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首页> 外文期刊>International Journal of Reproductive Medicine >Level and Correlates of Unmet Need of Contraception among Women in Extended Postpartum in Northern Ethiopia
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Level and Correlates of Unmet Need of Contraception among Women in Extended Postpartum in Northern Ethiopia

机译：埃塞俄比亚北部产后妇女避孕避孕避孕的水平和相关性

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Background. About 222 million women in developing countries had unmet need for contraception. Women in their first year after childbirth had the largest proportion of unmet need for contraception. This first year after delivery is described as an extended postpartum period. Objective. To determine the level and correlates of unmet need for family planning among women who are in an extended postpartum period in the Tahtay Koraro District, Northern Ethiopia. Material and Method. A cross-sectional facility-based study complemented by in-depth interview of key informant was implemented. A total of 409 women in the 1st year after delivery were recruited. The study period was from 1st February to March 30, 2014. For quantitative data Epi-Info version 3.5.4 software was used for data entry, and then data were exported to SPSS Version 21 software for further analysis. Logistic regression model was used to identify factors associated with the outcome variable. The transcribed and translated qualitative text data were imported into an Open Code program and coded. Then codes were categorized and thematically described. Results. The overall unmet need for family planning was 150 (36.7%), with 121 (29.6%) for spacing and 29 (7.1%) for limiting. One hundred twenty (29.3%) women were using family planning and 94 (78.3%) of them were using injectable. The commonest reasons for nonuse of FP were nonmenstruating since last birth 201 (69.6%), side effects 39 (13.5%), and not having sex 25 (8.7%). Rural residence (AOR=7.16, 95% CI 2.57-19.95), postpartum week (26-38 weeks; AOR=8.16, 95% CI 4.24-15.71), and low perceived risk of pregnancy (AOR=1.79, 95% CI 1.04-3.09) were significantly associated with high unmet need. Opposition from different groups of the community, low perceived risk of pregnancy, provider refusal of removal of implants, and misunderstanding of FP use and side effects were additional triggering factors for unmet need. Conclusion and Recommendation. The unmet need for family planning was high. Rural residence, increased maternal postpartum week, and low perceived risk of pregnancy were associated with high unmet need. Opposition from different sects of the community and provider refusal of implant removal were also other factors triggering unmet need. Empowering women with knowledge of the risk of pregnancy and FP use during an extended postpartum period should be enhanced. Further awareness creation should be extended to periphery at different levels of the community.
机译：背景。大约2.22亿中的发展中国家妇女未得到满足的避孕需求。在分娩后的第一年的女性最大的未满足需要避孕的妇女。交付后的第一年被描述为延长产后期。客观的。确定在埃塞俄比亚北部塔拉罗地区延长产后期间的妇女的未满足需求的水平和相关性。材料和方法。实施了基于横断面的基于关键信息的深度访谈的研究。招募了1年后的409名妇女。研究期为2月1日至2014年3月30日。对于数量数据，对于数量数据，EPI-Info 3.5.4软件用于数据条目，然后将数据导出到SPSS版本21软件以进行进一步分析。 Logistic回归模型用于识别与结果变量相关的因素。将转录和翻译的定性文本数据导入开放式代码程序并编码。然后分类代码并主题地描述。结果。计划生育计划的总体未满足的需求为150（36.7％），间距121（29.6％），限制为29（7.1％）。一百二十（29.3％）的女性使用计划生育，其中94名（78.3％）使用注释。非生命中最常见的原因是自上次出生以来的非生效率201（69.6％），副作用39（13.5％），而且没有性行为25（8.7％）。农村住宅（AOR = 7.16,95％CI 2.57-19.95），产后周（26-38周; AOR = 8.16,95％CI 4.24-15.71），怀孕风险低（AOR = 1.79,95％CI 1.04 -3.09）与高未满足的需求显着相关。来自社区的不同群体的反对，怀孕的低感知风险，提供者拒绝植入物的拒绝，以及对FP使用和副作用的误解是未满足需求的额外触发因素。结论和推荐。对计划生育的未满足需要很高。农村住宅，增加产妇产后周，怀孕的低感知风险与高未满足的需求相关。来自社区的不同教派和提供者拒绝植入物去除的反对也是引发未满足需求的其他因素。应加强赋予延长产后期间怀孕风险和FP使用的妇女应得到增强。进一步的意识创造应扩展到社区不同层次的外围。

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