Utilization of immediate postpartum intrauterine contraceptive device and associated factors among mothers who gave birth at selected hospitals in west Gojjam zone, Ethiopia, multi-level facility-based study, 2019

BACKGROUND: Intrauterine contraceptive device (IUCD) prevents unwanted pregnancy. An immediate postpartum period is a good opportunity to place IUCD for women who want to delay pregnancy. However, in Sub-Saharan Africa mainly in Ethiopia, this procedure is not widely used. This study aimed to determine the utilization and factors associated with an immediate postpartum intrauterine contraceptive device (IPPIUCD). METHODS: Multi-level facility-based cross-sectional study was conducted from Januarey12 to March 12/2019GC on 423 women who delivered at selected hospitals of the west Gojjam zone. A systematic random sampling technique was applied to select study participants. Proportional allocations of samples were done based on the delivery caseload of each hospital. Data were entered in Epi info version 7.1 software and exported to SPSS version 23 for editing, cleaning, and analysis. Bivariable and multivariable logistic regression analysis were performed to determine factors associated with the utilization of IPPIUCD. RESULT: The utilization of IPPIUCD was 4.02 % (95% CI: 1.65, 5.24). The following factors were significantly associated with IPPIUCD utilization; Being age 35–49 (AOR: 2.98; 1.31, 4.68), College and above education (5.01; 2.21, 7.90), Being counseled about IPPIUD (2.76: 1.79, 7.58), and needing of birth spacing >36 months (2.01: 1.52, 10.12). CONCLUSION: The utilization of IPPIUCD was low in selected hospitals of west Gojjam zone. According to this finding; age between 35–49 years, having college and above education, being counseled about IPPIUCD, and needing above 36 months birth spacing were significant factors for utilization of IPPIUCD. Encouraging women's education and informing health professionals of the importance of IPPIUCD may enhance IPPIUCD utilization. This finding may be useful in both reproductive health promotion at an individual level and policy-making regarding this issue.