College of Health Sciences

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    POSTPARTUM CONTRACEPTIVE UTILIZATION AND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH IN THE PAST 12 MONTHS IN ENDAMOKONI DISTRICT, TIGRAY, NORTH ETHIOPIA. A MIXED CROSS-SECTIONAL STUDY
    (Mekelle University, 2025-03-28) ASEFU KIROS
    Background The first year after a woman has given birth is crucial period for uptake of contraceptives to prevent pregnancy. However, in Ethiopia contraception use in postpartum period is only 8% while unmet need is 81%. There is limited research that provided detail information regarding barriers of modern contraceptive utilization during postpartum period in the study area. In addition, earlier study also suggested that to conduct using mixed quantitative and qualitative design for additional investigations to answer these “why”questions and narrow these gaps. Objective. This study aimed to assess postpartum contraceptive utilization and associated factors among women who gave birth in the past 12 months Endamokoni district, Tigray, northern Ethiopia 2024. Method: A mixed type community based cross-sectional study design was conducted among 396 women in Endamokoni district, from April, 2–30/2024 Systematic random sampling technique was used to select study participant and data was collected using semi-structured pretested questionnaire and entered in to Epi data version 3.1 and then exported to SPSS version 25.0 for analysis for quantitative. The association between variables was analyzed using bivariate and multivariable binary logistic regression and level of significant determined with adjusted odd ratio at 95% CI and P-value less than < 0.05. After translation and transcription, manual thematic analysis was applied to the qualitative data Results: The prevalence of postpartum contraceptive use in Endamekoni wereda found 33.6% (95% CI: 28.6– 38.7) with a response rate of 98%. The most frequently used method was implant (17.9%). Knowledge on modern contraceptive (AOR=3.23,95% CI=2.11-3.9) and ever use of family planning, (AOR=2.58, 95% CI: 1.57-4.22) were predictors for postpartum contraceptive use. Partner opposes, myths and, need for excess family size, fear of side effect, menses not resumed were barriers to modern postpartum contraceptive utilizationn. Conclusion and recommendation: utilization of Postpartum family planning use in the study area was low. Uptake of postpartum family planning was influenced with knowledge on FP and prior family planning use. All study area stakeholders should promote knowledge of post-partum family planning. Menses’ resumed, family planning counseling during antenatal care visit, linked to family planning unit during child immunization and good knowledge were factors associated to modern postpartum contraceptive utilization.