方法。
