Evidence map›Paper›PMID 42044110›Full record

ArticlePLOS global public health2026

Women's postpartum family planning use and intention in Ethiopia: Disparities in the agrarian and pastoral contexts from a community-based cross-sectional study.

Agumasie Semahegn, Gizachew Tadele Tiruneh, Alemnesh Hailemariam Mirkuzie, Omar Mohammed, Nebreed Fesseha, Shegaw Mulu, Wubegzier Mekonnen, Addis Girma, Chala Tesfaye, Mikiyas Teferi and 18 more

Abstract read
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Article in PLOS global public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

28 authors.

Agumasie SemahegnAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0001-6625-8184
Gizachew Tadele TirunehJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Alemnesh Hailemariam MirkuzieJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Omar MohammedAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Nebreed FessehaJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Shegaw MuluAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Wubegzier MekonnenSchool of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Addis GirmaAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Chala TesfayeJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Mikiyas TeferiAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Biruk BogaleJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Hillina TadesseJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Derbe Tadesse AbateAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Meskerem AbebawAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Mebrie BeleteAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Miftah YasinAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Netsanet BeleteJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Zemzem MohammedMinistry of Health, Addis Ababa, Ethiopia.
Lidiya TeferaGates Foundation, Ethiopia Country Office, Addis Ababa, Ethiopia.
Frank DelPizzoGates Foundation, Ethiopia Country Office, Addis Ababa, Ethiopia.
Yibeltal Kifle AlemayehuMERQ Consultancy P.L.C, Addis Ababa, Ethiopia.
Abdulhalik WorkichoMinistry of Health, Addis Ababa, Ethiopia.
Muluken Dessalegn MulunehAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Addis TamireAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Temesgen AyehuAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Dessalew EmawayJSI Research & Training Institute, Inc, Addis Ababa, Ethiopia.
Misrak MakonnenAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.
Mesele Damte ArgawAmref Health Africa in Ethiopia, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the substantial improvement on maternal health service use and impactful intervention to reduce the risk of maternal and child deaths, uptake of Postpartum Family Planning (PPFP) has remain a critical gap in Ethiopia. There is a paucity of context-based evidence is crucial in addressing these gaps to inform policies. We assessed women's current use and intention on postpartum contraception in the agrarian and pastoral contexts of Ethiopia. A community-based house-to-house survey was conducted in ten selected Woredas from the agrarian and pastoral contexts of Ethiopia, for baseline assessment to design a community-based lifesaving package delivery model. Data were collected among randomly selected 3,097 women using structured web-based tool and analyzed using Stata/SE 18.0. A multi-level mixed-effect logistic regression was used to identify factors associated with women's current PPFP use and intention for future use in the agrarian and pastoral contexts. Only a quarter of women (25.3%, 95%CI:23.8%-26.9%) used PPFP with significant variations in agrarian (60.6%) and pastoral (0.9%) contexts. More than one-third (37.5%, 95%CI:35.8-39.2%) of women had the intention to use modern PPFP. Factors influenced both current and future PPFP use include women's antenatal care visits (AOR:3.46; 95%CI:2.25-5.32), strong social support (AOR:1.75; 95%CI:1.23-2.49), autonomy on FP use (AOR:3.25; 95%CI:1.89-5.59), and favorable attitude towards equitable gender norms (AOR:1.51; 95%CI:1.12-1.71). Nevertheless, women who had no access to health facilities (AOR:0.70; 95%CI:0.49-0.99), history of home birth (AOR:0.53; 95%CI:0.39-0.72), being from pastoral communities (AOR:0.03; 95%CI:0.01-0.06), and Muslim women (AOR:0.29; 95%CI:0.19-0.46) were less likely to current PPFP use and intention to use contraception. Women's current use and intention to modern PPFP was found to be low with significant disparities between agrarian and pastoralist communities. Improving antenatal care, social support, women's autonomy and transforming gender equitable-norms are crucial facilitators for PPFP use. Culturally-tailored interventions are required to promote women's autonomy to enhance use of PPFP.

Identifiers

PMID42044110
PMCPMC13119961

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