Journal Article

Determinants of contraceptive use and future contraceptive intentions of women attending child welfare clinics in urban Ghana

Turpin, Cornelius A., Dassah, Edward T., Wuni, Caroline

2017

Overview

Background Family planning is an integral component of maternal and child health services in Ghana. Although knowledge on contraception is universal and most women attend maternal and child health services, contraceptive use remains low among women after delivery. This study aimed to determine factors influencing current use and future contraceptive intentions of women who were attending child welfare clinics within 2 years of delivery in Sunyani Municipality, Ghana. Methods We conducted an analytical cross-sectional study among mothers in six selected health care facilities. Data was collected on their socio-demographic characteristics, reproductive and contraceptive experiences and future contraceptive intentions. Categorical variables were compared using the chi-squared (χ 2 ) test. Factors associated with current use and future contraceptive intentions were determined using Poisson regression with a robust error variance to estimate crude and adjusted relative risks (RRs) with 95% confidence intervals (CIs). P  < 0.1 was considered statistically significant. Results A total of 590 women were recruited into the study. Overall, 50.2% of the women were using contraception, 30.7% modern and 19.5% traditional methods. Compared to previous use, more women were using and would prefer the more effective contraceptive methods in future. Significant factors associated with current contraceptive use were, level of education ( p  = 0.02), discussing family planning during antenatal care (adjusted RR, 1.28; 95% CI, 1.07-1.53), or with one’s partner (adjusted RR, 1.22; 95% CI, 1.01-1.47) and previous contraceptive use (adjusted RR, 1.91; 95% CI, 1.56-2.33). Family planning discussions during child welfare clinic (adjusted RR, 1.12; 95% CI, 0.99-1.26) or with one’s spouse (adjusted RR, 1.20; 95% CI, 1.08-1.34), desire to space children (adjusted RR, 1.35; 95% CI, 1.17-1.55), previous (adjusted RR, 1.15; 95% CI, 1.05-1.27) and current (adjusted RR, 1.11; 95% CI, 1.01-1.22) contraceptive use were predictive of clients’ intention to adopt family planning in the future. Conclusion Effective counselling on family planning during antenatal and child welfare clinics, and encouraging spousal communication on contraception are likely to increase contraceptive use after delivery.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adolescent / Adult / Analysis / Biostatistics / Birth control / Chi-square test / Child welfare / Child welfare clinic / Children / Childrens health / Clinics / Comparative analysis / Condoms - statistics & numerical data / Condoms - utilization / Confidence intervals / Contraception / Contraception - methods / Contraception - psychology / Contraception Behavior - psychology / Contraception Behavior - statistics & numerical data / Contraceptive Agents / Contraceptives / Counseling / Cross-Sectional Studies / Current contraceptive use / Demographics / Demography / Education / Educational attainment / Environmental Health / Epidemiology / Families & family life / Family planning / Family Planning Services - methods / Family Planning Services - statistics & numerical data / Family Planning Services - utilization / Family therapy / Female / Future / Future contraceptive intentions / Ghana / Global health / Health aspects / Health care facilities / Health facilities / Health services / Health status / Humans / Informal economy / Intention / Maternal & child health / Maternal and child health / Maternal characteristics / Mathematical analysis / Medicine / Medicine & Public Health / Methods / Middle Aged / Mothers / Post delivery / Pregnancy / Prenatal care / Public Health / Regression analysis / Reproductive sterilization / Research Article / Risk assessment / Risk factors / Robustness (mathematics) / Sociodemographics / Statistical analysis / Statistical tests / Urban planning / Vaccine / Women / Womens health / Young Adult