This is a cross-sectional descriptive study which
sought to identify the factors that affects the use of contraception among
postnatal mothers in Komfo Anokye Teaching Hospita(KATH), Kumasi, Ghana.
Purposive and convenience sampling methods were used to select the directorates
and health workers respectively. Self-structured and validated questionnaires
were administered to 200 postnatal mothers at KATH. Data collected was
processed and analysed with Statistical Package for Social Sciences and
Microsoft Excel. Results obtained showed that mothers’ education and marital
status are the main factors affecting the use of family planning. Education
exposes the mothers to information on methods of birth control and increases
understanding on various aspects of contraceptives such as mechanism of action,
method specific instructions and side effects. The years spent in school also
delay start of childbearing and enable the women to make informed decisions in
matters affecting their reproductive health at a mature age. Marriage exposes mothers
to sexual intercourse in the postpartum period and increases the risk of
conception. Consequently, the married mothers have a higher intention to use
postpartum family planning than their unmarried counterparts. This means that
their needs for post-partum family planning (PPFP) should be addressed to
ensure their intentions translate into actual use, which will reduce the unmet
need for PPFP in KATH.
References:. Anna, T., and Nassoro, R. (2006) Utilization of Modern Family Planning Methods Among Women of
Reproductive Age in Rural Setting: The Case of Shinyanga Rural District, Tanzania. East African Journal of Public
Health, Vol.3 No.2, pp.26-30.
. Adinma B.(2002) An overview of the global policy consensus on women's sexual and reproductive rights: The
Nigerian perspective. Tropical Journal of Obstetrics Gynaecology Vol.1No.1, pp.9-12.
. Barber, L.S. (2007). Family planning advice and postpartum contraceptive use among low-income women in
Mexico. International Family Planning Perspectives, 33(1): 6-12
. DaVanzo, J. (2007) Effects of interpregnancy interval and outcome of the preceding pregnancy on pregnancy
outcome in Matlab, Bangladesh. BJOG, 114(9): 1079-1087
. Day, T., Raker, C.A., and Boardman, L.A. (2008).Factors associated with the provision of antenatal
contraceptive counseling. Contraception, 78(4): 294-299.
. Depineres, T., Blumenthal, P.D and Diener-West, M. (2005). Postpartum contraception: the New Mexico
pregnancy risk assessment monitoring system. Contraception, 72(6): 422- 425.
. Ghana National Bureau of Statistics(2010) Ghana Demographic and Health Survey 2008-13
. Glasier, A.F., Logan, J., and McGlew, T.J. (1996).Who gives advice about postpartum contraception?
Contraception, 53(4): 217-220.
. Hani,A., Moss, M., Cooper, D., Morroni, C & Hoffman, M. (2007).Informed choice-the timing of postpartum
contraceptive initiation. South Africa Medical Journal, 93(11): 862-864.
. Kariuki, W.D. (2011) Factors determining the intension to use postpartum family planning among the first time mothers aged 15-29
years in Kenya. Retrieved from: www.docs.mak.ac.ug/sites/default/files/DAINAH%20DISSERTATION.doc
. King, J. (2007). Contraception and lactation. Journal of Midwifery and Women’s Health, 52(6):614-620.
. Kumssa, E., Kahaliw, W., and Ergetie, Z. (2013) Assessment of Knowledge, Attitude and Practice Among
Women of Child Bearing Age Towards Contraceptive Drug Utilization in Adama (Kebele 12). International Journal
of Medical and Pharmaceutical Sciences, 3 (10), 01-08.
. Mao J. Knowledge, Attitude and Practice of Family Planning: A Study of Tezu Village, Manipur (India). The
Internet Journal of Biological Anthropology 2007; 1(1); 45-52
. Manandhar N, Singh SK, Patowary S, Krishna G.(2012) Study of knowledge, attitude and practice of family
planning in an urban area of Bharatpur. Journal of Institute of Medicine Vol. 28(2); 35-44
. McKaig, C and Deller, B. (2006).After the fact: family planning for the postnatal period. ACCESS-
. Onwuzurike B.K, and Uzochukwu B.C. Knowledge, Attitude and Practice of Family Planning amongst
Women in a High Density Low Income Urban of Enugu, Nigeria. African Journal of Reproductive Health 2001;
. Ross, A.J., and Winfrey, W.L. (2001).Contraceptive use, intention to use and unmet need during the extended
postpartum period. International Family Planning Perspective, 27(1):20-27.
. Salway, S., and Nurani, S. (1998).Uptake of contraception during postpartum amenorrhea: understandings
and preferences of poor, urban women in Bangladesh. Social Science and Medicine, 47(7): 899-909.
. World Health Organization, Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide to Essential
(http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/9241590 84X/en/. Accessed on 27
. World Health Organisation. Selected Practice Recommendations for Contraceptive Use. 2nd edition and 2008
(http://www.who.int/reproductivehealth/publivcations/family_planning/9241562846index en/index.html. Accessed
on 27 January 2014).