Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study

Objective. Although importance of postpartum family planning is essential and immediate postpartum insertion of long acting and reversible contraceptives (LARC) is recommended, evidence on its uptake and associated factors is limited in Ethiopia. This study was conducted to assess utilization of imm...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ahmedin Aliyi Usso, Hassen Abdi Adem, Yadeta Dessie, Abera Kenay Tura
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/ed0f5faf907344909923e745ac12a7a1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ed0f5faf907344909923e745ac12a7a1
record_format	dspace
spelling	oai:doaj.org-article:ed0f5faf907344909923e745ac12a7a12021-11-22T01:10:19ZUtilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study2314-575710.1155/2021/1307305https://doaj.org/article/ed0f5faf907344909923e745ac12a7a12021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/1307305https://doaj.org/toc/2314-5757Objective. Although importance of postpartum family planning is essential and immediate postpartum insertion of long acting and reversible contraceptives (LARC) is recommended, evidence on its uptake and associated factors is limited in Ethiopia. This study was conducted to assess utilization of immediate postpartum LARC among women who gave birth in selected public health facilities in eastern Ethiopia. Method. An institution-based cross-sectional study was conducted among randomly selected women who gave birth in selected public health facilities in eastern Ethiopia from 10 March to 09 April 2020. At discharge, all eligible women who gave birth in the facilities were interviewed using a pretested structured questionnaire. Data were entered using EpiData 3.1 and analyzed using SPSS 24. Bivariable and multivariable logistic regression analyses were conducted to identify factors associated with utilization of immediate postpartum LARC. Adjusted odds ratio (aOR) with 95% confidence interval was used to report association, and significance was declared at p value < 0.05. Results. From a total of 546 women invited to the study, 530 (97.1%) participated in the study and 98 (18.5%; 95% CI: 15.1%, 22.0%) reported starting long acting reversible contraceptives. Women who reported discussing about contraceptives with partners (aOR=6.69, 95% CI: 3.54, 12.61) and receiving postpartum counselling on contraceptives (aOR=5.37, 95% CI: 3.00, 9.63) were more likely to using contraception. However, women who live >30-minute walking distance from the nearest health facility (aOR=0.47, 95% CI: 0.26, 0.85) and reported disrespect and abuse during childbirth (aOR=0.22, 95% CI: 0.12, 0.40) were less likely to start LARC. Conclusions. Almost one in five women delivering in public health facilities in eastern Ethiopia started using LARC. Provision of respectful maternity care including counselling on the importance of immediate postpartum family planning is essential for increasing its uptake.Ahmedin Aliyi UssoHassen Abdi AdemYadeta DessieAbera Kenay TuraHindawi LimitedarticleGynecology and obstetricsRG1-991ENInternational Journal of Reproductive Medicine, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gynecology and obstetrics RG1-991
spellingShingle	Gynecology and obstetrics RG1-991 Ahmedin Aliyi Usso Hassen Abdi Adem Yadeta Dessie Abera Kenay Tura Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study
description	Objective. Although importance of postpartum family planning is essential and immediate postpartum insertion of long acting and reversible contraceptives (LARC) is recommended, evidence on its uptake and associated factors is limited in Ethiopia. This study was conducted to assess utilization of immediate postpartum LARC among women who gave birth in selected public health facilities in eastern Ethiopia. Method. An institution-based cross-sectional study was conducted among randomly selected women who gave birth in selected public health facilities in eastern Ethiopia from 10 March to 09 April 2020. At discharge, all eligible women who gave birth in the facilities were interviewed using a pretested structured questionnaire. Data were entered using EpiData 3.1 and analyzed using SPSS 24. Bivariable and multivariable logistic regression analyses were conducted to identify factors associated with utilization of immediate postpartum LARC. Adjusted odds ratio (aOR) with 95% confidence interval was used to report association, and significance was declared at p value < 0.05. Results. From a total of 546 women invited to the study, 530 (97.1%) participated in the study and 98 (18.5%; 95% CI: 15.1%, 22.0%) reported starting long acting reversible contraceptives. Women who reported discussing about contraceptives with partners (aOR=6.69, 95% CI: 3.54, 12.61) and receiving postpartum counselling on contraceptives (aOR=5.37, 95% CI: 3.00, 9.63) were more likely to using contraception. However, women who live >30-minute walking distance from the nearest health facility (aOR=0.47, 95% CI: 0.26, 0.85) and reported disrespect and abuse during childbirth (aOR=0.22, 95% CI: 0.12, 0.40) were less likely to start LARC. Conclusions. Almost one in five women delivering in public health facilities in eastern Ethiopia started using LARC. Provision of respectful maternity care including counselling on the importance of immediate postpartum family planning is essential for increasing its uptake.
format	article
author	Ahmedin Aliyi Usso Hassen Abdi Adem Yadeta Dessie Abera Kenay Tura
author_facet	Ahmedin Aliyi Usso Hassen Abdi Adem Yadeta Dessie Abera Kenay Tura
author_sort	Ahmedin Aliyi Usso
title	Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study
title_short	Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study
title_full	Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study
title_fullStr	Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study
title_full_unstemmed	Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study
title_sort	utilization of immediate postpartum long acting reversible contraceptives among women who gave birth in public health facilities in eastern ethiopia: a cross-sectional study
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/ed0f5faf907344909923e745ac12a7a1
work_keys_str_mv	AT ahmedinaliyiusso utilizationofimmediatepostpartumlongactingreversiblecontraceptivesamongwomenwhogavebirthinpublichealthfacilitiesineasternethiopiaacrosssectionalstudy AT hassenabdiadem utilizationofimmediatepostpartumlongactingreversiblecontraceptivesamongwomenwhogavebirthinpublichealthfacilitiesineasternethiopiaacrosssectionalstudy AT yadetadessie utilizationofimmediatepostpartumlongactingreversiblecontraceptivesamongwomenwhogavebirthinpublichealthfacilitiesineasternethiopiaacrosssectionalstudy AT aberakenaytura utilizationofimmediatepostpartumlongactingreversiblecontraceptivesamongwomenwhogavebirthinpublichealthfacilitiesineasternethiopiaacrosssectionalstudy
_version_	1718418376349450240

Utilization of Immediate Postpartum Long Acting Reversible Contraceptives among Women Who Gave Birth in Public Health Facilities in Eastern Ethiopia: A Cross-Sectional Study

Ejemplares similares