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Lemi Belay Tolu Malede Birara

Abstract

Abstract


Background: Postpartum family planning (PPFP) focuses on the prevention of unintended and closely spaced pregnancies through the first 12 months following childbirth. We assessed the barriers to uptake of long-term and permanent family planning methods among immediate post-partum mothers at Saint Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia.


Methods: An institution-based cross-sectional study was conducted from January 1 to June 30, 2017.The 6 months of study were used as strata and systematic sampling used to select participants in each month. Post-partum mothers were interviewed using pretested structured questionnaires. Data entry and analysis were done using SPSS version 17. Bivariate and multivariable logistic regressions were fitted to identify determinants of post partum family planning uptake. aOR with 95%CIs were calculated, and p values set at 0·05 were used to determine statistical significance of the associations.


Results: 422post-partum women were interviewed, 192(45%) of whom uptake long-term and permanent contraception on immediate postpartum before discharge. 268 (63%) of women had received counselling on family planning and 241(66.8 %) got information about contraception from the health facility. Contraceptive counselling (aOR 2·138, 95%CI 0·004–0·331, p=0·003), getting information from the health facility (aOR15·155, 95% CI 1.848-3.432), p=0·011, and partner support (aOR1·367, 95 % CI 0·175–0·771), p=0·008 were associated with uptake of long-term and permanent contraception


Conclusion: One-to-one counselling with partner involvement would ensure that mothers receive complete information from health facilities, and hence could reduce myths and misperceptions and improve uptake of long-term and permanent methods.


 

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Original Articles