PMID- 37727741
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230921
IS  - 2673-5059 (Electronic)
IS  - 2673-5059 (Linking)
VI  - 4
DP  - 2023
TI  - Socio-demographic and antenatal care-related factors associated with early 
      post-partum family planning use in Ethiopia: evidence from Ethiopian Demographic 
      and Health Survey 2016 data.
PG  - 1131143
LID - 10.3389/fgwh.2023.1131143 [doi]
LID - 1131143
AB  - INTRODUCTION: Initiation of family planning in the early post-partum period is a 
      strategic move to reduce maternal, neonatal, and child mortality due to the 
      negative consequences of short interbirth interval and the complications of 
      unintended pregnancy. Antenatal care (ANC) is the noteworthy predictor of scaling 
      up early initiation of post-partum family planning (PPFP) and preventing 
      unintended pregnancy before menses resume. Despite the great role of ANC, 
      information is scant about the effect of content, timing, and the number of ANC 
      visits on the early initiation of PPFP in Ethiopia. OBJECTIVE: This study aimed 
      to assess the association of ANC services with the early initiation of PPFP in 
      Ethiopia. METHODS: The study was based on Ethiopian Demographic and Health Survey 
      2016 data, which was a cross-sectional survey from 18 January 2016 to 27 June 
      2016. A total weighted sample size of 2,920 post-partum women was included. A 
      multilevel logistic regression model was used because of the hierarchical data, 
      and variables with a p-value of </=0.2 in the bivariable multilevel analysis were 
      taken to multivariable multilevel analysis. An adjusted odds ratio with a 95% 
      confidence interval (CI) was used to declare both the direction and strength of 
      the association, and variables with a p-value of <0.05 were considered as 
      statistically significant for the outcome variable. RESULTS: The early initiation 
      of PPFP was 20.4%. Women with at least four ANC visits [adjusted odds ratio 
      (AOR) = 1.31; CI 1.12-2.32], women who started ANC within the first trimester 
      (AOR = 1.25; CI 1.10-2.23), complete routine ANC (AOR = 1.11; CI 1.01-2.03), 
      post-natal care (AOR = 1.45; CI 1.19-1.87), resumption of menses (AOR = 1.67; CI 
      1.18-1.93), urban residency (AOR = 2.14; CI 1.18-2.51), and high community 
      women's education (AOR = 1.71; CI 1.51-2.11) were variables significantly 
      associated with the early initiation of PPFP. CONCLUSION: The early initiation of 
      PPFP in Ethiopia was very low. Attention needs to be given to the quality of ANC, 
      post-natal care, resumption of menses, residency, and community-level education 
      of women to increase the prevalence of the early initiation of PPFP in Ethiopia. 
      Therefore, the government should design a program targeting the quality of ANC in 
      rural communities, considering women without menses and scaling up the education 
      of women at the community level to the culture of the early initiation of PPFP in 
      order to achieve reduced maternal, neonatal, and child mortality.
CI  - (c) 2023 Asratie, Tesema, Chilot, Aragaw, Merid and Belay.
FAU - Asratie, Melaku Hunie
AU  - Asratie MH
AD  - Department of Women's and Family Health, School of Midwifery, College of Medicine 
      and Health Sciences, University of Gondar, Gondar, Ethiopia.
FAU - Tesema, Getayeneh Antehunegn
AU  - Tesema GA
AD  - Department of Epidemiology and Biostatistics, Institute of Public Health, College 
      of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
FAU - Chilot, Dagmawi
AU  - Chilot D
AD  - Center for Innovative Drug Development and Therapeutic Trials for Africa 
      (CDTAfrica), Addis Ababa University, College of Health Sciences, Addis Ababa, 
      Ethiopia.
AD  - Department of Human Physiology, University of Gondar, College of Medicine and 
      Health Science, School of Medicine, Gondar, Ethiopia.
FAU - Aragaw, Fantu Mamo
AU  - Aragaw FM
AD  - Department of Epidemiology and Biostatistics, Institute of Public Health, College 
      of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
FAU - Merid, Mehari Woldemariam
AU  - Merid MW
AD  - Department of Epidemiology and Biostatistics, Institute of Public Health, College 
      of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
FAU - Belay, Daniel Gashaneh
AU  - Belay DG
AD  - Department of Epidemiology and Biostatistics, Institute of Public Health, College 
      of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
AD  - Department of Human Anatomy, College of Medicine and Health Sciences, University 
      of Gondar, Gondar, Ethiopia.
LA  - eng
PT  - Journal Article
DEP - 20230901
PL  - Switzerland
TA  - Front Glob Womens Health
JT  - Frontiers in global women's health
JID - 101776281
PMC - PMC10505931
OTO - NOTNLM
OT  - EDHS
OT  - Ethiopia
OT  - early initiation
OT  - family planning
OT  - post-partum period
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2023/09/20 06:42
MHDA- 2023/09/20 06:43
PMCR- 2023/09/01
CRDT- 2023/09/20 03:57
PHST- 2022/12/24 00:00 [received]
PHST- 2023/07/20 00:00 [accepted]
PHST- 2023/09/20 06:43 [medline]
PHST- 2023/09/20 06:42 [pubmed]
PHST- 2023/09/20 03:57 [entrez]
PHST- 2023/09/01 00:00 [pmc-release]
AID - 10.3389/fgwh.2023.1131143 [doi]
PST - epublish
SO  - Front Glob Womens Health. 2023 Sep 1;4:1131143. doi: 10.3389/fgwh.2023.1131143. 
      eCollection 2023.