Barriers and determinants of postpartum family planning uptake among postpartum women in Western Ethiopia: a facility-based cross-sectional study

Tariku Tesfaye Bekuma,Motuma Getachew,Assefa Seme,Rut Oljira,Temesgen Tilahun

doi:10.1186/s13690-022-00786-6

Tariku Tesfaye Bekuma, Motuma Getachew + Show 3 more

Open Access

https://doi.org/10.1186/s13690-022-00786-6

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Abstract

BackgroundDespite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high. Therefore, this study is aimed to assess barriers and determinants of postpartum family-planning uptake among women visiting Maternal, Neonatal, and Child Health (MNCH) services in public health facilities of western Ethiopia.MethodsA facility-based cross-sectional study design with a quantitative method was conducted on 989 postpartum women in Western Ethiopia from September 1 to October 30, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires, entered using EPI-INFO version 7.0, and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05.ResultIn this study, 56.1% of participants had used PPFP in the last year. The most commonly used method was injectable (51.7%). Family planning use before the index pregnancy (AOR = 2.09;95%CI:1.29,3,41),counselling on PPFP during antenatal care and delivery (AOR = 4.89;95%CI:2.31,10.37),health facility delivery (AOR = 7.61;95%CI:4.36,13.28), skilled birth attendance (AOR = 4.99;95%CI:2.88,8.64),COVID-19 restrictions (AOR = 0.59;95%CI:0.39,0.90) were factors associated with PPFP utilization. Being breastfeeding and amenorrhea were major reasons for not using postpartum family planning.ConclusionPost-partum family planning utilization among study participants was low. Given the associated factors, it is recommended that health facilities should make postpartum family planning one of their top priorities and focus on these factors to improve its utilization.

Highlights

Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high
It is recommended that health facilities should make postpartum family planning one of their top priorities and focus on these factors to improve its utilization
Six hundred thirty (63.70%) and 359(36.30%) of participants were from Western Oromia and Beneshangul Gumuz Regional States respectively

Summary

Introduction

Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high. This study is aimed to assess barriers and determinants of postpartum family-planning uptake among women visiting Maternal, Neonatal, and Child Health (MNCH) services in public health facilities of western Ethiopia. The postpartum period is a critical time to address the high unmet need of family planning and to reduce the risks of closely spaced pregnancies [1]. As many as 50–90% of women from 17 low- and middleincome countries (LMICs) report an unmet need for postpartum family planning (PPFP) [2]. WHO recommends PPFP as a critical component of health care that has the potential to meet women’s desire for contraception and save millions of maternal and infant lives in low- and middle-income countries [4]

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