Acceptance of an immediate postpartum intrauterine contraceptive device and associated factors among women who gave birth in public hospitals of Addis Ababa, Ethiopia: a cross-sectional study

Introduction: Despite the postpartum intrauterine device being highly effective, inexpensive, non-hormonal and reversible, its acceptance is very low in developing countries including Ethiopia. Considering the importance of the use of immediate postpartum intrauterine contraceptives is a valuable means to keep women and children healthy. Objectives: This study aimed to assess the acceptance of an immediate postpartum contraceptive device and associated factors among women who gave birth in selected public hospitals in Addis Ababa. Method: A health institution-based cross-sectional survey was conducted among 336 women who gave birth in selected public health facilities in Addis Ababa from the beginning of February to March 2021. Information was gathered by using interviewer-administered questionnaires. Data were double-entered in Epidata V.4.6 statistical package, cleaned and exported to IBM SPSS statistics V.25 for analysis. Logistic regression models were used to predict the association of outcome variables and adjusted for possible confounders. Result: A total of 42 (12.5%) of women accepted to use the immediate use of postpartum intrauterine devices. Woman's employment status such as (private employees (adjusted OR, AOR=4.269, 95% CI (1.280 to 14.234) (p<0.018), daily labourer (AOR=7.373, 95% CI (1.534 to 35.433) (p<0.013), student (AOR=11.004, 95% CI (1.602 to 75.572) (p<0.015)), and monthly income of the mother Birr greater than 7901.00 (AOR=6.589, 95% CI (1.736 to 25.009) (p<0.006) were found to be associated with acceptance of the immediate postpartum contraceptive device. Conclusions: The acceptance of immediate postpartum intrauterine contraceptive device was low, that is 12.5%, maternal education, occupation, monthly income and attitude of women were associated with acceptance. Addressing women's awareness by using target-oriented health education and training of healthcare workers was recommended.