Modern Contraceptive Use and Associated Factors among Women within the Extended Postpartum Period in Gomma District,Jimma Zone, Oromia, Southwest Ethiopia,2022.

Abstract

Background;- The extended postpartum period is a one-year time after giving birth during which women must have safe birth intervals. Many women’s are unaware that they are at risk for pregnancy during this time. As a result, many postpartum women did not begin using any form of contraception methods. As a result, there is a higher chance of an undesired pregnancy that leads mothers to pregnancy related complication. It is vital to have clear understanding of postpartum family planning services utilization and associated factors to achieve the desired health outcome for mother, neonate and children of the country. Objective; The aim of the study was to assess modern contraceptive use and associated factors among women’s within the extended postpartum period in Gomma, district, Jimma zone, Oromia, Ethiopia,2022. Method: Institutional based Quantitative cross sectional study design was conducted among 347 women within the extended postpartum period from May10 – June 20/2022. The study subject was selected by using systematic random sampling technique. Data was collected by using a structured and pretested interviewer administered questionnaire and the data was entered to Epi data version 4.6 and exported to SPSS version 25.0. Both bivariate and multivariate logistic regression model were performed to identify factors associated with outcome variable. Significance of association was decided by using the 95% Confidence level of AOR at p-value of <0.05. Result: Out of 347 sampled postpartum women, 337 of them responded with the response rate of 97.1%. The magnitude of postpartum contraceptive utilization was 30% (95% CI: 25.5-34.7). birth interval of ≤ 2 yrs (AOR =0.47, 95% CI: 0.19,0.90) was statistically negatively associated with modern PPFP use and Resumption of menses (AOR=4.34, 95% CI: 2.99-8.95), discussion with husband (AOR = 3.75, 95% CI: 1.76-7.97), ANC follow up (AOR=2.42,CI: 1.76-7.97), PNC follow up (AOR= 3.39, 95% CI: 1.73-6.68) and counseling during their child immunization (AOR=6.95, 95% CI:3.42-14.09) was statistically positively associated with postpartum modern contraceptive utilization among women within the extended postpartum period. Conclusion: The magnitude of postpartum modern contraceptive use during the extended postpartum period was low 30% (95% CI: 25.5- 34.7). Birth interval of ≤ 2 yrs, Resumption of menses, discussion with husband, ANC follow up, PNC follow up and counseling during their child immunization was statistically associated with postpartum contraceptive utilization among women within the extended postpartum period. Policy makers, program managers and health care providers need to focus on counseling and integration of postpartum family planning service and maternal and child health care service multiple contacts with health care professionals.