Acceptability and Factors Associated with Immediate Postpartum Intrauterine Contraceptive Device Use Among Women Who Gave Birth at Government Hospitals of Gamo Zone, Southern Ethiopia, 2019

Abstract

Background

An intrauterine contraceptive device is suitable for women of all reproductive age groups for preventing unwanted pregnancies. Immediate postpartum family planning (PPFP) services need to be emphasized when the woman leaves the hospital. Despite the accepted demand for PPFP, many women do not access the services. Therefore, this study aimed to assess acceptability and factors associated with immediate postpartum intrauterine contraceptive device use among women who gave birth at government hospitals of Gamo Zone, Southern Ethiopia.

Methods

A cross-sectional study was conducted from March 1 to 30, 2019 with 452 participants studied using systematic random sampling technique. Data was collected using a pretested interviewer-administered questionnaire from March 1 to 30, 2019. The data were coded, cleaned and entered into Epi-data manager version 4.2.2.1 and exported to SPSS version 23 for advanced analysis. Binary logistic regression was performed to identify associated factors of immediate PPIUCD acceptability.

Results

This study revealed that about 161 (35.6%) in 95% CI (31.0, 39.6) of the study participants accepted immediate PPIUCD. Multiparty (AOR = 2.33, 95% CI, (1.29, 4.20)), completed antenatal follow up (AOR = 3.65, 95% CI, (2.22, 5.99)), counselling (AOR= 8.38, 95% CI, (4.85, 14.48)) and prior discussion (AOR=2.57, 95% CI, (1.51, 4.36)) were statistically significant.

Conclusion and Recommendation

Even though 58% of the mothers were counselled about PPIUCD during the important cascade of pregnancy and 53% of the mothers completed antenatal service, efforts need to improve antenatal care services and integrate counselling services through the whole cascade of pregnancy.

Keywords:

• acceptability
• immediate postpartum intrauterine contraceptive device

Abbreviations

AOR, Adjusted Odds Ratio; ANC, Antenatal Care; CI, confident interval; PNC, Postnatal Care; PPIUCD, Postpartum Intrauterine Contraceptive Device; SPSS, Statistical Package for Social Science; WHO, World Health Organization.

Data Sharing Statement

Full data set and other materials relating to this study can be obtained from the corresponding authors upon reasonable request.

Ethical Approval and Consent to Participate

Ethics approval was obtained from the Institutional Research Ethics Review Board (IRB) Office, College of Medicine and Health Sciences Arba Minch University. Following the approval, official letter of cooperation from zonal health department was obtained to conduct the study in the three Hospitals providing postpartum IUCD. Data were collected after taking verbal consent according to the declaration of Helsinki from each participant. Purpose of study was explained and confidentiality was assured. Mothers whose age was less than 18 were considered to be early mature and gave oral informed consent. This is acceptable by Institutional Research Ethics Board (IRB) Office of Arba Minch University.

Acknowledgment

First, we would like to express our greatest gratitude to Almighty God whose blessing enabled us to all. We acknowledge gratefully all our data collectors for their commitment during data collection and all the service providers and managers in respective hospitals for giving us data which related to our research proposal. We would like to thank all clients who participated in the study scarifying their valuable time and information. Finally we would like to express our thanks to Arba Minch University, College of Medicine and Health Sciences, Department of Public Health for giving us this chance and support to prepare this research thesis.

Author Contributions

All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

The authors declare that they have no competing interests.