PMID- 23870234
OWN - NLM
STAT- MEDLINE
DCOM- 20131108
LR  - 20220331
IS  - 1742-4755 (Electronic)
IS  - 1742-4755 (Linking)
VI  - 10
DP  - 2013 Jul 22
TI  - Factors influencing the intention of women in rural Ghana to adopt postpartum 
      family planning.
PG  - 34
LID - 10.1186/1742-4755-10-34 [doi]
AB  - BACKGROUND: Uptake of postpartum family planning (PPFP) remains low in 
      sub-Saharan Africa and very little is known about how pregnant women arrive at 
      their decisions to adopt PPFP. This information is needed to guide the 
      development of interventions to promote PPFP. METHODS: We conducted a survey 
      among pregnant women attending antenatal clinics in a rural district in Ghana. We 
      used univariate and multivariate logistic regression analysis to explore how 
      knowledge of various family planning (FP) methods, past experience with their use 
      and the acceptability of PPFP to male partners and close relations influenced the 
      intention of pregnant women to adopt PPFP. RESULTS: We interviewed 1914 pregnant 
      women in four health facilities. About 84% considered PPFP acceptable, and 70% 
      intended to adopt a method. The most preferred methods were injectables (31.5%), 
      exclusive breastfeeding (16.7%), and oral contraceptive pills (14.8%). Women 
      whose first choice of PPFP method were injectables were more likely to be women 
      who had had past experience with its use (O.R = 2.07, 95% C.I. 1.50-2.87). 
      Acceptability of PPFP by the pregnant woman (O.R. = 3.21, 1.64-6.26), perception 
      of partner acceptability (O.R. = 3.20, 1.94-5.48), having had prior experience 
      with the use of injectables (O.R. = 3.72, 2.61-5.30) were the strongest 
      predictors of the intention to adopt PPFP. Conversely women who knew about the 
      diaphragm (O.R. = 0.59, 0.38-0.93) and those who had past experience with IUD use 
      (O.R. = 0.13, 0.05-0.38) were less likely to want to adopt PPFP. CONCLUSIONS: 
      Acceptability of PPFP to the pregnant woman, male partner approval, and past 
      experience with the use of injectables are important factors in the PPFP 
      decisions of women in this population. Antenatal and early postnatal care need to 
      be adapted to take these factors into consideration.
FAU - Eliason, Sebastian
AU  - Eliason S
AD  - Department of Community Medicine, University of Cape Coast, Cape Coast, Ghana.
FAU - Baiden, Frank
AU  - Baiden F
FAU - Quansah-Asare, Gloria
AU  - Quansah-Asare G
FAU - Graham-Hayfron, Yvonne
AU  - Graham-Hayfron Y
FAU - Bonsu, Derek
AU  - Bonsu D
FAU - Phillips, James
AU  - Phillips J
FAU - Awusabo-Asare, Kofi
AU  - Awusabo-Asare K
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130722
PL  - England
TA  - Reprod Health
JT  - Reproductive health
JID - 101224380
SB  - IM
MH  - Adult
MH  - Contraception/methods/*psychology
MH  - Family Planning Services
MH  - Female
MH  - Ghana
MH  - Humans
MH  - *Intention
MH  - Logistic Models
MH  - Male
MH  - Multivariate Analysis
MH  - *Postpartum Period
MH  - Pregnancy
MH  - Sexual Partners/psychology
MH  - Women/*psychology
PMC - PMC3724747
EDAT- 2013/07/23 06:00
MHDA- 2013/11/10 06:00
PMCR- 2013/07/22
CRDT- 2013/07/23 06:00
PHST- 2013/04/25 00:00 [received]
PHST- 2013/07/19 00:00 [accepted]
PHST- 2013/07/23 06:00 [entrez]
PHST- 2013/07/23 06:00 [pubmed]
PHST- 2013/11/10 06:00 [medline]
PHST- 2013/07/22 00:00 [pmc-release]
AID - 1742-4755-10-34 [pii]
AID - 10.1186/1742-4755-10-34 [doi]
PST - epublish
SO  - Reprod Health. 2013 Jul 22;10:34. doi: 10.1186/1742-4755-10-34.