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(ASWH) Prevalence and Factors Affecting Utilization Acta Scientific Women's Health (ASWH) ISSN: 2582-3205 DOI: 10.31080/ASWH.2021.03 Research Article Special Issue 3- 2021 Prevalence and Factors Affecting Utilization of Postpartum Family Planning Service Utilization Among Postpartum Women in Gimbi Town, Western Ethiopia Like Berhanu Kenea1*, Abraham Haileamlak Mitike2, Tsegaye Received: February 23, 2021 Tewelde Gebrehiwot3, Wondimu Mitiku Geleta4 and Zalalem Kaba March 08, 2021 Babure4 Published: © All rights are reserved by Like Berhanu 1West Wollega Zonal Health Office, Gimbi Town, Oromia Regional State, Western Kenea., et al. Ethiopia 2Department of Pediatrics and Child Health, Institute of Health, Faculty of Medicine, Jimma University, Jimma, Ethiopia 3Department of Epidemiology, Institute of Health, Jimma University, Jimma, Ethiopia 4East Wollega Zonal Health Office, Nekemte Town, Oromia Regional State, Western Ethiopia *Corresponding Author: Gimbi Town, Oromia Regional State, Western Ethiopia. Like Berhanu Kenea, West Wollega Zonal Health Office, Abstract Introduction: Family planning service is one of the important interventions to save mother and the children in human life. Among family planning methods, postpartum family planning service has a great contribution to decrease a child and maternal death. Methods: A cross-sectional study design was conducted at Gimbi Town, Western Ethiopia in June, 2019. Multistage sampling method was used to select 597 study participants. Data was collected with Structured pretested questioner. Data entered with Epi data 3.1 software, and exported to SPSS software version 21 for analysis. A Descriptive statistical method like frequency distribution were used to present the study population parameters. To analyze factors associated with the dependent variables a Bivariate Logistic regression model was applied. The confounding factors were controlled by using Multivariable logistic regression model. To determine the significant association withResult: the Our of family study planning revealed utilization,that the prevalence Adjusted ofOdds family Ratio planning with the use ninety-five among postpartum confidence mothersinterval (AOR)95%was 6 (CI) was computed. 8.5% (95%CI: 64.7-72.2). Mothers with four and above Antenatal care(ANC) visit were 8 times more likely to utilize FP service compared to those who attend ANC service only one time (AOR=8.0; 95% CI: 1.3 - 29.8). Mothers who were delivered in hospital were 5 times more likely to utilized FPConclusion: compared This to those study who revealed gave birth that utilizationat home (AOR=5.0; of postpartum 95% CI: family 1.3 -planning 16.7). in Gimbi Town is high. Household income, number of - ANC visit, Place of delivery and perceived attitude of service provider significantly associated with postpartum family planning utili and postnatal care is important. zation. Promoting ANC follow up, institutional delivery and improving the information provision during the ANC follow up, delivery Keywords: Postpartum Family Planning; ANC Visit; Mothers and Gimbi Citation: Like Berhanu Kenea., et al. “Prevalence and Factors Affecting Utilization of Postpartum Family Planning Service Utilization Among Postpartum Women in Gimbi Town, Western Ethiopia”. Acta Scientific Women's Health Special Issue 3 (2021): 10-20. Prevalence and Factors Affecting Utilization of Postpartum Family Planning Service Utilization Among Postpartum Women in Gimbi Town, Western Ethiopia 11 Abbreviations the ability of the mother to be health while pregnant, capable on delivery which attained by birth spacing [10]. Over all more than ANC: Antenatal Care; AOR: Adjusted Odds Ratio; ETB: Ethiopian advancing in knowledge and practice to use family planning ser- Birr; FGAE: Family Guidance Association of Ethiopia; FP: Family 50% of maternal death in developing country can be addressed in - vices [12]. universal access to family planning service needs allo- Planning; KM: Kilometer; NGO: Non-governmental Organization; tion. cating the scarce resource primarily for addressing maternal and PPFP: Postpartum Family Planning; WHO: World Health Organiza newborn health care [13]. Generally, the aims of family planning Introduction or postpartum family has two main objectives. These are to have Rapid population growth has become the major threat facing the desired number of children we like and to save the mother and - the new born by having birth space recommended There are ported on 2015 [1] different kinds of family planning method available this day which today. Now the population of the globe reached 7.349 billion as re [14]. increased number of maternal, child and newborn death. Maternal safe the woman as compared to risks of frequent pregnancies and . In areas where fertility is high I, there is also Mortality is still the major world problems doe to child bearing is problems related with child birth [15]. one of the most leading Maternal health problems mainly causes of The postpartum period is a time in which a pregnant moth- illness, disability and death of mothers. The magnitude of maternal ers take rest time and prepare for the next pregnancy if contra- mortality in 2013 was 289,000 [2]. This high burden of maternal . Annual maternal mortality rates in the developed countries ception intervention is not given. In this time Postpartum family death around 62 percent of them were from Sub-Saharan Africa unplanned pregnancy. PPFP is among family planning service pro- such as the United Kingdom and United States of America are es- planning service (PPFP) is a kind of interventions to restrain from [3,4] vided immediately after delivery to prevent unplanned and closely African countries such as South Africa, maternal mortality rate is timated at 8 and 16 per 100,000 live births respectively. In some women after delivery never recognize themselves as they are at estimated at 237 per 100,000 live births, while in the Sub Sahara spaced pregnancies through the first one year of childbirth. Many risks of pregnancy, and those who are sexually active after delivery desires to become not pregnant but they do not use family planning [5] African countries the rates are over 400 per 100,000 live births services. There are many unmet need for family planning among per100.000 live births . Family planning is a health service . In Ethiopia, maternal mortality rate estimates 350 death this women’s, and providing access to contraception will dur- given for reproductive women and men which capacitate them to [6] ing postpartum time will be a chance to prevent un planned and have a desired number children and protect them from unwanted closely spaced pregnancies. Birth spacing’s less than two years has an increased risk among pregnant women. As data reported from per year die due to unsafe abortion which make maternal mortal- pregnancy. Many reproductive age women, around 68,000 women ity among the leading cause of maternal death [7] Postpartum contraception, became pregnant prior to resuming abortion is one of the top cause of maternal death and morbidity Egypt, around 15% of breastfeeding women, who were not using . In Africa, Unsafe of their menses . Almost all mothers 0-12 months after deliv- [8]. According [16] which accounts around 14% of maternal mortality and half million women suffer from Unsafe abortion, from this ery, 54% are sexually active within the first six months of delivery, to the World Health organization (WHO) estimate, more than five - - and 13% resume their menses within this period. Among mothers [9]. As reported from ers die due to chronic illness and disability related to it. Reproduc- 12–23 months after delivery, around 93% are exercise sexual ac magnitude around 36,000 mothers die from procedure, and oth tive age women should take a time gap at least two years between tivity and 52% have menses reappearance of 0-12 moth’s postpartum women desire to avoid pregnancies for consecutive delivery by family planning methods [9,10] analysis of Demographic and Health survey of 27 countries, 65% the next one year, but they did not use any method of family plan- the advantages of family planning service recognized though out . Now days ning. The rationale behind family planning is to give adequate time the world. This improve socio economic status, economic, and for the next pregnancies to have the desired number of children, - health mother and health neonate. Despite giving a time between ing individually for the newborn baby as well as for the mother health conditions of the mothers. This benefit has been contribut consecutive pregnancies, preventing risk related to unwanted by preventing them from health problems like disabilities, death pregnancies PPFP helps the mothers to protect from risks of ma- and short term and long term illness [11] ternal and neonatal death. Due to the pregnancies within six month mother and the new born health conditions can be determined by . In addition to this the day of delivery a postpartum mother has been suffered with a 7.5 Citation: Like Berhanu Kenea., et al. “Prevalence and Factors Affecting Utilization of Postpartum Family Planning Service Utilization Among Postpartum Women in Gimbi Town, Western Ethiopia”. Acta Scientific Women's Health Special Issue 3 (2021): 10-20. Prevalence and Factors Affecting Utilization of Postpartum Family Planning Service Utilization Among Postpartum Women in Gimbi Town, Western Ethiopia 12 times risks of abortion, a 3.3 times increase in miscarriage and 1.5 - times increase in risks of still birth [17]. Some women has a chance - within extended postpartum period (within one year after deliv to have discussion on postpartum family planning during prenatal titative data was estimated using a single population proportion ery) in Gimbi town. The required sample size for collecting quan period, delivery, and postnatal time. The family planning service provision has high contribution in decreasing the risks of maternal - formula for a finite population taking the proportion (p) as 48%, and infant mortality and morbidity besides to voluntarily reduc- 95% CI, 5% marginal error and 10% non-response rate. The calcu tion of termination of pregnancies [18]. Besides to this risks of we employed design effect which accounted to reduce the possible lated sample size was 410.
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