Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study
OBJECTIVE: This study examined the association between family planning counselling receipt during the 12 months preceding the survey and postpartum modern contraceptive uptake in Ethiopia. We hypothesised that receiving family planning counselling either within the community setting by a field healt...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | English |
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BMJ PUBLISHING GROUP
2022
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| Subjects: | |
| Online Access: | http://purl.org/au-research/grants/nhmrc/1099655 http://hdl.handle.net/20.500.11937/89481 |
| _version_ | 1848765228870795264 |
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| author | Mruts, Kalayu Brhane Tessema, Gizachew Dunne, Jennifer Gebremedhin, Amanuel Scott, Jane Pereira, Gavin |
| author_facet | Mruts, Kalayu Brhane Tessema, Gizachew Dunne, Jennifer Gebremedhin, Amanuel Scott, Jane Pereira, Gavin |
| author_sort | Mruts, Kalayu Brhane |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | OBJECTIVE: This study examined the association between family planning counselling receipt during the 12 months preceding the survey and postpartum modern contraceptive uptake in Ethiopia. We hypothesised that receiving family planning counselling either within the community setting by a field health worker or at a health facility by a healthcare attendant during the 12 months preceding the survey improves postpartum modern contraceptive uptake. DESIGN: We used a cross-sectional study of the Ethiopian Demographic and Health Survey conducted in 2016.Ethiopia. PARTICIPANTS: A total of 1650 women who gave birth during the 12 months and had contact with service delivery points during the 12 months preceding the survey. PRIMARY OUTCOME: A weighted modified Poisson regression model was used to estimate an adjusted relative risk (RR) of postpartum modern contraceptives. RESULTS: Approximately half (48%) of the women have missed the opportunity to receive family planning counselling at the health service contact points during the 12 months preceding the survey. The postpartum modern contraceptive uptake was 27%. Two hundred forty-two (30%) and 204 (24%) of the counselled and not counselled women used postpartum modern contraceptive methods, respectively. Compared with women who did not receive counselling for family planning, women who received counselling had higher contraceptive uptake (RR 1.32, 95% CI 1.04 to 1.67). CONCLUSION: Significant numbers of women have missed the opportunity of receiving family planning counselling during contact with health service delivery points. Modern contraceptive uptake among postpartum women was low in Ethiopia. Despite this, our findings revealed that family planning counselling was associated with improved postpartum modern contraceptive uptake. |
| first_indexed | 2025-11-14T11:31:55Z |
| format | Journal Article |
| id | curtin-20.500.11937-89481 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:31:55Z |
| publishDate | 2022 |
| publisher | BMJ PUBLISHING GROUP |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-894812022-10-31T04:23:51Z Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study Mruts, Kalayu Brhane Tessema, Gizachew Dunne, Jennifer Gebremedhin, Amanuel Scott, Jane Pereira, Gavin Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine public health epidemiology reproductive medicine PREGNANCY WOMEN MAGNITUDE MORTALITY INTERVAL QUALITY CARE OBJECTIVE: This study examined the association between family planning counselling receipt during the 12 months preceding the survey and postpartum modern contraceptive uptake in Ethiopia. We hypothesised that receiving family planning counselling either within the community setting by a field health worker or at a health facility by a healthcare attendant during the 12 months preceding the survey improves postpartum modern contraceptive uptake. DESIGN: We used a cross-sectional study of the Ethiopian Demographic and Health Survey conducted in 2016.Ethiopia. PARTICIPANTS: A total of 1650 women who gave birth during the 12 months and had contact with service delivery points during the 12 months preceding the survey. PRIMARY OUTCOME: A weighted modified Poisson regression model was used to estimate an adjusted relative risk (RR) of postpartum modern contraceptives. RESULTS: Approximately half (48%) of the women have missed the opportunity to receive family planning counselling at the health service contact points during the 12 months preceding the survey. The postpartum modern contraceptive uptake was 27%. Two hundred forty-two (30%) and 204 (24%) of the counselled and not counselled women used postpartum modern contraceptive methods, respectively. Compared with women who did not receive counselling for family planning, women who received counselling had higher contraceptive uptake (RR 1.32, 95% CI 1.04 to 1.67). CONCLUSION: Significant numbers of women have missed the opportunity of receiving family planning counselling during contact with health service delivery points. Modern contraceptive uptake among postpartum women was low in Ethiopia. Despite this, our findings revealed that family planning counselling was associated with improved postpartum modern contraceptive uptake. 2022 Journal Article http://hdl.handle.net/20.500.11937/89481 10.1136/bmjopen-2021-060308 English http://purl.org/au-research/grants/nhmrc/1099655 http://purl.org/au-research/grants/nhmrc/1173991 http://purl.org/au-research/grants/nhmrc/1195716 http://creativecommons.org/licenses/by/4.0/ BMJ PUBLISHING GROUP fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine public health epidemiology reproductive medicine PREGNANCY WOMEN MAGNITUDE MORTALITY INTERVAL QUALITY CARE Mruts, Kalayu Brhane Tessema, Gizachew Dunne, Jennifer Gebremedhin, Amanuel Scott, Jane Pereira, Gavin Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study |
| title | Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study |
| title_full | Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study |
| title_fullStr | Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study |
| title_full_unstemmed | Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study |
| title_short | Does family planning counselling during health service contact improve postpartum modern contraceptive uptake in Ethiopia? A nationwide cross-sectional study |
| title_sort | does family planning counselling during health service contact improve postpartum modern contraceptive uptake in ethiopia? a nationwide cross-sectional study |
| topic | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine public health epidemiology reproductive medicine PREGNANCY WOMEN MAGNITUDE MORTALITY INTERVAL QUALITY CARE |
| url | http://purl.org/au-research/grants/nhmrc/1099655 http://purl.org/au-research/grants/nhmrc/1099655 http://purl.org/au-research/grants/nhmrc/1099655 http://hdl.handle.net/20.500.11937/89481 |