Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis
Abstract Background Postpartum family planning services is one of the recommended public health intervention aimed at reducing maternal and child morbidity and mortalities. However, there is a paucity studies in rural Tigray region. Therefore, determining the level and associated factors of contrace...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5941-4 |
| _version_ | 1818475838015799296 |
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| author | Teklehaymanot Huluf Abraha Berhe Beyene Gebrezgiabher Berihu Gidey Aregawi Desta Siyoum Belay Lidiya Tsegay Tikue Getachew Mebrahtu Welay |
| author_facet | Teklehaymanot Huluf Abraha Berhe Beyene Gebrezgiabher Berihu Gidey Aregawi Desta Siyoum Belay Lidiya Tsegay Tikue Getachew Mebrahtu Welay |
| author_sort | Teklehaymanot Huluf Abraha |
| collection | DOAJ |
| description | Abstract Background Postpartum family planning services is one of the recommended public health intervention aimed at reducing maternal and child morbidity and mortalities. However, there is a paucity studies in rural Tigray region. Therefore, determining the level and associated factors of contraceptive use among postpartum women has the potential to contribute in achieving the Ethiopian Health Sector Transformation Plan and to the Sustainable Development Goals on maternal and infant survival. Methods A community-based cross-sectional study was done among 1109 postpartum women from March 29, 2017 to April 29, 2017. Face –to–face interview was used for data collection. The collected data were entered and cleaned using EPI - INFO version 7statistical software and later exported to and analyzed using STATA version 12. Mixed-effects multilevel logistic regression analysis was used to identify the individual and community-level factors associated with contraception adoption. A two side p-value< 0.05 was considered to be statistically significant. Results The level of contraceptive use was 38.3%. Individual-level variables such as women belong to fourth (AOR = 1.2; 95% CI: 1.1–3.2) and fifth (AOR = 1.5; 95% CI: 1.3–2.5) wealth quintiles were identified as key predictors of contraception use. In addition, partner secondary (AOR = 2.3; 95% CI: 1.8–3.5) and diploma (AOR = 1.2; 95% CI, 1.1–2.6) educational-level and postnatal care (AOR = 2.0; 95% CI: 1.9, 4.3) were also significantly affected contraception use. Community-level variables such as high community-level antenatal care services use (AOR = 2.1; 95% CI: 1.9–4.2) and proximity of women to health facility (AOR = 3.0; 95% CI: 2.7–4.6) were also determinants of contraception uptake. Conclusions The status of contraceptive use in rural Tigray region was found to be low. It was found that both individual and community-level variables showed a marked determinant on postpartum contraception use. This study suggested that in order to increase contraceptive use the government should focus on increasing postnatal care, antenatal care services use and reduction of poverty level are important avenues for intervention. |
| first_indexed | 2024-12-10T09:17:46Z |
| format | Article |
| id | doaj.art-5b8bcb44cbe04f0fad72ae8920a99855 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-10T09:17:46Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-5b8bcb44cbe04f0fad72ae8920a998552022-12-22T01:54:47ZengBMCBMC Public Health1471-24582018-08-0118111010.1186/s12889-018-5941-4Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysisTeklehaymanot Huluf Abraha0Berhe Beyene Gebrezgiabher1Berihu Gidey Aregawi2Desta Siyoum Belay3Lidiya Tsegay Tikue4Getachew Mebrahtu Welay5Department of Reproductive Health, School of Public Health, College of Health Sciences, Aksum UniversityDepartment of Epidemiology & Biostatistics, School of Public Health, College of Health Sciences, Aksum UniversityDepartment of Human Nutrition, School of Public Health, College of Health Sciences, Aksum UniversitySchool of Nursing, College of Health Sciences, Mekelle UniversityDepartment of Nursing, Defence Force University, College of Health ScienceDepartment of Epidemiology & Biostatistics, School of Public Health, College of Health Sciences, Aksum UniversityAbstract Background Postpartum family planning services is one of the recommended public health intervention aimed at reducing maternal and child morbidity and mortalities. However, there is a paucity studies in rural Tigray region. Therefore, determining the level and associated factors of contraceptive use among postpartum women has the potential to contribute in achieving the Ethiopian Health Sector Transformation Plan and to the Sustainable Development Goals on maternal and infant survival. Methods A community-based cross-sectional study was done among 1109 postpartum women from March 29, 2017 to April 29, 2017. Face –to–face interview was used for data collection. The collected data were entered and cleaned using EPI - INFO version 7statistical software and later exported to and analyzed using STATA version 12. Mixed-effects multilevel logistic regression analysis was used to identify the individual and community-level factors associated with contraception adoption. A two side p-value< 0.05 was considered to be statistically significant. Results The level of contraceptive use was 38.3%. Individual-level variables such as women belong to fourth (AOR = 1.2; 95% CI: 1.1–3.2) and fifth (AOR = 1.5; 95% CI: 1.3–2.5) wealth quintiles were identified as key predictors of contraception use. In addition, partner secondary (AOR = 2.3; 95% CI: 1.8–3.5) and diploma (AOR = 1.2; 95% CI, 1.1–2.6) educational-level and postnatal care (AOR = 2.0; 95% CI: 1.9, 4.3) were also significantly affected contraception use. Community-level variables such as high community-level antenatal care services use (AOR = 2.1; 95% CI: 1.9–4.2) and proximity of women to health facility (AOR = 3.0; 95% CI: 2.7–4.6) were also determinants of contraception uptake. Conclusions The status of contraceptive use in rural Tigray region was found to be low. It was found that both individual and community-level variables showed a marked determinant on postpartum contraception use. This study suggested that in order to increase contraceptive use the government should focus on increasing postnatal care, antenatal care services use and reduction of poverty level are important avenues for intervention.http://link.springer.com/article/10.1186/s12889-018-5941-4PredictorsContraceptionPostpartum periodMultilevel analysisTigrayEthiopia |
| spellingShingle | Teklehaymanot Huluf Abraha Berhe Beyene Gebrezgiabher Berihu Gidey Aregawi Desta Siyoum Belay Lidiya Tsegay Tikue Getachew Mebrahtu Welay Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis BMC Public Health Predictors Contraception Postpartum period Multilevel analysis Tigray Ethiopia |
| title | Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis |
| title_full | Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis |
| title_fullStr | Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis |
| title_full_unstemmed | Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis |
| title_short | Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis |
| title_sort | predictors of postpartum contraceptive use in rural tigray region northern ethiopia a multilevel analysis |
| topic | Predictors Contraception Postpartum period Multilevel analysis Tigray Ethiopia |
| url | http://link.springer.com/article/10.1186/s12889-018-5941-4 |
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