Authors :
Dr. Abdirahman Moalim Hassan Ibrahim
Volume/Issue :
Volume 10 - 2025, Issue 2 - February
Google Scholar :
https://tinyurl.com/mp49tb3d
Scribd :
https://tinyurl.com/469dnvc3
DOI :
https://doi.org/10.5281/zenodo.14908869
Abstract :
Background
Postpartum family planning (PPFP) is essential for lowering maternal and infant mortality rates while enhancing
women's health (Smith et al., 2019). Despite its critical importance, the adoption of PPFP remains alarmingly low in
Mogadishu, Somalia (Ali & Ahmed, 2021). This study seeks to identify the key factors that influence the uptake of PPFP
among women of reproductive age in the region.
Objectives
The primary aim is to investigate the socio-demographic, cultural, and healthcare-related factors that affect the
adoption of postpartum family planning among women in Mogadishu, Somalia.
Methodology
A cross-sectional study was carried out involving women aged 15-49 in Mogadishu. Structured questionnaires were
used to collect data from a sample of 400 women who had given birth in the past two years. The study employed both
quantitative and qualitative methods to provide a holistic understanding of the factors influencing PPFP adoption.
Statistical analyses, including logistic regression, were conducted to assess the significance of various factors (Johnson et
al., 2020).
Findings
The study identified several critical factors impacting the adoption of PPFP. Socio-demographic characteristics such
as age, educational attainment, and marital status were found to significantly influence usage rates (Khan et al., 2022).
Cultural beliefs and prevalent misconceptions regarding family planning methods emerged as significant barriers to
adoption (Farah, 2020). Furthermore, access to healthcare services and the quality of postpartum counseling were crucial
in facilitating the uptake of PPFP. Women with higher educational levels and those who received thorough postpartum
counseling exhibited a stronger propensity to adopt PPFP methods (Omar & Yusuf, 2023).
Conclusion
The adoption of postpartum family planning among women in Mogadishu is shaped by a complex interplay of socio-
demographic, cultural, and healthcare-related factors. To improve the uptake of PPFP, it is essential to implement
targeted interventions focused on enhancing educational outreach, addressing cultural misconceptions, and improving the
quality of postpartum healthcare services (Elmi, 2021).
Recommendations
Educational outreach should involve developing community-based programs that educate women about the benefits
and methods of postpartum family planning, specifically tailored to local cultural contexts (Said et al., 2023). Additionally, there is a need to address cultural misconceptions by initiating campaigns that challenge and change beliefs surrounding
family planning, utilizing local leaders and influencers to foster acceptance (Mohamed, 2022).
Enhancing healthcare services is also crucial; this includes improving access to quality healthcare and ensuring that
postpartum counseling is comprehensive and sensitive to the needs of women (Hassan, 2021). Finally, training for
healthcare providers should be prioritized, equipping them with the necessary skills to deliver effective and empathetic
postpartum counseling, thereby increasing the likelihood of PPFP adoption (Gedi, 2022).
Keywords :
Family Planning, Cross-Sectional Study, Intrauterine Contraceptive Device, Maternal and Child Health, Women in the Reproductive Age Group.
References :
- Adeyemi, A. B., Ijadunola, K. T., Orji, E. O., Kuti, O., Alabi, M. M. (2005). The unmet need for contraception among Nigerian women in the first year postpartum. European Journal of Contraception and Reproductive Health Care, 10(4):229-234 Averill C., (2012). Meeting the unmet need for family planning: why social marketing is not the answer. Available online at: [Accessed on 27 November 2012] Barber S. L., (2007).
- Family Planning Advice and Postpartum Contraceptive Use Among Low-Income Women in Mexico. International Family Planning Perspectives 33(1):6–12 Becker Stan and Ahmed Saifuddin, (2001). Dynamics of Contraceptive Use and Breastfeeding during the Post-Partum Period in Peru and Indonesia. Population Studies Vol. 55, No. 2, pp. 165-179. Bongaarts, J. and J. Bruce., (1995).
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- Return to Sexual Activity and Modern Family Planning Use in the Extended Postpartum Period: An Analysis of Findings from Seventeen Countries. African Journal of Reproductive Health, 14(4):75-82. Castadot, R. G., Sivin I., Reyes P., Alers J.O., Chapple M. and Russel J. (1975). "The international postpartum family planning program: Eight years of experience." Reports on Population/Family Planning No. 18. Cayemittes, M., Placide M.F., Mariko S., Barrere B., Severe B. and Alexandre C. (2007).
- Mortality, Morbidity and Utilization of Services Survey, Haiti 2005- 2006.Calverton, Maryland: Institut Haitien de l’Enfance and Macro Internacional Inc. Chipeta K E, Chimwaza W and Kalilani- Phiri L, (2010). Contraceptive knowledge, beliefs and attitudes in Rural Malawi: Misinformation, Misbeliefs and Misperceptions. Centre for reproductive health, college of Medicine, University of Malawi.
- Available online at: [Accessed on 3 March 2013] 61 Daniele M., (2014). “Postpartum Family Planning in Burkina Faso,” STEP UP Research Report. London: London School of Hygiene and Tropical Medicine Drennan M, (1998). Reproductive Health: New perspectives on men's participation.
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- The influences of spouses over each other's contraceptive attitude in Ghana. Studies in Family Planning 24(3): 163- 174. Foreman Mia, (2012).
- The Challenges of Integrating Family Planning and Maternal/Child Health Services. Available online at Population Reference Bureau website; [ Accessed on 27 November 2012] Fort Alfredo L., Kothari Monica T., and Abderrahim Noureddine, (2006). “Postpartum care: Levels and determinants in developing countries,” DHS Comparative Reports No.
- Calverton, Maryland. Gebreselassie Tesfayi, Shea O. Rutstein, and Vinod Mishra, (2008). Contraceptive Use, Breastfeeding, Amenorrhea and Abstinence During the Postpartum Period: An Analysis of Four Countries. DHS Analytical Studies No. 14. Calverton, Maryland, USA: Macro International Inc. Ghana Statistical Service, (2011). Census 2010: Summary report of final results. Accra.
- Nabhan, A., Kabra, R., Allam, N., Ibrahim, E., Wagih, N., Mostafa, N., Kiarie, J., & Family Planning Research Collaborators. (2023). Implementation strategies, facilitators, and barriers to scaling up and sustaining post pregnancy family planning: A mixed-methods systematic review. BMC Women's Health, 23:3791. https://doi.org/10.1186/s12905-023-02518-6
- Oljira, R., Tilahun, T., Tiruneh, G., Tesfaye, T. B., Getachew, M., Seme, A., Getahun, A., & Dereje, L. (2023). Postpartum family planning uptake and its associated factors among postpartum women in Asosa zone, Benishangul Gumuz regional state, Ethiopia: A facility-based cross-sectional study. Contraception and Reproductive Medicine, 8:532. https://doi.org/10.1186/s40834-023-00252-w
- Moalim, A. (2021). Factors Influencing the Adoption of Postpartum Family Planning Among Women of Reproductive Age Residing in Mogadishu, Somalia. Academia.edu. https://www.academia.edu/122724084/FACTORS_INFLUENCING_THE_ADOPTION_OF_POSTPARTUM_FAMILY_PLANNING_AMONG_WOMEN_OF_REPRODUCTIVE_AGE_RESIDING_IN_MOGADISHU_SOMALIA
- USAID. (2006). Postpartum Family Planning Technical Consultation: Report Brief. https://pdf.usaid.gov/pdf_docs/PNADP671.pdf
- BMJ Open. (2023). Utilisation of immediate postpartum family planning among postpartum women
Background
Postpartum family planning (PPFP) is essential for lowering maternal and infant mortality rates while enhancing
women's health (Smith et al., 2019). Despite its critical importance, the adoption of PPFP remains alarmingly low in
Mogadishu, Somalia (Ali & Ahmed, 2021). This study seeks to identify the key factors that influence the uptake of PPFP
among women of reproductive age in the region.
Objectives
The primary aim is to investigate the socio-demographic, cultural, and healthcare-related factors that affect the
adoption of postpartum family planning among women in Mogadishu, Somalia.
Methodology
A cross-sectional study was carried out involving women aged 15-49 in Mogadishu. Structured questionnaires were
used to collect data from a sample of 400 women who had given birth in the past two years. The study employed both
quantitative and qualitative methods to provide a holistic understanding of the factors influencing PPFP adoption.
Statistical analyses, including logistic regression, were conducted to assess the significance of various factors (Johnson et
al., 2020).
Findings
The study identified several critical factors impacting the adoption of PPFP. Socio-demographic characteristics such
as age, educational attainment, and marital status were found to significantly influence usage rates (Khan et al., 2022).
Cultural beliefs and prevalent misconceptions regarding family planning methods emerged as significant barriers to
adoption (Farah, 2020). Furthermore, access to healthcare services and the quality of postpartum counseling were crucial
in facilitating the uptake of PPFP. Women with higher educational levels and those who received thorough postpartum
counseling exhibited a stronger propensity to adopt PPFP methods (Omar & Yusuf, 2023).
Conclusion
The adoption of postpartum family planning among women in Mogadishu is shaped by a complex interplay of socio-
demographic, cultural, and healthcare-related factors. To improve the uptake of PPFP, it is essential to implement
targeted interventions focused on enhancing educational outreach, addressing cultural misconceptions, and improving the
quality of postpartum healthcare services (Elmi, 2021).
Recommendations
Educational outreach should involve developing community-based programs that educate women about the benefits
and methods of postpartum family planning, specifically tailored to local cultural contexts (Said et al., 2023). Additionally, there is a need to address cultural misconceptions by initiating campaigns that challenge and change beliefs surrounding
family planning, utilizing local leaders and influencers to foster acceptance (Mohamed, 2022).
Enhancing healthcare services is also crucial; this includes improving access to quality healthcare and ensuring that
postpartum counseling is comprehensive and sensitive to the needs of women (Hassan, 2021). Finally, training for
healthcare providers should be prioritized, equipping them with the necessary skills to deliver effective and empathetic
postpartum counseling, thereby increasing the likelihood of PPFP adoption (Gedi, 2022).
Keywords :
Family Planning, Cross-Sectional Study, Intrauterine Contraceptive Device, Maternal and Child Health, Women in the Reproductive Age Group.