Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

BMC Women's Health

Gashaw Andargie Biks¹  Tadesse Awoke Ayele¹  Bisrat Misganaw¹  Telake Azale¹  Asmamaw Atnafu¹  Mezgebu Yitayal¹  Kassahun Alemu¹  Destaw Fetene²  Haileab Fekadu Wolde²  Adane Kebede³  Tsegaye Gebremdhin³  Endalkachew Dellie³  Getu Debalkie Demissie⁴  Terefe Derso⁵ 

[1] Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Science, University of Gondar;Department of Epidemiology and Biostatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar;Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar;Department of Health education and behavioral sciences, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar;Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar;

关键词: Contraceptive utilization;    Postnatal care;    Child immunization;   

DOI  :  10.1186/s12905-020-00933-7

来源: DOAJ

【 摘 要 】

Abstract Background Contraceptive utilization is a guarantee to avert unwanted pregnancies. In Ethiopia however, more than half of the rural women have shorter birth intervals. Consequently, 17 and 8% of the births have been either mistimed (wanted at later date) or unwanted, respectively. Therefore, this study investigated modern contraceptive utilization and its predictors among rural lactating women. Methods A community based-cross-sectional study was conducted from May 01 to June 29, 2019, in Dabat and Gondar zuria districts, northwest Ethiopia. Data from 603 lactating mother were collected through face to face interviews using a structured questionnaire. Bivariate and multivariate logistic regression analyses were fitted to identify the independent predictors of modern contraceptive utilization. Results The overall prevalence of modern contraceptive (MC) utilization rate was 45.8% [95% CI: 38.01, 53.59]. The contraceptive method mix was dominated by Depo-Provera (39.8%) followed by implants (4.8%). The odds of utilization of contraceptive were 5.58 times higher among mothers of children with fully immunized [AOR = 5.58, 95% CI: 3.45, 9.01] compared to mothers whose children were vaccinated partially or not at all. Mothers who received antenatal [AOR = 1.74, 95% CI: 1.13, 4.43] and postnatal care [AOR = 2.02, 95%CI: 1.24, 2.91) were 1.74 and 2.02 folds more likely to utilize modern contraceptives than mothers who did not receive such care, respectively. Conclusion The prevalence of modern contraceptive utilization in this study area was lower than the planed national target. In the region, child immunization service is one of the promising platforms for reaching lactating mothers with modern contraceptive utilization. Our findings suggest that antenatal and postnatal care visits are the other key determinants of modern contraceptive utilization. Thus, in low-resource settings like ours, the health system approaches to improved antenatal and, postnatal care and child immunization services should be intensified with more effective advice on modern contraceptive utilization to reduce unwanted pregnancies.

【 授权许可】

Unknown