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Postpartum contraceptive use among low-income urban women: insights from Accra, Ghana

Article scientifique 2022 Anglais

Résumé

Abstract Background: Postpartum contraceptives use (PPC) reduces unintended pregnancies and results in better health outcomes for children and women. However, in Ghana, there is a paucity of knowledge on PPC use, particularly among women in low-income urban settings. To shed light on strategies that might enhance access to postpartum family planning services in low-income urban settings, we examined contraceptive use among postpartum women in Accra, Ghana, at one, three, six and twelve months following the birth and the methods used. The predictors of modern contraceptive use in the 12 months postpartum period were also examined.Methods: Data are from a cross-sectional survey that was conducted in 2018 among 624 women aged 16-44 years who reported to have given birth in the past 13-31 months prior to the interview. We generated descriptive statistics to examine the prevalence of contraceptive use among postpartum women at one, three, six and twelve months after birth. We further estimated a binary logistic regression to examine the predictors of 12 months postpartum modern contraceptive use.Results: Data indicate that 40% of postpartum women never used any contraceptive method during one year after birth and of those who used a method, 40% relied on traditional methods. Moreover, 29% of women started using a method in the immediate one-month post-birth. Results further show that postpartum modern contraceptive uptake was positively associated with higher education, having more live births and being currently in a union. Conclusions: Findings highlight the need to improve the quality of counselling during antenatal and postnatal care visits by clients. Community outreach by health providers/promoters or similar models should be promoted in low-income population settings to educate postpartum women on modern contraceptive use. Women who plan to use traditional methods should be provided with information on consistent and correct use of these methods.

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Agula, C., Henry, E., Asuming, P., Obeng-Dwamena, A., Toprah, T., Agyekum, M., Shah, I., Bawah, A. (2022). Postpartum contraceptive use among low-income urban women: insights from Accra, Ghana. https://doi.org/10.21203/rs.3.rs-1275079/v1

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Auteur(s)

Caesar Agula Elizabeth G. Henry Patrick O. Asuming Akua Danquah Obeng-Dwamena Theophilus Toprah Martin Wiredu Agyekum Iqbal Shah Ayaga A. Bawah

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