Evidence map›Paper›PMID 30115045›Full record

ArticleBMC public health2018

Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis.

Teklehaymanot Huluf Abraha, Berhe Beyene Gebrezgiabher, Berihu Gidey Aregawi, Desta Siyoum Belay, Lidiya Tsegay Tikue, Getachew Mebrahtu Welay

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Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  14. The determinants of postpartum contraceptive use in Nigeria.Frontiers in global women's health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Teklehaymanot Huluf AbrahaDepartment of Reproductive Health, School of Public Health, College of Health Sciences, Aksum University, P.O. Box: 1010, Aksum, Tigray, Ethiopia. teklehaymanothuluf@gmail.com.ORCID http://orcid.org/0000-0003-0868-1659
Berhe Beyene GebrezgiabherDepartment of Epidemiology & Biostatistics, School of Public Health, College of Health Sciences, Aksum University, Aksum, Tigray, Ethiopia.
Berihu Gidey AregawiDepartment of Human Nutrition, School of Public Health, College of Health Sciences, Aksum University, Aksum, Tigray, Ethiopia.
Desta Siyoum BelaySchool of Nursing, College of Health Sciences, Mekelle University, Mekelle, Tigray, Ethiopia.
Lidiya Tsegay TikueDepartment of Nursing, Defence Force University, College of Health Science, Addis Ababa, Ethiopia.
Getachew Mebrahtu WelayDepartment of Epidemiology & Biostatistics, School of Public Health, College of Health Sciences, Aksum University, Aksum, Tigray, Ethiopia.

Funding

Aksum University AKU 0010/2009
6 · The paper itself

Abstract

backgroundPostpartum family planning services is one of the recommended public health intervention aimed at reducing maternal and child morbidity and mortalities. However, there is a paucity studies in rural Tigray region. Therefore, determining the level and associated factors of contraceptive use among postpartum women has the potential to contribute in achieving the Ethiopian Health Sector Transformation Plan and to the Sustainable Development Goals on maternal and infant survival.

methodsA community-based cross-sectional study was done among 1109 postpartum women from March 29, 2017 to April 29, 2017. Face -to-face interview was used for data collection. The collected data were entered and cleaned using EPI - INFO version 7statistical software and later exported to and analyzed using STATA version 12. Mixed-effects multilevel logistic regression analysis was used to identify the individual and community-level factors associated with contraception adoption. A two side p-value< 0.05 was considered to be statistically significant.

resultsThe level of contraceptive use was 38.3%. Individual-level variables such as women belong to fourth (AOR = 1.2; 95% CI: 1.1-3.2) and fifth (AOR = 1.5; 95% CI: 1.3-2.5) wealth quintiles were identified as key predictors of contraception use. In addition, partner secondary (AOR = 2.3; 95% CI: 1.8-3.5) and diploma (AOR = 1.2; 95% CI, 1.1-2.6) educational-level and postnatal care (AOR = 2.0; 95% CI: 1.9, 4.3) were also significantly affected contraception use. Community-level variables such as high community-level antenatal care services use (AOR = 2.1; 95% CI: 1.9-4.2) and proximity of women to health facility (AOR = 3.0; 95% CI: 2.7-4.6) were also determinants of contraception uptake.

conclusionsThe status of contraceptive use in rural Tigray region was found to be low. It was found that both individual and community-level variables showed a marked determinant on postpartum contraception use. This study suggested that in order to increase contraceptive use the government should focus on increasing postnatal care, antenatal care services use and reduction of poverty level are important avenues for intervention.

Indexed as

Postpartum PeriodAdolescentAdultCommunity Health ServicesContraception BehaviorCross-Sectional StudiesEthiopiaFemaleHealth Services AccessibilityHumansMiddle AgedMultilevel AnalysisPostnatal CareRural PopulationSocioeconomic FactorsYoung AdultContraceptionEthiopiaMultilevel analysisPostpartum periodPredictorsTigray

Identifiers

PMID30115045
PMCPMC6097291

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.