Open access journal of contraception最新文献

{"title":"Prevalence of Early Removal of Long-Acting Contraceptive Methods and Its Associated Factors in Sidama Regional State, Ethiopia.","authors":"Ephrem Geja,&nbsp;Fanuel Belayneh,&nbsp;Deresse Legesse,&nbsp;Desalegn Tsegaw,&nbsp;Teshome Abuka,&nbsp;Addis Gebremariam,&nbsp;Henok Gebreyohaness,&nbsp;Dawit Jember,&nbsp;Zewdie Oltaye,&nbsp;Alelign Tadele","doi":"10.2147/OAJC.S280405","DOIUrl":"https://doi.org/10.2147/OAJC.S280405","url":null,"abstract":"<p><strong>Background: </strong>Long-acting reversible contraceptive methods, IUD and sub-dermal implant, offer women the most effective method to control fertility. Yet, reports on high early removal rates were emerged, prompting concern among service providers and highlighting the need to review removal rates and its reasons. Therefore, this study was conducted to assess the prevalence of early removal rates of LARCs and its associated factors in Sidama Regional State, Southern Ethiopia.</p><p><strong>Methods: </strong> Community-based cross-sectional study was conducted in Sidama Regional State, Ethiopia from June 1 to June 30, 2019. A multistage sampling technique was used to select 21 administrative units in the first stage. Then, systematic sampling was used to select 475 women who have ever used implants or IUD 3 years preceding the data collection period. Data were entered into Epi Info version 3.4.3 and exported to SPSS version 20 for analysis. Descriptive statistics, bivariate, and multivariate logistic regression were computed. P-value <0.05 was used to declare a significant association.</p><p><strong>Results: </strong>The mean (±SD) of the participant's age was 29.81 (±5.69) years. The prevalence of early removal rate of LARCs was 10.3%, ie, 43 (10.8%) among Implanon/jadelle users and 6 (7.8%) among IUD users. Eleven (22.4%) discontinued within the first six months and 38 (77.6%) utilized for more than six months and discontinued before the 12th month. Women who were not advised about advantage [OR= 2.81 (95% CI: 1.23-6.40)] and effectiveness of contraceptive [OR= 2.70 (95% CI: 1.30-5.60)] and those who were satisfied with the family planning service [OR= 2.24 (95% CI: 1.10-4.57)] were identified as factors.</p><p><strong>Conclusions: </strong>The prevalence of early removal rate was considerably high among the study subjects. Providing appropriate counseling about the advantage and effectiveness of family planning and improving client satisfaction need to be considered to reduce the early removal rate.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":" ","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"2021-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/3d/oajc-12-35.PMC7886250.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25387189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Men's Knowledge of Vasectomy and Its Associated Factors in Debre Tabor Town, Northwest Ethiopia: A Community-Based Cross-Sectional Study.","authors":"Alemu Degu Ayele,&nbsp;Fentahun Yenealem Beyene,&nbsp;Bekalu Getnet Kassa,&nbsp;Gedefaye Nibret Mihretie","doi":"10.2147/OAJC.S296798","DOIUrl":"https://doi.org/10.2147/OAJC.S296798","url":null,"abstract":"<p><strong>Purpose: </strong>Even though vasectomy is one of the safest, simplest, and most effective family planning methods available for men, it is one of the least used contraceptive methods in the developing world, including Ethiopia. The goal of this study was to assess the level of knowledge towards vasectomy and its associated factors among married men in Debre Tabor Town.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from December 5-25, 2019. A total of 413 married men participated and selected by simple random sampling. Data was entered using EpiData version 4.2 and analyzed by SPSS version 23. A bivariable and multivariable logistic regression model was carried out. Finally, variables having a <i>P</i>-value of <0.05 at 95% CI were considered as statistically significant.</p><p><strong>Results: </strong>In this study, 38.5% of men had an adequate level of knowledge about vasectomy. Multivariable logistic regression showed that an educational status of secondary education and college and above (AOR=4.70, 95% CI=1.26-17.55; and AOR=8.36, 95% CI=2.41-28.97, respectively), having four or more alive children (AOR=0.51, 95% CI=0.29-0.89), and positive attitude (AOR=2.47, 95% CI=1.58-3.86) were significantly associated with knowledge of vasectomy.</p><p><strong>Conclusion: </strong>Knowledge of married men towards vasectomy was relatively low. Educational status, number of children, and attitude were statistically significant with the men's knowledge about vasectomy. Emphasis should therefore be put on improving the educational status of men and positively changing the male upbringing culture right from their childhood which will also improve their attitude towards vasectomy in the future.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":" ","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/d6/oajc-12-27.PMC7886249.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25387188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safer Conception and Family Planning Knowledge, Attitudes, and Practices Among Postpartum Women with HIV in Rural South Africa.","authors":"Lissa N Mandell,&nbsp;Violeta J Rodriguez,&nbsp;Deborah L Jones","doi":"10.2147/OAJC.S288569","DOIUrl":"https://doi.org/10.2147/OAJC.S288569","url":null,"abstract":"<p><strong>Introduction: </strong>With the help of safer conception strategies (SCS), women with HIV (WHIV) can achieve their reproductive goals while minimizing the risk of transmission to their partners or infants. However, interpregnancy intervals of at least 24 months are recommended to optimize maternal and infant health outcomes, so postpartum WHIV need to use contraception to delay subsequent pregnancies. Understanding safer conception and family planning knowledge, attitudes, and practices among WHIV is key to tailoring family planning policy and intervention development in regions with high HIV prevalence.</p><p><strong>Methods: </strong>This study described the safer conception and family planning knowledge, attitudes, and practices of postpartum WHIV (N = 956) in rural Mpumalanga province, South Africa, 12 months after delivery.</p><p><strong>Results: </strong>Almost all women understood the importance of condom use, but most overestimated the risk of sexual transmission. A majority of women reported that their partner's desires (53%) and the risk of perinatal transmission (58%) were very important factors when making childbearing decisions. Most women (81%) used condoms for HIV prevention and most (83%) used contraception for pregnancy prevention. Many women (33% of contraceptive users) used condoms for both HIV prevention and contraception without using another contraceptive method as well. Only 43% of contraceptive users endorsed dual method use of condoms with hormones, intrauterine devices, or sterilization.</p><p><strong>Discussion: </strong>Results highlight the prominence of condom-based pregnancy and HIV transmission prevention, the influence of male partners in fertility decision-making, and the opportunity for further education and promotion of long acting methods in this setting.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":" ","pages":"17-25"},"PeriodicalIF":0.0,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/8f/oajc-12-17.PMC7882456.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25387187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Associated Factors of Postpartum Contraceptive Use Among Women in the Extended Postpartum Period in Gondar City, Northwest Ethiopia.","authors":"Birye Dessalegn Mekonnen,&nbsp;Abebaw Addis Gelagay,&nbsp;Ayenew Molla Lakew","doi":"10.2147/OAJC.S290337","DOIUrl":"https://doi.org/10.2147/OAJC.S290337","url":null,"abstract":"<p><strong>Background: </strong>The choice of a postpartum contraceptive method and the timing of its initiation depend on the woman's knowledge regarding postpartum contraceptives use. Also, women's perception towards family planning is reliant on good knowledge and has a great influence on their attitudes and practices. There is limited information on the knowledge and associated factors of postpartum contraceptive use among women. Therefore, the aim of this study was to assess the knowledge and associated factors of postpartum contraceptive use among women in the extended postpartum period.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study was conducted from November 5, 2018 to December 5, 2018 among postpartum women in six health institutions in Gondar city, northwest Ethiopia. A systematic random sampling technique was used to select the study participants. Data were analyzed using SPSS version 20. Bivariable and multivariable logistic regression models were fitted to identify the determinants of knowledge of postpartum contraceptive use. Adjusted odds ratio (AOR) with their 95% confidence intervals (CI) were calculated. <i>P</i>-values less than 0.05 were considered to indicate statistical significance.</p><p><strong>Results: </strong>Out of 403 participants, 299 (74.2%) had good knowledge on postpartum contraceptive use. Being urban residents (AOR=2.95, 95% CI=1.34-6.48), previous modern contraceptives use (AOR=5.15, 95% CI=1.16-22.88), health facility delivery (AOR=4.10, 95% CI=1.20-13.98), and counseling about family planning during PNC (AOR=3.80; 95% CI=1.52-9.51) were significantly associated with good knowledge.</p><p><strong>Conclusion: </strong>This study showed that the knowledge of women regarding postpartum contraceptives was relatively low. Therefore, increasing institutional delivery service and counseling about family planning during the postpartum period should get more focus to address the knowledge gap of postpartum mothers.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":" ","pages":"7-15"},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/30/oajc-12-7.PMC7846831.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25325889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Knowledge, Attitudes, and Practices Regarding Emergency-Contraception Methods among Female Dangila Hidase High School Students, Northwest Ethiopia, 2019.","authors":"Shiferaw Abeway Mamuye,&nbsp;Kihinetu Gelaye Wudineh,&nbsp;Almaz Nibret Belay,&nbsp;Kefyalew Dagne Gizachew","doi":"10.2147/OAJC.S288029","DOIUrl":"https://doi.org/10.2147/OAJC.S288029","url":null,"abstract":"<p><strong>Background: </strong>Emergency contraception is used after intercourse and before potential implantation, offering women a last chance to prevent pregnancy after unprotected sexual intercourse.</p><p><strong>Objective: </strong>This study aimed to assess knowledge, attitudes, and practices regarding emergency contraception among female students at Dangila Hidase high school in northwest Ethiopia.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted among female students at Dangila Hidase high school from from May 1 to 30, 2019. Systematic random sampling was used to select study participants. There were 1,219 students in Dangila Hidase high school. Of these, 625 of them were female students. There were 346 female students in grade 9 and 279 students from grade 10. Samples were allocated proportionally to each grade. A pretested self-administered structured questionnaire was used. Data were entered into Epi Info 3.5 and exported to SPSS 24 for analysis.</p><p><strong>Results: </strong>A total of 262 female students aged 16-19 years were approached, and the response rate was 100%. Among respondents who had heard about emergency contraceptive, pills were the most commonly known method 98, 51.4%) followed by intrauterine contraceptive devices 42, 22.1%). A total of 75 (58.6%) participants had knowledge of the recommended number of pills to be taken. Of the 190 (72.5%) respondents who knew about emergency contraception, 147, 77.4%) had favorable attitudes toward its use. Of those who had had sexual intercourse 70, 26.7%), only 20 (28.6%) had used emergency contraception.</p><p><strong>Conclusion: </strong>Even though there is information available about emergency contraception, there is a gap with regard to the correct time of use. The positive attitudes of the respondents could be an indication of a fertile environment for possible interventions and reduction in maternal morbidity and mortality resulting from unwanted pregnancies and related complications.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/0f/oajc-12-1.PMC7800711.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38816908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Effective Spousal Family Planning Communication with Couples' Modern Contraceptive Use in Harar, Eastern Ethiopia.","authors":"Desalew Zelalem,&nbsp;Alemayehu Worku,&nbsp;Tadese Alemayehu,&nbsp;Yadeta Dessie","doi":"10.2147/OAJC.S285358","DOIUrl":"https://doi.org/10.2147/OAJC.S285358","url":null,"abstract":"<p><strong>Background: </strong>Spousal family planning communication plays an important role in making better reproductive health decisions and in increasing the use of modern contraceptive methods. The objective of the current study is to examine the association of spousal family planning communication in its broader context with current modern contraceptive use among couples.</p><p><strong>Methods: </strong>A community based cross-sectional survey was conducted in twelve kebeles of Harar Urban Health and Demographic Surveillance System. A total of 2700 currently married couples of whose wives were in the reproductive age participated in the study. The selection of the study participants was made using simple random sampling and data were collected using an interviewer administered structured questionnaire and analyzed using Stata version 12.</p><p><strong>Results: </strong>The level of current modern contraceptive use was 57.1% (95% CI: 0.53, 3.39). Effective spousal family planning communication was significantly associated with current modern contraceptive use even after controlling for socio-economic and demographic variables. Socio-economic and demographic variables such as religion of couples, number of couples' living children, household monthly income, couples' family planning approval and women's counseling about family planning by health workers were significantly associated with current modern contraceptive use.</p><p><strong>Conclusion: </strong>Policies and programs aimed at increasing contraceptive prevalence should properly address the importance of spousal communication about family planning and integrate men into family planning programs to facilitate and enhance couples communication skills.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":"12 ","pages":"45-62"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/e7/oajc-12-45.PMC7924133.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Male Involvement in Long-Acting and Permanent Contraceptive Use of Their Partner in West Badewacho, Southern Ethiopia.","authors":"Abera Abose,&nbsp;Girmay Adhena,&nbsp;Yadeta Dessie","doi":"10.2147/OAJC.S297267","DOIUrl":"https://doi.org/10.2147/OAJC.S297267","url":null,"abstract":"<p><strong>Background: </strong>Male involvement in family planning use particularly in long-acting and permanent contraceptive methods (LAPCM) is a key strategy to reduce fertility, and promote maternal and child health. Despite this, little is known about male involvement in LAPCM use of their partners in Africa, particularly in Ethiopia. This study aimed to assess male involvement in long-acting and permanent contraceptive method use in west Badewacho district, Southern Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 564 participants from April 1 to 30/2019. A multi-stage sampling technique was used to select eligible participants. A pre-tested, structured, and interviewer-administered questionnaire was used. Binary and multivariable logistic regression analysis was done to identify associated factors. The adjusted odds ratio with 95% CI was estimated to show the direction and strength of the association. Variables with p<0.05 were considered statistically significant.</p><p><strong>Results: </strong>About 108 (19.9%, 95% CI: (16.8, 23.2)) participants were involved in LAPCM use. Being urban dweller [AOR=3.13; 95% CI: (1.58, 6.19)], discussion with wives about LAPCM [AOR=2.81; 95% CI: (1.64, 4.8)], having good knowledge about LAPCM [AOR=2.55; 95% CI: (1.42, 4.57)], and positive attitude towards LAPCM [AOR=2.16; 95% CI: (1.16, 4.02)] were significantly associated factors.</p><p><strong>Conclusion: </strong>Overall, the male involvement in LAPCM use was low. Enhancing male involvement in family planning use through creating community awareness, encouraging inter-spousal communication to enhance decision making, and increasing positive attitude towards LAPCM in the community is crucial to decrease the problem.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":"12 ","pages":"63-72"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/b2/oajc-12-63.PMC7924250.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10640285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Male Involvement in Family Planning Utilization and Associated Factors in Womberma District, Northern Ethiopia: Community-Based Cross-Sectional Study.","authors":"Getinet Wondim,&nbsp;Genet Degu,&nbsp;Yohannes Teka,&nbsp;Gedefaw Diress","doi":"10.2147/OAJC.S287159","DOIUrl":"10.2147/OAJC.S287159","url":null,"abstract":"<p><strong>Background: </strong>Reproductive health issues are an inclusive concern for both men and women. In order to improve maternal health, strengthening male participation in family planning is an important public health initiative. Yet, men are still the main decision-makers in the family in Ethiopia, especially in the rural community. There is little concrete evidence of the extent of male participation in family planning and its barriers in rural settings.</p><p><strong>Purpose: </strong>To assess the magnitude of male involvement in family planning utilization and its associated factors in the rural community of northern Ethiopia.</p><p><strong>Materials and methods: </strong>A community-based cross-sectional study design was carried out on 620 currently married men. A multi-stage sampling technique was used to select the participants of the study. Data were collected using interviewer-administered structured questionnaires. Multivariable logistic regression analysis was performed to identify variables associated with male participation in family planning.</p><p><strong>Results: </strong>In this study, only 12.5% of males were directly involved in the use of family planning using a male contraceptive method, and about 60.0% of males were involved in family planning through spousal communication and approval. Being educated [AOR=1.64; 95% CI: (1.12-2.62)], having an educated partner [AOR= 1.77; 95% CI: (1.17-2.94)], having a positive attitude towards family planning [AOR=2.27; 95% CI: (1.53-3.36)], discussing with wife [AOR= 2.51; 95% CI: (1.69-3.72)] and having adequate knowledge about family planning [AOR=1.92; 95% CI: (1.28-2.87)] were positively associated with male involvement in family planning utilization whereas having more than three children [AOR=0.32; 95% CI: (0.15-0.70)] was negatively associated with male involvement in family planning utilization.</p><p><strong>Conclusion: </strong>In general, as compared to the national recommendation, the level of male participation in family planning utilisation was low. In order to improve male participation in family planning, improving male knowledge and attitudes towards family planning is essential.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":"11 ","pages":"197-207"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/59/oajc-11-197.PMC7781357.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38793936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Postpartum Contraception Use Among Teenage Mothers in Eastern Uganda: A Cross-Sectional Study.","authors":"Doreen L Muyama,&nbsp;Milton W Musaba,&nbsp;Ronald Opito,&nbsp;David J Soita,&nbsp;Julius N Wandabwa,&nbsp;Dinah Amongin","doi":"10.2147/OAJC.S281504","DOIUrl":"https://doi.org/10.2147/OAJC.S281504","url":null,"abstract":"<p><strong>Introduction: </strong>In Uganda, the proportion of women having another live birth before age 20 years (repeat adolescent birth) has not declined in 30 years. More women want to delay the next birth. We determined the prevalence and factors associated with postpartum contraceptive use among teenage mothers in Mbale City.</p><p><strong>Patients and methods: </strong>We conducted a cross-sectional study in all the six government-supported health facilities within Mbale City. Over a period of 3 months, 511 teenage mothers in the postpartum period were consecutively enrolled by midwives/nurses. Data were collected using a pretested interviewer-administered questionnaire. We used logistic regression in STATA version 14, to determine the association between various sociodemographic characteristics and utilization of contraception. We set the level of significance at 5% and report odds ratios and the corresponding 95% confidence intervals.</p><p><strong>Results: </strong>Most of the respondents - 314/511 [61.5%, 95% CI= 57.1-65.6%] - were using contraceptives. More than three-fourth (238/314) of the respondents opted for short-term methods of contraception. In the adjusted analyses, intention to resume school [AOR 1.79 (1.16-2.74)], and utilization of maternal Child Heath services such as postnatal care services [AOR 0.40 (0.25-0.63)] were significantly associated with utilisation of postpartum contraception.</p><p><strong>Conclusion: </strong>We found a high prevalence of postpartum contraceptives use - over 6 in 10 women - although they were using mainly short-term methods. Those with intentions of resuming schooling and utilised postnatal care services were most likely to use contraceptives. This is encouraging and calls for inquiry into why their use is higher than the national averages. Further, the results call for renewed efforts to maintain adolescent mothers in school.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":"11 ","pages":"187-195"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/22/oajc-11-187.PMC7737944.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38386557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmet Need for Modern Contraceptive Methods and Associated Factors Among Currently Married Women in Damot Woyde District, SNNPR, Ethiopia, 2019.","authors":"Anbessaw Wolde,&nbsp;Dereje Haile,&nbsp;Ufaysa Anjulo,&nbsp;Jegnaw Wolde","doi":"10.2147/OAJC.S284129","DOIUrl":"https://doi.org/10.2147/OAJC.S284129","url":null,"abstract":"<p><strong>Background: </strong>The ability of individuals and couples to anticipate and achieve their desired number of children as well as the spacing and timing of their birth is family planning. Access to family planning and ensuring that needs are met is based on human rights. Nonetheless, for most women, this need has not been met. In addition, in this study field, there was minimal evidence regarding this. Thus, the aim of this study was to assess the prevalence and associated factors of unmet need of modern contraceptive methods among currently married women in Damot Woyde district, southern Ethiopia.</p><p><strong>Methods: </strong>This community based cross-sectional study was conducted from February 20 to 28, 2019. A multi-stage sampling procedure was employed to select 658 currently married women of child-bearing age in the study areas. A pretested interviewer administered questionnaire was used for data collection. Bivariate and multivariate logistic regression analyses were used to identify the predictors of dependent variables and the adjusted odds ratios with its 95% confidence interval was used to report the level of association. Variables with a <i>P</i>-value<0.05 were considered as statistically significant.</p><p><strong>Results: </strong>The total unmet need for modern contraceptive methods was 169 (26.3%; 95% CI= 22.9-29.7%) among currently married women for the study participants. In multiple logistic regression analysis, educational status (AOR=4.3; 95% CI=1.1-14.7), women with five or more, and three-to-four children(AOR=4.3; 95% CI=1.4-13.1 and AOR=2.8; 95% CI=1.1-7.8, respectively), little perceived risk of pregnancy due to infrequent sexual intercourse (AOR=2.2; 95% CI=1.3-3.8), and little perceived risk of pregnancy due to breast feeding (AOR=2.3; 95% CI=1.3-4.10) were factors associated with the unmet need of modern contraceptive methods.</p><p><strong>Conclusion and recommendation: </strong>This study revealed that unmet need for modern contraceptive methods was found to be high compared to the national and regional figures. Therefore, community health workers and health professionals should be strengthening communication and discussion at grass root level in order to promote the right time for using family planning. District health office and other concerned bodies should collaborate with the education office to expand formal and non-formal education for women in order to decrease the unmet need for modern contraceptive methods.</p>","PeriodicalId":74348,"journal":{"name":"Open access journal of contraception","volume":"11 ","pages":"177-185"},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/46/oajc-11-177.PMC7698268.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38663878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}