Pregnancy Desirability and Motivational Readiness for Postpartum Contraceptive Use: Findings from Population-Based Surveys in Eight Sub-Saharan African Countries.

Autor:	Ujah OI; Chiles Center, College of Public Health, University of South Florida, Tampa, FL 33612, USA.; Department of Obstetrics and Gynecology, Federal University of Health Sciences, Otukpo 972261, Nigeria., Olagbuji BN; Department of Obstetrics and Gynecology, Ekiti State University, Ado-Ekiti 362103, Nigeria., Ogbu CE; Chiles Center, College of Public Health, University of South Florida, Tampa, FL 33612, USA., Ujah IAO; Department of Obstetrics and Gynecology, Federal University of Health Sciences, Otukpo 972261, Nigeria., Kirby RS; Chiles Center, College of Public Health, University of South Florida, Tampa, FL 33612, USA.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Dec 29; Vol. 21 (1). Date of Electronic Publication: 2023 Dec 29.
DOI:	10.3390/ijerph21010053
Abstrakt:	This study examined the associations between pregnancy intention and motivational readiness for postpartum contraceptive use. Data for this cross-sectional analysis were derived from nationally representative surveys of the Performance Monitoring and Accountability 2020 (PMA2020) project conducted in eight sub-Saharan African countries. Participants included 9488 nonpregnant women of reproductive age (15-49 years) who had given birth in the last 2 years. Weighted multinomial logistic regression analyses were performed to estimate the odds ratios (OR) and their corresponding 95% confidence intervals (CIs) of the associations of motivational readiness for contraceptive adoption categorized as precontemplation, contemplation, and post-action with pregnancy intention. After adjusting for confounding factors, the findings revealed that women in Côte d'Ivoire and Nigeria who had mistimed pregnancies had significantly higher odds of being in the contemplation vs. precontemplation stage compared to those who had intended pregnancies. Similarly, women who had unwanted pregnancies in Ethiopia were also more likely to be in the contemplation stage. Furthermore, significant differences were observed for women in Burkina Faso, Côte d'Ivoire, and Nigeria regarding the association between mistimed pregnancies and being in the post-action stage. For women who had unwanted pregnancies, this association was significant only in Nigeria. Additionally, the odds of being in the contemplation stage, compared to the post-action stage, for women who had unwanted pregnancies were significantly higher in Ethiopia and Nigeria. These results indicate that recent unintended pregnancies in specific sub-Saharan African countries may motivate women to take action to prevent future unintended pregnancies. The findings underscore the importance of tailored and context-specific approaches in family-planning programs based on the stage of motivational readiness. Competing Interests: The authors declare no conflicts of interest.
Databáze:	MEDLINE
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