Prevalence, Barriers and Facilitators Influencing Modern Contraceptive Use Among Postpartum Mothers at Ober and Barapwo Health Centre III, Lira City: a Cross Sectional Design

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Abstract Background Short Births to Pregnancy intervals have been associated with maternal mortality and morbidity as they increase the risk for pregnancy related complications. Modern contraceptive use during postpartum period has proved to be effective in reducing maternal morbidity and mortality through prolonging the birth to pregnancy interval and preventing unplanned and unwanted pregnancies. However little is known about the prevalence of use as well as the factors influencing the use of these modern contraceptives in Lira city, Northern Uganda. Objective To find out the prevalence, barriers and facilitators associated with utilization of modern contraceptive methods among postpartum women at Barapwo Health Centre III and Ober Health Centre III, Lira city, Northern Uganda. Methods A facility-based cross-sectional study design. Data were collected using an interviewer-administered semi-structured questionnaire. Analysis was done by both bivariable and multivariable logistics regression considering p-vale < 0.005 to be significant and a 95% confidence interval. The prevalence was determined quantitatively by ascertaining number of mother who were using modern contraception at the time of study while the factors influencing postpartum modern contraceptive use were obtained both using structured questions and open ended questions. The study included 391 postpartum women who were randomly selected and were receiving care at Ober and Barapwo Health Centre III. Results The prevalence of utilization of modern contraceptives among postpartum women was 49.4%. from multivariable logistics regression, partner acceptance, > 500000 average household income, resumption of menses, 7–12 weeks postpartum, 37–72 weeks postpartum, resumption of sex, ever used contraception, feeling it is okay, health education and counselling on family planning were 13.46, 2.36, 4.42, 2.22, 3.89, 2.82, 2.44, 31.53, 1.78 and 2.38 times respectively more likely to use modern contraception. Conclusion and recommendation: The modern contraceptive use among postpartum women attending Ober and Barapwo health center IIIs is high compared to the national contraceptive use. Therefore, interventions to sensitize the population about the use of these methods should be done to address barriers to uptake.

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