Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia
Objectives: The evidence on utilization of immediate postpartum intrauterine contraceptive devices (IPPIUCDs) and its associated factors are limited in Ethiopia. Hence, this study intended to assess IPPIUCD utilization and related factors among women who gave birth in Adama town public hospitals, Et...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-12-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121221142412 |
| _version_ | 1811198616657723392 |
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| author | Etenat Aemro Meyrema Abdo Alem Deksisa Afework Alemayehu Teshale Mulatu Tahir Ahmed Hassen Alemayehu Molla Kedir Teji Roba |
| author_facet | Etenat Aemro Meyrema Abdo Alem Deksisa Afework Alemayehu Teshale Mulatu Tahir Ahmed Hassen Alemayehu Molla Kedir Teji Roba |
| author_sort | Etenat Aemro |
| collection | DOAJ |
| description | Objectives: The evidence on utilization of immediate postpartum intrauterine contraceptive devices (IPPIUCDs) and its associated factors are limited in Ethiopia. Hence, this study intended to assess IPPIUCD utilization and related factors among women who gave birth in Adama town public hospitals, Ethiopia. Method: A facility-based cross-sectional study was done among 493 postpartum mothers at selected government health facilities in Adama town from January 20 to February 20, 2021. All women who gave birth in selected government health facilities and within 48 h of postpartum were included in the study. Data were collected using an interviewer-administered questionnaire. Logistic regression models were used to identify the factors associated with IPPIUCD utilization. Adjusted odds ratios (AORs) with 95% confidence interval (CI) were calculated to measure the strength of association and statistical significance was declared at p < 0.05. Result: In this study, 22.1% (95% CI: 17.3–25.2) of the mothers used IPPIUCDs within 48 h of giving birth. Having three or more children (AOR = 4.18, 95% CI: 1.79–9.79), having no desire to have another child (AOR = 3.9, 95% CI: 1.86–8.17), counseling after delivery (AOR = 3.1 95% CI: 1.52–6.34), and having good knowledge about PPIUCD (AOR = 3.82, 95% CI: 1.94–7.49) were significantly associated with IPPIUCD utilization. Conclusion: The utilization of IPPIUCD in this study was low. Strategies to raise pregnant mothers’ awareness of IPPIUCD through mass media, and integrating standard counseling on immediate postpartum intrauterine device (IPPIUD) during antenatal care, and the immediate postpartum period are required to improve IPPIUD utilization. |
| first_indexed | 2024-04-12T01:34:21Z |
| format | Article |
| id | doaj.art-b9577a4629fd49d28f05520ad47f8bf9 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-04-12T01:34:21Z |
| publishDate | 2022-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-b9577a4629fd49d28f05520ad47f8bf92022-12-22T03:53:23ZengSAGE PublishingSAGE Open Medicine2050-31212022-12-011010.1177/20503121221142412Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, EthiopiaEtenat Aemro0Meyrema Abdo1Alem Deksisa2Afework Alemayehu3Teshale Mulatu4Tahir Ahmed Hassen5Alemayehu Molla6Kedir Teji Roba7Burka Health Center, Eastern Shewa, EthiopiaDepartment of Public Health, Adama Hospital Medical College, Adama, EthiopiaDepartment of Public Health, Adama Hospital Medical College, Adama, EthiopiaSchool of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaSchool of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaSchool of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaCollege of Health and Medical Science, Diredawa University, Diredawa, EthiopiaSchool of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, EthiopiaObjectives: The evidence on utilization of immediate postpartum intrauterine contraceptive devices (IPPIUCDs) and its associated factors are limited in Ethiopia. Hence, this study intended to assess IPPIUCD utilization and related factors among women who gave birth in Adama town public hospitals, Ethiopia. Method: A facility-based cross-sectional study was done among 493 postpartum mothers at selected government health facilities in Adama town from January 20 to February 20, 2021. All women who gave birth in selected government health facilities and within 48 h of postpartum were included in the study. Data were collected using an interviewer-administered questionnaire. Logistic regression models were used to identify the factors associated with IPPIUCD utilization. Adjusted odds ratios (AORs) with 95% confidence interval (CI) were calculated to measure the strength of association and statistical significance was declared at p < 0.05. Result: In this study, 22.1% (95% CI: 17.3–25.2) of the mothers used IPPIUCDs within 48 h of giving birth. Having three or more children (AOR = 4.18, 95% CI: 1.79–9.79), having no desire to have another child (AOR = 3.9, 95% CI: 1.86–8.17), counseling after delivery (AOR = 3.1 95% CI: 1.52–6.34), and having good knowledge about PPIUCD (AOR = 3.82, 95% CI: 1.94–7.49) were significantly associated with IPPIUCD utilization. Conclusion: The utilization of IPPIUCD in this study was low. Strategies to raise pregnant mothers’ awareness of IPPIUCD through mass media, and integrating standard counseling on immediate postpartum intrauterine device (IPPIUD) during antenatal care, and the immediate postpartum period are required to improve IPPIUD utilization.https://doi.org/10.1177/20503121221142412 |
| spellingShingle | Etenat Aemro Meyrema Abdo Alem Deksisa Afework Alemayehu Teshale Mulatu Tahir Ahmed Hassen Alemayehu Molla Kedir Teji Roba Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia SAGE Open Medicine |
| title | Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia |
| title_full | Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia |
| title_fullStr | Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia |
| title_full_unstemmed | Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia |
| title_short | Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia |
| title_sort | immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of adama town ethiopia |
| url | https://doi.org/10.1177/20503121221142412 |
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