Effect of contacts with health professionals on modern contraceptives uptake during the first 6 weeks after child birth: a prospective cohort study in Arsi Zone, Southeast Ethiopia
1
Public Health, Arsi University, Asella, Ethiopia
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
OBJECTIVE:
To assess the effects of counseling on the adoption of modern contraceptives in the first six weeks following childbirth in Ethiopia.
METHODS:
A prospective cohort study was performed from October 01, 2020 to March 01, 2021. The study included 418 postnatal women who gave birth during the previous week. Data were gathered twice: once during the first week following birth and once again within the 1st week after the end of the postnatal period. The effect of counseling on contraception uptake was measured using adjusted relative risk and its 95% confidence interval.
RESULTS:
Modern contraceptive uptake rate during the postnatal period was 16% (95% CI: 12.50%-19.50%). Contraceptive use was 3.56 times more likely in women who were counseled about contraceptives compared to those who were not (aRR=3.56, 95% CI: 1.97-6.32). Women's age, knowledge of whether they can become pregnant before menses return, menses return after birth, and resuming sexual activity after birth were all significantly associated with contraceptive use during the first six weeks following child birth.
CONCLUSIONS:
Modern contraceptive uptake rate during the postnatal period among women in the study area was low. Positive counseling by health professionals was the main factor associated with contraception uptake during the postnatal period. Recommendations to health policy makers have been formulated.
To assess the effects of counseling on the adoption of modern contraceptives in the first six weeks following childbirth in Ethiopia.
METHODS:
A prospective cohort study was performed from October 01, 2020 to March 01, 2021. The study included 418 postnatal women who gave birth during the previous week. Data were gathered twice: once during the first week following birth and once again within the 1st week after the end of the postnatal period. The effect of counseling on contraception uptake was measured using adjusted relative risk and its 95% confidence interval.
RESULTS:
Modern contraceptive uptake rate during the postnatal period was 16% (95% CI: 12.50%-19.50%). Contraceptive use was 3.56 times more likely in women who were counseled about contraceptives compared to those who were not (aRR=3.56, 95% CI: 1.97-6.32). Women's age, knowledge of whether they can become pregnant before menses return, menses return after birth, and resuming sexual activity after birth were all significantly associated with contraceptive use during the first six weeks following child birth.
CONCLUSIONS:
Modern contraceptive uptake rate during the postnatal period among women in the study area was low. Positive counseling by health professionals was the main factor associated with contraception uptake during the postnatal period. Recommendations to health policy makers have been formulated.
| eISSN: | 2654-1459 |
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