Abstract:
Introduction integrated use of postpartum intrauterine contraceptive device with delivery service during the immediate postpartum period is ideal for both women and health care providers. However, utilization of intrauterine contraceptive devices during the postpartum period was rare which, may attributed for increased unmet need of family planning.
Objective Identify determinants for uptake of postpartum intrauterine contraceptive device among women delivering in public hospitals of South Gondar zone Northwest Ethiopia 2019. Methods: a facility-based unmatched case-control study was conducted in public hospitals of South Gondar, Ethiopia from August 1, 2019, to November 10, 2019. A total of 140 cases and 280 controls were actively participated in the study. Five hospitals were selected by simple random sampling. Cases were selected consecutively, whereas, two controls for each case were recruited by the lottery method. Pretested questionnaires were used to collect data and it entered into epidata version 4.4.2. Logistic regression analysis was used to identify variables associated with the use of outcome and adjusted odds ratio with a 95% confidence interval was used to determine the association between independent and outcome variables. Results Women completed secondary education (AOR=4.5, 95%CI 2.3-8.85), total number of children 3-4 (AOR=3.6, 95%CI 1.25-10.2) and had ≥ 5 (AOR=4.7, 95%CI 1.5-15.3), attending 3 antenatal care (AOR=2.8 95%CI 1.44-5.6), ever heard (AOR=6.6, 95%CI 2.7-16.1) and had got counseling from health care provider about postpartum intrauterine contraceptive device (AOR=6.2, 95%CI 2.99-12.8) were significantly associated with uptake of the postpartum intrauterine contraceptive. Conclusion and recommendation women completed secondary education, having 3-4 and ≥ 5 children, attending three antenatal care, ever heard and had got counseling from health care providers about the postpartum intrauterine contraceptive device were significantly associated with uptake of intrauterine contraceptive device after birth. Therefore, it is better to advise women to strictly follow their antenatal care, access to information and provide counseling.
