Contraceptive uptake among postpartum women attending child welfare Clinics In Sunyani Municipality, Ghana

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2015-11-03
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Background: The proportion of Ghanaian women who use modern contraceptives has not been encouraging although knowledge is nearly universal. This study sought to determine the prevalence of, and factors associated with contraceptive uptake among postpartum women attending child welfare clinics in the Sunyani Municipality of Ghana. Methods: Postpartum women attending child welfare clinic (with children 2-24 months) in six selected health facilities in the Municipality were selected and individually interviewed. The number of women from each facility was estimated using probability proportional to size. Respondents were selected for interview using systematic random sampling. Data analysis was done in Stata. To examine the factors associated with contraceptive uptake, crude and adjusted relative risks (RRs) with corresponding 95% confidence intervals (CIs) were calculated using univariable and multivariable binomial regression with a log-link function. Results: A total of 590 women were recruited into the study. The contraceptive prevalence rate (CPR) among currently married postpartum women attending child welfare clinic in Sunyani Municipality was 57.6%, representing the highest reported CPR (among postpartum women) yet in Ghana. Calendar method (28.4%) was the most widely patronised method, followed by the injectables, (18.6%) and then the oral pill (12.5%). Significant determinants of current contraceptive use among postpartum women were previous contraceptive used (adjusted RR, 2.03; 95% C.I., 1.52, 2.71; P= 0.001) and family planning counselling during ANC (adjusted RR, 1.35; 95% C.I., 1.02-1.79; P=0.03). Respondents’ future family planning intensions were found to be largely driven by the desire to space children (adjusted RR, 1.28; 95% C.I., 0.99-1.65; p=0.05). Conclusion: Findings of this study therefore provide insights into existing opportunities in repositioning family planning education, especially among postpartum mothers in the Sunyani Municipality.
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A thesis submitted to the department of Health Policy, Management and Economics, School of Public Health, College of Health Sciences, in partial fulfillment of the requirements for the degree of Master of Public Health in Health Services Planning and Management.
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