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Seid Jemal Mohammed,1 Woiynshet Gebretsadik Kelbore,2 Gesila Endashaw Yesera,2 Mulugeta Shegaze Shimbre,3 Kenzudin Assfa Mossa,4 Keyredin Nuriye Metebo,1 Yibeltal Mesfin Yesgat1 1Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia; 2School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 4Department of Public Health, College of Medicine and Health Sciences, Wolkite University, Wolkite, EthiopiaCorrespondence: Seid Jemal Mohammed Email seidovjemal@gmail.comBackground: The postpartum intrauterine contraceptive device (PPIUCD) is an effective, reliable, safe and recommended contraceptive method for the postpartum women. However, only a small proportion of women who gave birth at health facilities in the world have used it. There are limited studies about determinants of PPIUCD utilization. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia.Methods: A facility based unmatched case-control study was done at Gamo zone public health facilities, southern Ethiopia. Data were collected using a pretested interviewer-administered questionnaire from March 1 to April 15, 2019. The data were coded, cleaned and entered into Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Binary logistic regression was performed to identify the determinants of PPIUCD utilization.Results: A total of 510 (175 cases and 335 controls) participants were involved in the study yielding a response rate of 95.1%. Partner support for IUCD insertion (AOR [95% CI]: 10 [4.03, 24.3]), birth interval (AOR [95% CI]: 9.7 [1.7, 55.1]), fertility plan (AOR [95% CI]: 4 [1.44, 10.84]), and timing of counseling (AOR [95% CI]:1.25 [0.034, 0.46]) are the determinant factors for postpartum IUCD.Conclusion and Recommendation: Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were the determinant factors identified in this study. Therefore, counseling of both partners during antenatal follow-up, delivery and immediately after delivery by health professionals are recommended.Keywords: postpartum intrauterine contraceptive device, PPIUCD, Gamo zone, unmatched case control, determinant factors

Yibeltal Mesfin Yesgat,1 Feleke Gebremeskel,2 Wubshet Estifanous,3 Yordanos Gizachew,3 Seid Jemal,1 Natnael Atnafu,4 Keyredin Nuriye1 1Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia; 2Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3Department of Nursing, College of Medicine and Health Sciences, ArbaMinch University, ArbaMinch, Ethiopia; 4Department of Midwifery, College of Medicine and Health Sciences, Wolaita Sodo University, Wolyita Sodo, EthiopiaCorrespondence: Yibeltal Mesfin Yesgat Email hazardkuku@gmail.comIntroduction: Globally in 2019, there were 1.9 billion reproductive-age women. Around 922 million of them were using either modern or traditional methods of family planning. Women with disabilities comprise 10% of worldwide women and three-quarters of them reside in low- and middle-income countries.Objective: The purpose of this study was designed to assess the magnitude and associated factors for family planning methods use among reproductive-age women with disabilities in Arba Minch town, southern Ethiopia.Patients and Methods: A community-based cross-sectional study was conducted among 418 reproductive-age women with disabilities. Data were collected with eight women who had completed grade 12 and two of them were proficient in sign language. The data were entered into Epi-info™ version-7 software and exported into SPSS version 20 for analysis. A statistically significant variable in the final model was declared by adjusted odds ratio (AOR), 95% confidence interval (CI) and p-value < 0.05.Results: The magnitude of family planning utilization among reproductive-age women with disabilities was 33.7%. Factors significantly associated with family planning use were being employed (AOR: 2.2, CI: 1.77– 4.15), having positive attitudes (AOR: 2.3, 95% CI: 1.21– 3.87) and marital status (AOR: 3.9, 95% CI: 2.31– 6.63).Conclusion: The magnitude of family planning use among reproductive women with disabilities was low. Attitude, marital status, and being employed were significantly associated factors with family planning use. Therefore, the governmental and non-governmental organizations should work to change their attitude and creating job opportunities.Keywords: family planning utilization, reproductive age, disability

Introduction: Post-partum family planning is a novel strategy to reduce maternal and neonatal mortality by preventing unwanted pregnancy and unsafe abortion. However, little was done on community-based design to assess modern contraceptive use during an extended postpartum period in southern Ethiopia. Therefore, this study aimed to assess modern contraceptive use during extended postpartum period and factors associated among women who gave birth in the previous twelve months in southern Ethiopia., Methods: A community-based cross-sectional study was conducted among 416 women in Arba Minch town. A systematic random sampling technique was employed to select the enrolled women. Data were collected using a structured and pretested questionnaire. The data were entered into Epi-Data version 4.6 then exported to statically package of social science (SPSS) version 25 for data analysis., Result: Among enrolled postpartum women, 64.7% were used modern contraceptives for the last 12 months. Women were more likely to use a modern contraceptive during the extended period of postpartum if they resumed sexual intercourse (AOR:7.4 [4.08, 13.23]), received post-partum family planning counseling (AOR: 3.2 [1.95, 5.28]), and if they resumed menses (AOR: 5.3 [3.12, 9.15]) than the counterpart. Being young age women (AOR: 3.2 [1.05, 9.82]) compared to age above 35 years and married (AOR:3.2 [1.17-10.28]) compared to currently unmarried were significantly associated factors for modern contraceptive use during the extended period of postpartum., Conclusion: The level of modern contraceptive utilization during the extended postpartum period was satisfactory. Therefore, in light of this finding, there is a need to improve the strengthening and scale-up antenatal and postnatal counseling of contraceptive use during the extended postpartum period, advice on preceding the return of menses, and give better attention for older age and unmarried women education on family planning., Competing Interests: The authors have declared that no competing conflict of interest exists.