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COVID-19: Perspective
Maternal mental health in Africa during the COVID-19 pandemic: a neglected global health issue
Kobi V. Ajayi, Elizabeth Wachira, Obasanjo Afolabi Bolarinwa, Beulah D. Suleman
Epidemiol Health. 2021;43:e2021078.   Published online October 6, 2021
DOI: https://doi.org/10.4178/epih.e2021078
  • 9,071 View
  • 156 Download
  • 5 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted mental health and well-being around the globe. Public health measures to control the virus’s rapid spread, such as physical distancing, social isolation, lockdown, restricted movements, and quarantine, caused fear and panic in the general population. Although pandemic-related stressors have been reported, changes that occur during the perinatal period compounded by those made to obstetric care guidelines may put pregnant and postpartum mothers at an increased risk of poor mental health. While an abundance of research has examined the impact of the pandemic on maternal mental health in developed nations such as Europe and America, very few studies have done so in the African continent. Considering that Africa has prominently weak health systems, poor mental health policies and infrastructure, high poverty rates, and unreliable maternal care, the pandemic is expected to have dire consequences on maternal mental health in the region. As such, multipronged mental health interventions and strategies that consider the heterogeneity within and between African regions must be developed. Doing so will close existing and widening global health disparities to achieve the United Nations Sustainable Development Goals by 2030.
Summary
Key Message
Despite the adverse psychological impact of the COVID-19 pandemic on maternal mental health globally, little is known about its effect in Africa. As of the time of this study, only four research studies have been conducted in Nigeria, Ethiopia, and Ghana, investigating the psychological sequelae of the pandemic among pregnant and postpartum women in Africa. This study calls for urgent multipronged maternal mental health interventions and psychosocial support that consider the heterogeneity within and between African regions.

Citations

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  • Poor sleep quality and suicidal ideation among pregnant women during COVID-19 in Ethiopia: systematic review and meta-analysis
    Aragaw Asfaw Hasen, Abubeker Alebachew Seid, Ahmed Adem Mohammed
    PeerJ.2023; 11: e16038.     CrossRef
  • Experiences of Perinatal Mental Health Care among Minority Ethnic Women during the COVID-19 Pandemic in London: A Qualitative Study
    Sabrina Pilav, Abigail Easter, Sergio A. Silverio, Kaat De Backer, Sushma Sundaresh, Sara Roberts, Louise M. Howard
    International Journal of Environmental Research and Public Health.2022; 19(4): 1975.     CrossRef
  • Generalized Anxiety Disorder and Its Associated Factors Among Pregnant Women During COVID-19 at Public Health Facilities of East Gojjam Zone, 2020: A Multi-Center Cross-Sectional Study
    Keralem Anteneh Bishaw, Addisu Andalem, Haile Amha, Tirusew wondie
    Frontiers in Global Women's Health.2022;[Epub]     CrossRef
Original Article
Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors
Teklehaymanot Huluf Abraha, Alemayehu Shimeka Teferra, Abebaw Addis Gelagay
Epidemiol Health. 2017;39:e2017012.   Published online March 20, 2017
DOI: https://doi.org/10.4178/epih.e2017012
  • 23,031 View
  • 664 Download
  • 45 Web of Science
  • 40 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The postpartum period is a critical period for addressing widespread unmet needs in family planning and for reducing the risks of closely spaced pregnancies. However, contraception during the extended postpartum period has been underemphasized in Ethiopia. Therefore, this study aimed to assess postpartum modern contraceptive use among women in northern Ethiopia and to identify factors associated with modern contraceptive use in the postpartum period.
METHODS
A community based cross-sectional study was conducted from March to April, 2015. Data were entered using Epi Info version 7 and then exported into Stata version 12 for analysis. Bivariate and multivariate logistic regression models were fitted to identify the determinants of postpartum modern contraceptive use. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated, and p-values <0.05 were considered to indicate statistical significance.
RESULTS
Nearly half (48.0%) of women used modern contraceptives during the extended postpartum period. Postpartum modern contraceptive use was significantly associated with secondary and tertiary education levels (aOR, 4.25; 95% CI, 1.29 to 14.00; aOR, 5.36 ; 95% CI, 1.14 to 25.45, respectively), family planning counseling during prenatal and postnatal care (aOR, 5.72 ; 95% CI, 2.67, 12.28), having postnatal care (aOR, 2.36; 95% CI, 1.15 to 4.87), resuming sexual activity (aOR, 9.53; 95% CI, 3.74 to 24.27), and menses returning after birth (aOR, 6.35; 95% CI, 3.14 to 13.39). In addition, experiencing problems with previous contraceptive use was negatively associated with modern contraceptive use (aOR, 0.34; 95% CI, 0.16 to 0.72).
CONCLUSIONS
Low rate of postpartum modern contraceptive use were found in the study area. Therefore, strengthening family planning counseling during antenatal and postnatal care visits, improving utilization of postnatal care services and improving women’s educational status are crucial steps for to enhance modern contraceptive use among postpartum women.
Summary

Citations

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  • Factors associated with modern contraceptive utilization among reproductive age women in Kenya; evidenced by the 2022 Kenyan demographic and health survey
    Gosa Mankelkl, Altaseb Beyene Kassaw, Beletu Kinfe
    Contraception and Reproductive Medicine.2024;[Epub]     CrossRef
  • Factors associated with modern contraceptives uptake during the first year after birth in Ethiopia: A systematic review and meta-analysis
    Gebi Husein Jima, Muhammedawel Kaso Kaso, R. G. Biesma-Blanco, Tegbar Yigzaw Sendekie, J. Stekelenburg, Dylan A Mordaunt
    PLOS ONE.2023; 18(2): e0270055.     CrossRef
  • Timely initiation of postpartum contraceptive utilization in Sebata Hawas district, Ethiopia: A cross-sectional study
    Kamaria Ismael, Tesfaye Getachew Charkos, Meyrema Abdo, Kimiyo Kikuchi
    PLOS Global Public Health.2023; 3(1): e0001503.     CrossRef
  • Time to postpartum family planning initiation and its predictors among mothers coming for first measles vaccination at Family Guidance Association of Ethiopia, Dessie Model Clinic, Northeast Ethiopia: cox-regression model
    Bezawit Adane, Elsabeth Addisu, Melaku Yalew, Yitayish Damtie, Mastewal Arefaynie, Segenet Zewdie, Yitbarek Wasihun, Bereket Kefale
    Reproductive Health.2023;[Epub]     CrossRef
  • Effect of contacts with health professionals on modern contraceptives uptake during the first 6 weeks after child birth: a prospective cohort study in Arsi Zone
    Gebi Husein Jima, Jelle Stekelenburg, Hailu Fekadu, Tegbar Yigzaw Sendekie, Regien Biesma
    Contraception and Reproductive Medicine.2023;[Epub]     CrossRef
  • The effect of maternal educational status, antenatal care and resumption of menses on postpartum contraceptive use in Ethiopia: systematic review and meta-analysis
    Natnael Atnafu Gebeyehu, Kirubel Dagnaw Tegegne, Mesfine Wudu Kassaw
    Scientific Reports.2023;[Epub]     CrossRef
  • Postpartum family planning uptake in Uganda: findings from the lot quality assurance sampling survey
    Florence Nakaggwa, Derrick Kimuli, Kenneth Kasule, Justine Fay Katwesige, Denis Kintu, Rhobbinah Ssempebwa, Solome Sevume, Patrick Komakech, Norbert Mubiru, Baker Maggwa, Maria Augusta Carrasco, Norah Namuwenge, Rebecca N. Nsubuga, Barbara Amuron, Daraus
    Contraception and Reproductive Medicine.2023;[Epub]     CrossRef
  • Socio-demographic and antenatal care-related factors associated with early post-partum family planning use in Ethiopia: evidence from Ethiopian Demographic and Health Survey 2016 data
    Melaku Hunie Asratie, Getayeneh Antehunegn Tesema, Dagmawi Chilot, Fantu Mamo Aragaw, Mehari Woldemariam Merid, Daniel Gashaneh Belay
    Frontiers in Global Women's Health.2023;[Epub]     CrossRef
  • Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019
    Bewuketu Terefe, Mihret Getnet, Yonas Akalu, Yitayeh Belsti, Mengistie Diress, Yibeltal Yismaw Gela, Amare Belete Getahun, Desalegn Anmut Bitew, Daniel Gashaneh Belay
    Frontiers in Global Women's Health.2023;[Epub]     CrossRef
  • Time to initiation of modern contraceptive method use after childbirth and its predictors in Southern Ethiopia: a retrospective follow-up study
    Erjabo Adinew Mugoro, Dejene Ermias Mekango, Tigist Alebachew Lule, Belayneh Hamdela Jena, Ermias Abera Turuse
    BMC Women's Health.2023;[Epub]     CrossRef
  • Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study
    Lilian Mutea, Immaculate Kathure, Damazo T. Kadengye, Sila Kimanzi, Daniel Wacira, Nelson Onyango, Hesborn Wao, Ajay Bailey
    PLOS Global Public Health.2022; 2(6): e0000482.     CrossRef
  • The role of family planning counselling during maternal and child health services in postpartum modern contraceptive uptake in Ethiopia: A national longitudinal study
    Kalayu Brhane Mruts, Gizachew A. Tessema, Amanuel Tesfay Gebremedhin, Jane A. Scott, Gavin Pereira, Julia Robinson
    PLOS Global Public Health.2022; 2(8): e0000563.     CrossRef
  • Prevalence of long-acting reversible contraceptive methods utilization and associated factors among counseled mothers in immediate postpartum period at Jimma University medical center, Ethiopia
    Wariyo D. Arero, Woubishet G. Teka, Habtemu J. Hebo, Terefe Woyo, Belay Amare
    Contraception and Reproductive Medicine.2022;[Epub]     CrossRef
  • Time to initiate postpartum modern contraceptive use and predictors among women of reproductive age group in Dilla Town, Southern Ethiopia: a retrospective cohort study
    MaeregayehuTibo, Atnafu Adem, Azmach Dache
    Contraception and Reproductive Medicine.2022;[Epub]     CrossRef
  • Factors associated with utilization of modern postpartum family planing methods during the extended postpartum period among mothers who gave birth in the last 12 months at Injibara town, Northwest, Ethiopia: a cross-sectional study
    Getachew Andualem, Almaz Aklilu, Getahun Belay, Wondu Feyisa, Fentahun Alemnew
    Contraception and Reproductive Medicine.2022;[Epub]     CrossRef
  • A study on initiation of postpartum family planning in India based on NFHS-4: does urban poor differ significantly from rural?
    Ujjaval Srivastava, Arvind Pandey, Pragya Singh, Kaushalendra Kumar Singh
    BMC Women's Health.2022;[Epub]     CrossRef
  • Mapping evidence on postpartum modern family planning service uptake among women in Ethiopia: A scoping review
    Niguss Cherie, Mulumebet Abera, Gurmesa Tura
    Frontiers in Global Women's Health.2022;[Epub]     CrossRef
  • The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature
    Jumaine Gahungu, Mariam Vahdaninia, Pramod R. Regmi
    Reproductive Health.2021;[Epub]     CrossRef
  • Contraceptive Use and Its Associated Factors among Women Who Gave Birth within 12 Months in Dubti Town, Pastoral Community, of Afar Region Northeast, Ethiopia
    Abdu Yimam, Girmatsion Fisseha, Mebrahtu Kalayu, Etsay Woldu Anbesu, Kaushik Maiti
    Journal of Pregnancy.2021; 2021: 1.     CrossRef
  • How women's experiences and perceptions of care influence uptake of postnatal care across sub-Saharan Africa: a qualitative systematic review
    Caitlin Lythgoe, Kirsty Lowe, Mary McCauley, Hannah McCauley
    BMC Pregnancy and Childbirth.2021;[Epub]     CrossRef
  • Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in southern Ethiopia
    Yibeltal Mesfin, Abraham Wallelign
    Archives of Public Health.2021;[Epub]     CrossRef
  • Explicative factors of the low uptake of modern contraceptives practice among women of childbearing age in Kumbo West Health District, North West Region, Cameroon
    Pierre Marie Tebeu, Edward Dubila, Jean Pierre Ngou Mve Ngou, Theophile Nana Njamen, Jesse Saint Saba Antaon, Eugene Kongnyuy
    Obstetrics & Gynecology International Journal.2021; 12(4): 256.     CrossRef
  • Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis
    Tsegaye Mehare, Birhanie Mekuriaw, Zelalem Belayneh, Yewbmirt Sharew
    International Journal of Reproductive Medicine.2020; 2020: 1.     CrossRef
  • Predictors of puerperal menstruation
    George Uchenna Eleje, Emmanuel Onyebuchi Ugwu, Victor Okey Dinwoke, Perpetua Kelechi Enyinna, Joseph Tochukwu Enebe, Innocent Igwebueze Okafor, Livinus Nnanyere Onah, Osita Samuel Umeononihu, Chukwudi Celestine Obiora, Sylvester Onuegbunam Nweze, Ekene Ag
    PLOS ONE.2020; 15(7): e0235888.     CrossRef
  • Factors associated with modern contraceptives use among postpartum women in Bukombe district, Geita region, Tanzania
    Michael Johnson Mahande, Emmanuel Shayo, Caroline Amour, Gerry Mshana, Sia Msuya, Michelle L. Munro-Kramer
    PLOS ONE.2020; 15(10): e0239903.     CrossRef
  • Prevalence and factors associated with postpartum use of long-acting reversible contraception in Bukombe District, Geita Region, Tanzania: a community- based study
    Kiondo Solomon Kiondo, Eusebious Maro, Sophia Kiwango, Julius Pius Alloyce, Benjamin C. Shayo, Michael Johnson Mahande
    Contraception and Reproductive Medicine.2020;[Epub]     CrossRef
  • Postpartum modern contraception utilization and its determinants in Ethiopia: A systematic review and meta-analysis
    Bizuneh Wakuma, Getu Mosisa, Werku Etafa, Diriba Mulisa, Tadesse Tolossa, Getahun Fetensa, Merga Besho, Mohammed Gebre, Reta Tsegaye, Sarah Rachel Blackstone
    PLOS ONE.2020; 15(12): e0243776.     CrossRef
  • Knowledge, Utilization and Associated Factors of Postpartum Family Planning Among Women Who Had Delivered a Baby in the Past Year in Oromia Regional State, Ethiopia
    Benyam Seifu, Delelegn Yilma, Workinesh Daba
    Open Access Journal of Contraception.2020; Volume 11: 167.     CrossRef
  • Factors Associated with Compliance with the Recommended Frequency of Postnatal Care Services in Four Rural Districts of Tigray Region, North Ethiopia
    Teklehaymanot Huluf Abraha, Berhe Beyene Gebrezgiabher, Berihu Gidey Aregawi, Desta Siyoum Belay, Lidiya Tsegay Tikue, Ermyas Brhane Reda
    Korean Journal of Family Medicine.2019; 40(5): 329.     CrossRef
  • Prevalence of post partum modern family planning utilization and associated factors among postpartum mothers in Debre Tabor town, North West Ethiopia, 2018
    Eden Bishaw Taye, Dawit Gebeyehu Mekonen, Tibeb Zena Debele
    BMC Research Notes.2019;[Epub]     CrossRef
  • Determinants of modern contraceptive use among postpartum women in two health facilities in urban Ghana: a cross-sectional study
    Jonathan Ian Coomson, Abubakar Manu
    Contraception and Reproductive Medicine.2019;[Epub]     CrossRef
  • A systematic review and meta-analysis of postpartum contraceptive use among women in low- and middle-income countries
    Rubee Dev, Pamela Kohler, Molly Feder, Jennifer A. Unger, Nancy F. Woods, Alison L. Drake
    Reproductive Health.2019;[Epub]     CrossRef
  • Effect of integrating maternal health services and family planning services on postpartum family planning behavior in Ethiopia: results from a longitudinal survey
    Linnea A. Zimmerman, Yuanyuan Yi, Mahari Yihdego, Solomon Abrha, Solomon Shiferaw, Assefa Seme, Saifuddin Ahmed
    BMC Public Health.2019;[Epub]     CrossRef
  • Intentions on contraception use and its associated factors among postpartum women in Aksum town, Tigray region, northern Ethiopia: a community-based cross- sectional study
    Teklehaymanot Huluf Abraha, Hailay Siyum Belay, Getachew Mebrahtu Welay
    Reproductive Health.2018;[Epub]     CrossRef
  • Family planning use and its associated factors among women in the extended postpartum period in Addis Ababa, Ethiopia
    Almaz Yirga Gebremedhin, Yigzaw Kebede, Abebaw Addis Gelagay, Yohannes Ayanaw Habitu
    Contraception and Reproductive Medicine.2018;[Epub]     CrossRef
  • Association between skilled maternal healthcare and postpartum contraceptive use in Ethiopia
    Gizachew Assefa Tessema, Tensae Tadesse Mekonnen, Zelalem Birhanu Mengesha, Katherine Tumlinson
    BMC Pregnancy and Childbirth.2018;[Epub]     CrossRef
  • Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia: a multilevel analysis
    Teklehaymanot Huluf Abraha, Berhe Beyene Gebrezgiabher, Berihu Gidey Aregawi, Desta Siyoum Belay, Lidiya Tsegay Tikue, Getachew Mebrahtu Welay
    BMC Public Health.2018;[Epub]     CrossRef
  • Modern contraceptive use and associated factors among married women in Finote Selam town Northwest Ethiopia: a community based cross-sectional study
    Alehegn Bishaw Geremew, Abebaw Addis Gelagay
    Women's Midlife Health.2018;[Epub]     CrossRef
  • Counseling on family planning during ANC service increases the likelihood of postpartum family planning use in Bahir Dar City Administration, Northwest Ethiopia: a prospective follow up study
    Tadese Ejigu Tafere, Mesganaw Fanthahun Afework, Alemayehu Worku Yalew
    Contraception and Reproductive Medicine.2018;[Epub]     CrossRef
  • Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issues in this cross-sectional study
    Kamyar Mansori, Shiva Mansouri Hanis, Fatemeh Khosravi Shadmani
    Epidemiology and Health.2017; 39: e2017019.     CrossRef
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