Abstract
BackgroundIncreased access to contraceptive methods has been established as a cost-effective strategy for developing countries to reduce maternal and child mortality. Intentions to contraceptive uptake appear to be best predictors of actual contraceptive practice than the unmet need. However, intention to contraceptive use in Ethiopia particularly among postpartum women is not well assessed. Therefore, the objective of this study was to assess intention to use modern contraceptive and to identify factors associated among postpartum women in Aksum town.MethodsA community –based analytical cross-sectional study design was done to collect the data from 604 postpartum mothers using a structured questionnaire. The data was collected from March 25 to April 24, 2015. A multivariable logistic regression was conducted to assess factors associated with intentions to use contraceptive methods. Factors influencing intentions on contraceptive methods use were assessed by computing adjusted odds ratios (AOR) at 95% confidence interval (CI) with statistical significant p- value < 0.05.ResultsIntention to use modern contraceptive was 84.3%. Resumed sexual intercourse (AOR = 1.78; 95% CI: 1.34, 3.92) and women whose their husband approved family planning to use (AOR = 1.57; 95% CI: 2.02, 5.57) were more likely to have intention on contraceptive use. In addition, those women who knew at least one method of modern contraceptive (AOR = 5.17; 95% CI: 1.69, 15.82) were more likely to had intention to use modern contraceptive during extended postpartum period compared to their counterparts.Conclusion and recommendationMore than eight in ten study participants have intention to use contraceptive in the Aksum town. Resumed sexual intercourse, husband’s approval of family planning and knew at least one method of contraceptive are the three major predictors to be an areas when considering interventions to increase of intention on contraceptive. Therefore, this study highlighted that; in order to increase intention and adoption of contraceptive, the family planning services providers and programmers should continue the promotion of partner involvement and increasing family planning knowledge through printed media and mass media.
Highlights
Increased access to contraceptive methods has been established as a cost-effective strategy for developing countries to reduce maternal and child mortality
Background plain Family planning is an integral component of Maternal and Child Health (MCH) services in the Ethiopia health system
Women who resumed sexual intercourse, husband approved family planning to adopt and know at least one method of contraceptive were identified factors associated with intention to use contraceptive
Summary
Increased access to contraceptive methods has been established as a cost-effective strategy for developing countries to reduce maternal and child mortality. Intention to contraceptive use in Ethiopia among postpartum women is not well assessed. Unmet need of contraceptive during Extended Postpartum Period in Ethiopia is unacceptable high. This exposes the mothers to high risk of unwanted pregnancies and unsafe abortion. Contraceptive utilization is a key predictor in preventing unwanted pregnancies, reducing maternal and child mortality, and improving the lives of women and their families [1, 2]. Intention to use postpartum modern contraceptive methods is a better measurement for contraceptives in the extended postpartum period than the unmet need. Extended Postpartum Period (EPP) provides a window of opportunity for women on the adoption of modern contraceptive methods [6,7,8]. In developing countries many postpartum women fail to obtain family planning services soon after birth and become pregnant again, either much sooner than they wish or contrary to their desire to cease child bearing entirely [5]
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