Barriers to acceptance of post-partum family planning among women in Montserrado County, Liberia

Background: Maternal mortality in Liberia is one of the highest in Sub-Saharan Africa. Post-partum family planning (PPFP) can reduce the risk of maternal mortality by preventing unwanted and closely spaced pregnancies. Yet, the uptake of PPFP is low in Liberia. Objective: We investigated the barriers to acceptance of PPFP use among women in Montserrado County, Liberia. Materials and Methods: A cross-sectional facility-based survey was conducted using a multistage sampling technique to select 378 women within 12 months' post-partum period. Results: About half of our respondents were <25 years (52.9%), 24.1% were married, 66.4% had at least secondary education and 92.1% were Christians. The most commonly reported barriers were the fear of side effects (22.0%) and the post-partum abstinence (22.2%). Binary logistic regression analysis showed that being within the early post-partum period, i.e., within the first 6 months (adjusted odds ratio [AOR] = 0.23, 95% confidence interval [CI] [0.09–0.60] and lack of access to PPFP [AOR = 0.22, 95% CI [0.09–0.52]). Importantly, women who were married [AOR = 1.686, 95% CI (0.65, 4.36)] and those who were aware of PPFP [AOR 3.69, 95% CI (1.224, 11.096)] increased the likelihood of using PPFP. Conclusion: Important barriers to the utilisation of PPFP in Liberia were being within early post-partum period, lack of access and awareness of PPFP including myths and misconception. Therefore, health communication targeting mothers for PPFP at every contact with maternal and childcare services should be encouraged.

• Publication year

  2018

• Venue

  Nigerian Postgraduate Medical Journal

• Publication date

  2018-07-01

• Fields of study

  Medicine, Sociology

• Identifiers
  DOI 10.4103/npmj.npmj_96_18PMID 30264764
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Patterns and trends of postpartum family planning in Ethiopia, Malawi, and Nigeria: evidence of missed opportunities for integration

  2015cited by this paper
• Successful Proof of Concept of Family Planning and Immunization Integration in Liberia

  2015cited by this paper
• Bridging user and provider perspectives: Family planning access and utilization in rural Mozambique

  2015cited by this paper
• Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study

  2015cited by this paper
• Missed opportunities for family planning: an analysis of pregnancy risk and contraceptive method use among postpartum women in 21 low- and middle-income countries.

  2015cited by this paper
• Determinants of modern family planning use among women of reproductive age in the Nkwanta district of Ghana: a case–control study

  2014cited by this paper
• Getting to 70%: Barriers to modern contraceptive use for women in Rwanda

  2013cited by this paper
• Barriers to adoption of family planning among women in Eastern Democratic Republic of Congo.

  2011cited by this paper
• Return of Ovulation and Menses in Postpartum Nonlactating Women: A Systematic Review

  2011cited by this paper
• Menstrual Pattern, Sexual Behaviors, and Contraceptive Use among Postpartum Women in Nairobi Urban Slums

  2010cited by this paper
• Multicenter study of the lactational amenorrhea method (LAM) III: effectiveness, duration, and satisfaction with reduced client-provider contact.

  2000cited by this paper

• Exploring barriers and facilitators to immediate postpartum intrauterine device uptake within the strengthening Egypt family planning program: a case-control study

  2025cites this paper
• Barriers to completion of maternal and neonatal continuum of care services in Assosa Zone, north-western Ethiopia

  2025cites this paper
• Postpartum family planning counselling during maternity care visits in Bangladesh and its effect on contraceptive initiation

  2024cites this paper
• Influence of postpartum depression on maternal-infant bonding and breastfeeding practices among mothers in Abeokuta, Ogun state

  2024cites this paper
• Modern Postpartum Family Planning and Associated Factors Among Postpartum Women in a Rural District of Ethiopia, 2021: A Cross-Sectional Study

  2023cites this paper
• Prevalence and factors associated with the intention to use contraception among women of reproductive age who are not already using a contraceptive method in Liberia: findings from a secondary analysis of the 2019–2020 Liberia Demographic Health Survey

  2023cites this paper
• Utilisation of immediate postpartum family planning among postpartum women at public hospitals of North Shoa Zone, Ethiopia: a cross-sectional study

  2022cites this paper
• Barriers and determinants of postpartum family planning uptake among postpartum women in Western Ethiopia: a facility-based cross-sectional study

  2022influential citation
• Reproductive Women's Knowledge on Possibility of Pregnancy after Birth but before Resumption of Menstruation and Its Associated Factors in Ethiopia: A Population-Based Study Using the 2016 Ethiopian Demographic Health Survey

  2022cites this paper
• Knowledge, Attitude and Practices of Postpartum Females Regarding the Acceptance of Immediate Postpartum Contraception: A Cross-Sectional Study From North India

  2022cites this paper
• Use of Postpartum Family Planning among Women Undergoing Deliveries in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

  2021cites this paper
• Acceptability and Factors Associated with Immediate Postpartum Intrauterine Contraceptive Device Use Among Women Who Gave Birth at Government Hospitals of Gamo Zone, Southern Ethiopia, 2019

  2021cites this paper
• Use of Contraceptive among Postpartum Women of a Municipality: A Descriptive Cross-sectional Study

  2021cites this paper
• Postpartum Family Planning Use and Its Determinants among Women of the Reproductive Age Group in Low-Income Countries of Sub-Saharan Africa: A Systematic Review and Meta-Analysis

  2021cites this paper
• Immediate Postpartum Modern Family Planning Utilization and Associated factors among women gave birth public Health facilities, Addis Ababa, Ethiopia

  2021cites this paper
• The Influence of Social Demographic Factors on the Use of Extended Post-Partum Family Planning Methods Among Post-Delivery Women in Tanzania

  2020cites this paper
• Postpartum contraceptive practice and barriers to its use among mothers from a tertiary hospital in Abuja, Nigeria

  2020cites this paper
• AN EVALUATION OF THE FAMILY PLANNING COUNSELLING PROGRAM UTILIZING OBJECTIVE BASED MODEL

  2019cites this paper