Postpartum Family Planning Utilization and associated factors among Women who gave birth in the last 12 months in selected Districts of Arsi Zone, Southeast Ethiopia: A community based cross-sectional study

Abstract

Background: Inter-pregnancy intervals of at least 24 months are
recommended due to the association between shorter intervals and higher
rates of infant mortality, pre-term and low birth weight newborns. Increasing
use of postpartum contraception can reduce the number of short-interval
pregnancies. Despite these facts, there is a very limited data related to
postpartum contraception utilization and contributing factors in the study
area.
Objective: to assess postpartum family planning utilization and associated
factors among Women who gave birth in the last 12 months in Zeway Dugda
and Dodota Districts.
Methods: A community based cross-sectional study was conducted from
January 15-31, 2020. Data was collected from a random sample of 796
women who gave birth during the last 12 months using structured and pre-
tested questionnaire. The collected data was entered using Epi-Info version 7
software and then exported to SPSS version-21 for analysis. Multivariate logistic regression was used and association between postpartum family planning uptake and independent variables were measured using adjusted
odds ratios and its 95% confidence interval and P- values below 0.05 was
considered statistically significant.
Results: Magnitude of overall postpartum family planning utilization in the
study districts was 17.46%. Immediate Postpartum family planning uptake
rate was 1.01%. status and receiving family planning
counseling during ANC visit were main factor associated to postpartum
family planning uptake.
Conclusion: Postpartum family planning uptake specially the immediate one
al status and family planning counseling during ANC were found to be predictors for postpartum
family planning utilization.