PMID- 30264764 OWN - NLM STAT- MEDLINE DCOM- 20190523 LR - 20220321 IS - 1117-1936 (Print) VI - 25 IP - 3 DP - 2018 Jul-Sep TI - Barriers to acceptance of post-partum family planning among women in Montserrado County, Liberia. PG - 143-148 LID - 10.4103/npmj.npmj_96_18 [doi] AB - BACKGROUND: Maternal mortality in Liberia is one of the highest in Sub-Saharan Africa. Post-partum family planning (PPFP) can reduce the risk of maternal mortality by preventing unwanted and closely spaced pregnancies. Yet, the uptake of PPFP is low in Liberia. OBJECTIVE: We investigated the barriers to acceptance of PPFP use among women in Montserrado County, Liberia. MATERIALS AND METHODS: A cross-sectional facility-based survey was conducted using a multistage sampling technique to select 378 women within 12 months' post-partum period. RESULTS: About half of our respondents were <25 years (52.9%), 24.1% were married, 66.4% had at least secondary education and 92.1% were Christians. The most commonly reported barriers were the fear of side effects (22.0%) and the post-partum abstinence (22.2%). Binary logistic regression analysis showed that being within the early post-partum period, i.e., within the first 6 months (adjusted odds ratio [AOR] = 0.23, 95% confidence interval [CI] [0.09-0.60] and lack of access to PPFP [AOR = 0.22, 95% CI [0.09-0.52]). Importantly, women who were married [AOR = 1.686, 95% CI (0.65, 4.36)] and those who were aware of PPFP [AOR 3.69, 95% CI (1.224, 11.096)] increased the likelihood of using PPFP. CONCLUSION: Important barriers to the utilisation of PPFP in Liberia were being within early post-partum period, lack of access and awareness of PPFP including myths and misconception. Therefore, health communication targeting mothers for PPFP at every contact with maternal and childcare services should be encouraged. FAU - Kaydor, Virginia K AU - Kaydor VK AD - Pan African University Life and Earth Science Institute (PAULESI); Department Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria. FAU - Adeoye, Ikeola A AU - Adeoye IA AD - Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria. FAU - Olowolafe, Tubosun A AU - Olowolafe TA AD - Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria. FAU - Adekunle, Adeyemi O AU - Adekunle AO AD - Pan African University Life and Earth Science Institute (PAULESI); Department Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria. LA - eng PT - Journal Article PL - Nigeria TA - Niger Postgrad Med J JT - The Nigerian postgraduate medical journal JID - 9613595 SB - IM MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - *Family Planning Services MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Health Services Accessibility MH - Humans MH - Liberia MH - *Patient Acceptance of Health Care MH - Postpartum Period MH - Young Adult OTO - NOTNLM OT - Barriers OT - post-partum family planning OT - post-partum period OT - utilisation COIS- There are no conflicts of interest EDAT- 2018/09/29 06:00 MHDA- 2019/05/24 06:00 CRDT- 2018/09/29 06:00 PHST- 2018/09/29 06:00 [entrez] PHST- 2018/09/29 06:00 [pubmed] PHST- 2019/05/24 06:00 [medline] AID - NigerPostgradMedJ_2018_25_3_143_242210 [pii] AID - 10.4103/npmj.npmj_96_18 [doi] PST - ppublish SO - Niger Postgrad Med J. 2018 Jul-Sep;25(3):143-148. doi: 10.4103/npmj.npmj_96_18.