Getachew, Mahilet (2015) Assessment of Postpartum Contraceptive Adoption and Associated Factors in Butajira Health and Demographic Surveillance Site (HDSS), in Southern Ethiopia. Masters thesis, Addis Ababa University.
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PDF (Assessment of Postpartum Contraceptive Adoption and Associated Factors in Butajira Health and Demographic Surveillance Site (HDSS), in Southern Ethiopia)
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Abstract
Background: Using PPFP during the first year after delivery helps the women to realize their desire of spacing between births and their wish to keep absent from child bearing. But women in postpartum period do not get the service that deal with their desire to extend birth interval and to evade untended pregnancy and its outcome. Resumption of sex exposes postpartum mothers to risk of unintended pregnancy even before return of menstruation after delivery. This study attempt to measure the 12 months FP experience of women. So, the result of this study is helpful on improving and designing appropriate family planning program during postpartum period. Objectives: To determine level of postpartum contraceptive adoption and identify factors associated among women of reproductive age group (15-49 years) in the first twelve months after delivery. Methods: Community based cross sectional study was conducted in Butajira HDSS from Feb 2016- Mar 2016. Single population proportion formula was used to calculate the final sample size of 421. All the ten Kebeles in the HDSS were included in the study. Using the demographic surveillance data as sample frame simple random sampling technique was applied to recruit the study subjects after allocation of the sample size proportional to the size of each Kebele. After getting informed consent from each study participant interviewer administered pretested questionnaire was used to collect the data. Data was entered using Epi Info 7 and exported to STATA12 for cleaning and analysis. Bivariate and multivariate logistic regression analyses were applied to estimate the crude and adjusted odds ratios with 95% CI to determine the presence and strength of association. Result: Nearly half (47%) of women use contraceptive during the extended postpartum period. Among this 10(2.4%) women adopted family planning in the first 42 days after delivery, 76(18%) adopted during the first three months and 156(37%) adopted during the first six months after delivery. The most commonly used method was inject able which is 77% during extended postpartum period. Discussion with husband [AOR =0.28;95%CI(0.10-0.77)], knowledge of family planning [AOR=3.71;95%CI (1.93-7.12)], menstrual resumption [AOR=3.71;95%CI(1.93-7.12)], having ANC [AOR=3.81;95%CI(1.53-9.51)], having PNC [AOR =2.84;95%CI(1.44-5.58)] and having linkage to FP service during immunization visit [AOR =4.31 ;95%CI (2.10-8.81)] were collarets that have significant association with postpartum contraceptive use. Conclusion and recommendation; PPFP use in Butajjira HDSS is low and is dominated by injectable contraceptives. Discussion with husband, knowledge of FP and use of ANC, PNC and child immunization services was positively correlated with likelihood of using PPFP. Integrating PPFP service with maternal and child health care service further improve the utilization of the service.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 19 Oct 2018 06:02 |
| Last Modified: | 19 Oct 2018 06:02 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6964 |
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