ASSESSMENT OF POSTPARTUM CONTRACEPTIVE UTILIZATIONAND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH AT HIWOT FANA SPECIALIZED UNIVERSITY HOSPITAL, HARAR, ETHIOPIA

Abstract

Background:Provision of family planning following childbirth is an important opportunity to address the unmet family planning needs of women and enhance theirfuture reproductive health of women. In developing countries like Ethiopia, utilization off postpartum family planning continued to be suboptimal.itis not well exploredin the Ethiopian context, particularly in the study setting. Objective:To assess family planning utilizationand associated factor among reproductive-age women (15–49 years)who gave birth at the at Hiwot Fana Specialized University Hospital, Harar, Ethiopia, from July1 stto September 30th , 2022. Methods:A facility-based, cross-sectional studywas conducted Systematic random samplingwas employed to select 352postpartumwomen who get birth HFSUH. Datawere collected using a pre-tested structured questionnaire. Women who get birthfrom index pregnancy with GA >28 weeksor 1 kilogram of the neonateare included. Data wereentered and coded by using Epi-info version 7.0 and statistical analysis done by using SPSS version 26Descriptive analysis was used to describe sociodemographic characteristics,Logistic regression was employed to determine factors associated with post partum contraceptive utilization. AdjustedOdds ratio with a 95% confidence interval wascalculated, anda p-value <0.05 was considered significant. Tables and figures wereused to present the results. Result: Out of the 352 sampled women, 341 women were interviewed- yielding a 96.6% response rate magnitude of postpartum contraceptive utilization was 41.0%. The odds of postpartum contraceptive utilization were high among mothers whose age was below 34 years (OR,3.14;95%C.I:1.95-4.69, P<0.005), 284 (83.3%) CONCLUSION:According to this study The magnitude of postpartum contraceptive utilization was 41 %compressive counseling at ANC follow-up and during the postpartum period by a health professional,Maternal age, maternal educational level, husband educational leveland Encouraging service utilization like ANC may serve as a gateway for information about and utilization of PP contraception