Purpose
Women with diabetes and
hypertension are at increased risk of pregnancy complications, including those
from surgical delivery and their offspring are at risk for congenital
anomalies. Thus, diabetic and hypertensive women of reproductive age are
advised to use valid contraceptive methods for reducing unwanted pregnancy and
its complications. However, contraceptive use among these segments of the
population had not been previously assessed in Ethiopia. Hence, the aim of this
study was to assess contraceptive use and associated factors among diabetic and
hypertensive women of reproductive age on chronic follow-up care at University
of Gondar and Felege Hiwot Hospitals.
Methods
Hospital-based
cross-sectional study was conducted from April to May 2012 among diabetic and
hypertensive women on follow-up at the chronic illness care center. The sample
size calculated was 403. Structured and pretested questionnaire was used for
data collection. Data were collected using interview supplemented by chart
review. The data were entered using EPI info Version 2000 and analyzed using
SPSS Version 16. Frequencies, proportion, and summary statistics were used to
describe the study population in relation to relevant variables. Both bivariate
and multivariate analyses were run to see the association of each independent
variable with contraceptive practice.
Results
A total of 392 married
women on chronic follow-up care were interviewed making the response rate of
93.3%. The contraceptive prevalence rate was found to be 53.8%. Factors such as
age 25–34 years (adjusted odds ratio, AOR [95% confidence interval, CI] =3.60
[1.05–12.36]), (AOR [95% CI] =2.29 [1.15–4.53]), having middle- and high-level
incomes (AOR [95% CI] =2.12 [1.19–3.77]), (AOR [95% CI] =5.03 [2.19–11.54]),
receiving provider counseling (AOR [95% CI] =9.02 [4.40–18.49]), and controlled
disease condition (AOR [95% CI] =4.13 [2.35–7.28]) were significantly
associated with contraceptive practice.
Conclusion
The contraceptive
utilization of women on diabetes and hypertension follow-up care was found to
be low. Hence, strengthening counseling and education about family planning and
controlling their medical conditions would help increase the contraceptive
uptake of women on chronic follow-up.
Full article at: http://goo.gl/tg64gS
1Department of Midwifery, Tseda Health
Science College, University of Gondar, Gondar, Ethiopia
2Department of Epidemiology and
Biostatistics, Institute of Public Health, University of Gondar, Gondar,
Ethiopia
3Jhpiego-Ethiopia, Addis Ababa, Ethiopia
Correspondence: Tensae Tadesse Mekonnen, Department of
Midwifery, Tseda Health Science College, PO Box 102, Gondar, Ethiopia, Tel/fax
+251 5 8111 6221, Email moc.liamg@edatzamla
More at: https://twitter.com/hiv
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