Abstract:
Background: Postpartum period is an ideal time to deliver interventions that improve the health
and survival of mothers, particularly regarding family planning service provision. Because, most
couples start having sex earlier and needs focusing attention on the prevention of unintended and
closely spaced pregnancies. Therefore, it is better to initiate contraception in the immediate
postpartum period.
Objectives: To assess immediate postpartum modern family planning utilization and associated
factors among postpartum mothers in Konta Special Woreda, Southern Ethiopia.
Methods: Facility-based Cross-sectional study design was conducted from March 19- May 10,
2020, by face-to-face interview of 233 consecutive study participants, in three randomly selected
health facilities found in the Woreda. For collection of the data structured, pretested and intervie
wer administered questionnaires was used. Epi-Data was used for data entry and Statistical
Package for Social Science for analysis. Descriptive analysis, binary and multi-variable logistic
regression analysis methods were used. Strength of association was determined by odds ratio at
95% confidence interval. Significant level less than 0.05 was used to declare the significance.
Result: Two hundred thirty-three postpartum women were included in the study, yielding a
response rate of 100%. Immediate Postpartum modern family planning use within 48 h of deliver
y was 35.2%. Implants, IUCDs, pills and condoms were among methods utilized. Educational
status of husbands (AOR =7.264, 95% CI=1.817-29.041), occupation of women (AOR=0.266,
95% CI=0.085-0.838), hearing about the method from relatives. Immediate Postpartum modern f
amily planning from relative (AOR= 0.081, 95% CI=0.038-0.215), knowledge about the method
s (AOR=0.132, 95% CI=0.040-0.438) and future desire of pregnancy (AOR=37.906, 95% CI=8.
886-161.702) were significantly associated with Immediate Postpartum modern family planning
utilization in multivariable logistic regression at confidence level of 95%.
Conclusion and Recommendation: Most of the respondents did not use the recommended
modern family planning in the immediate postpartum period. So that, governmental & non-
governmental organizations working on MCH, at all corresponding level, need to undertake
effective and appropriate to create awareness on IPPMFP utilization at all level of health facilitie
s, in collaboration with health care workers.
