PMID- 33481796
OWN - NLM
STAT- MEDLINE
DCOM- 20210510
LR  - 20210510
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 16
IP  - 1
DP  - 2021
TI  - Family planning utilization and associated factors among postpartum women in 
      Addis Ababa, Ethiopia, 2018.
PG  - e0245123
LID - 10.1371/journal.pone.0245123 [doi]
LID - e0245123
AB  - BACKGROUND: Pregnancies that occur in the first year after birth can result in 
      adverse outcomes for the mothers and their babies. Postpartum family planning 
      (PPFP) can save lives of many mothers and children. Only few data are available 
      about the magnitude of PPFP use and its determinants in Addis Ababa, Ethiopia. 
      OBJECTIVE: To assess PPFP utilization and associated factors in Addis Ababa, 
      Ethiopia. METHOD: A facility-based cross-sectional study was conducted from April 
      to June 2018. A total of 625 women were enrolled in the study. Statistical 
      Package for the Social Sciences (SPSS) software was used to analyze the data. 
      Binary logistic regression model with adjusted odd ratio (AOR) and 95% confidence 
      interval (CI) was used to identify the factors associated with PPFP use. A 
      p-value less than 0.05 was considered as significant. RESULT: The magnitude of 
      PPFP utilization in Addis Ababa was 71.8%. Previous family planning (FP) 
      information (AOR = 13.2; 95% CI: (1.96, 88.07)), FP information from health 
      facility visit (AOR = 2.23; 95% CI: (1.45, 3.43)), antenatal care (AOR = 4.96; 
      95% CI: (1.58, 15.64)), counseling on FP at postnatal care (AOR = 1.97; 95% CI: 
      (1.27, 3.05)), menses resumption after birth (AOR = 1.75; 95% CI: (1.11, 2.76)), 
      and commencing sexual activity after birth (AOR = 9.34; 95% CI: (5.39, 16.17)) 
      were the factors associated with PPFP use. CONCLUSION AND RECOMMENDATION: Though 
      the magnitude of PPFP use is encouraging, still three out of the ten postpartum 
      women did not use PPFP. The determinants of PPFP use were having FP information, 
      having FP information from health facility visit, antenatal care, counseling 
      about FP during postnatal care, menses resumption after birth, and commencing 
      sexual activity after birth. The health system in the City and the healthcare 
      providers should strive to reach every woman who is not accessing the PPFP 
      services and antenatal care services, and improve counseling services on PPFP 
      during delivery and postnatal care services.
FAU - Tafa, Lema
AU  - Tafa L
AUID- ORCID: 0000-0002-6462-0626
AD  - Family Health Core Process, Nifas-Silk Lafto Sub-city Health Office, Addis Ababa, 
      Ethiopia.
FAU - Worku, Yoseph
AU  - Worku Y
AD  - Department of Public Health, St. Paul's Hospital Millennium Medical College, 
      Addis Ababa, Ethiopia.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Multicenter Study
DEP - 20210122
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Ethiopia
MH  - *Family Planning Services
MH  - Female
MH  - Humans
MH  - *Maternal Health Services
MH  - *Postpartum Period
MH  - Pregnancy
PMC - PMC7822255
COIS- No authors have competing interest.
EDAT- 2021/01/23 06:00
MHDA- 2021/05/11 06:00
PMCR- 2021/01/22
CRDT- 2021/01/22 17:13
PHST- 2019/05/26 00:00 [received]
PHST- 2020/12/22 00:00 [accepted]
PHST- 2021/01/22 17:13 [entrez]
PHST- 2021/01/23 06:00 [pubmed]
PHST- 2021/05/11 06:00 [medline]
PHST- 2021/01/22 00:00 [pmc-release]
AID - PONE-D-19-14898 [pii]
AID - 10.1371/journal.pone.0245123 [doi]
PST - epublish
SO  - PLoS One. 2021 Jan 22;16(1):e0245123. doi: 10.1371/journal.pone.0245123. 
      eCollection 2021.