Mulatu, Feleke (2015) Duration of Return to Fertility after Use of Depo- Provera and Associated Factors among Currently Pregnant Women Attending ANC in Public Health Facilities of Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: One of the best methods to control fertility is use of injectable Depo-Provera which has the side effect of delaying return to fertility after cessation of use. This delay is different from place to place. Health care providers in Ethiopia has been giving information to their family planning clients that Depo will delay return for six or more months referring researches done elsewhere. There is no consis report across countries which range from 6-12 months. However, no such study was done in our country. Objective: The purpose of this study was to assess the duration of return to fertility and its determinants after cessation of use of injectable contraceptives among currently pregnant women attending ANC in public health facilities of Addis Ababa, Ethiopia, 2015 Methods: A cross sectional facility based survey on 773 pregnant women visiting Ante Natal Care clinic done from April 1-June 30/ 2015. Probability proportionate to sampling technique was used to distribute study women in selected facilities. Then, they are systematically selected from log-books in each facility. A pretested structured questionnaire was used to collect data. Data was entered in Epi info, and then exported to SPSS for cleaning and analysis. Summary measures were computed and displayed. Crude and adjusted odds ratio along with their 95% confidence interval in Binary logistic regression was used to identify factors associated with return to fertility and its significance. Results: The median duration of return to fertility after cessation of use of Depo Provera was 10 months. Moreover about 355 (45.9%) of women visited public health centers for antenatal care reported the delay of return to fertility for more than 9 months. The odds of delay in fertility was AOR=1.48:95% CI (1.03,2.23) and AOR=1.92: 95% CI (1.00,3.70) times higher among women aged 25-34 and 35-41 years, respectively compared to their counterparts in the age group of 18-24 years. It was AOR=2.31: 95% CI (1.38,3.88) times higher among women belonging to households with monthly income range of 5001- 9990 Ethiopian birr though the statistical significance for the income range 2501-5000 vanishes when current age and age at first sex are controlled. Conclusions and Recommendations: The median delay to fertility return was 10 months. Age group, total monthly income and age at first sex were the major factors associated with delay to return to fertility. Health care providers should know the median delay to return to fertility documented by this study to counsel their family planning clients. Moreover, they should inform that it is influenced by income level, and age at first sex. Further research with a cohort study design is also recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 31 Oct 2018 13:40 |
| Last Modified: | 31 Oct 2018 13:40 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7179 |
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