Acceptance of an immediate post-partum intrauterine contraceptive device and associated factors among women who gave birth in public hospitals of Addis Ababa, Ethiopia: A cross-sectional study.

Abstract

<title>Abstract</title> Background Despite the post-partum intrauterine device being highly effective, inexpensive, non-hormonal, and reversible its acceptance is very low in developing countries including Ethiopia. Considering the importance of the use of immediate postpartum intrauterine contraceptives is a valuable means to keep women and children healthy. This study aimed to assess the acceptance of an immediate post-partum contraceptive device and associated factors among women who gave birth in selected public hospitals in Addis Ababa. Method A health institution-based cross-sectional survey was conducted among 336 women who gave birth in selected public health facilities in Addis Ababa from the beginning of February to March 2021. Information was gathered by using interviewers administered questionnaires. Data were double entered in Epidata version 4.6 statistical package, cleaned, and exported to IBM SPSS statistics version 25 for analysis. Logistic regression models were used to predict the association of outcome variables and adjusted for possible confounders Result <bold>Overall, a total of</bold> 42 (12.5%) of women accepted to use the immediate use of post-partum intrauterine devices. Woman's employment status such as (Private employees (AOR = 4.269, 95% CI: (1.280-14.234) (P &lt; 0.018), daily laborer (AOR = 7.373, 95% CI: (1.534–35.433) (P &lt; 0.013), student (AOR = 11.004, 95% CI: (1.602–75.572) (P &lt; 0.015)), and monthly income of the mother Birr greater than 7,901.00 (AOR = 6.589, 95%CI: (1.736–25.009) (P &lt; 0.006) were found to accept the immediate post-partum contraceptive device than women with monthly income of less than Birr 3,200 and less. Conclusion The acceptance of an immediate intrauterine contraceptive device among women giving birth in the study areas was low. Public Awareness by using different communication menses and tarnishing of health care workers were recommended.