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Author Response
 Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issue in this cross-sectional study
Teklehaymanot Huluf Abraha1orcid, Alemayehu Shimeka Teferra2, Abebaw Addis Gelagay3
Epidemiol Health 2017;39:e2017019r.
DOI: https://doi.org/10.4178/epih.e2017019r
Published online: May 10, 2017

1Department of Public Health, College of Health Sciences, Aksum University, Aksum, Ethiopia

2Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

3Department of Reproductive Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

Correspondence: Teklehaymanot Huluf Abraha  Department of Public Health, College of Health Sciences, Aksum University, P.O. Box 1010, Aksum, Ethiopia  E-mail: teklehaymanothuluf@gmail.com

©2017, Korean Society of Epidemiology

This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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See the letter "Letter to the Editor: Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issues in this cross-sectional study" on page e2017019.
We greatly respect the comments made by the above readers of our article, as they have precisely pointed out a methodological limitation of our design. We certainly recognize this study design limitation. In our nation (Ethiopia), the prevalence and associated factors of postpartum contraceptive use have not yet been assessed. Therefore, we as the authors of this study believe that assessing the magnitude of modern contraceptive use and its determinants using a cross-sectional study design is very important in the study area.
Moreover, cross-sectional studies provide an ample data that are useful for planning health services and medical programs. Our study measured the prevalence of postpartum modern contraceptive use (48.0%), and examined the relationship between the outcome variable (postpartum modern contraceptive use) and associated factors as they existed in the defined population at a particular time. However, a longitudinal study would not address the prevalence. The interpretation of the results of this article does not change based on this aspect of our research. Despite this limitation of the study design (i.e., the fact that it lacks a temporal relationship), we believe that the advantages of a cross-sectional study design outweigh its limitations. We also believe that this limitation can be overcome in the near future by changing the study design. Moreover, we as the authors have addressed this issue in our research objectives.
The main objective of our article was to assess the prevalence and associated factors of modern contraceptive use in the town of Aksum, northern Ethiopia. We, the authors, are confident that the many scholars who are readers of this journal will find value in our article.

The authors have no conflicts of interest to declare for this study.

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    • Explainable machine learning algorithms to identify predictors of intention to use family planning among women of reproductive-age in Ethiopia: Evidence from the Performance Monitoring and Accountability (PMA) 2021 survey data set
      Jibril Bashir Adem, Tewodros Desalegn Nebi, Agmasie Damtew Walle, Daniel Niguse Mamo, Sudi Jemal Wado, Ermias Bekele Enyew, Shimels Derso Kebede
      BMJ Public Health.2025; 3(1): e000962.     CrossRef
    • 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
      Tesfalem Tilahun Yemane, Getahun Gebre Bogale, Gudina Egata, Tilahun Kassa Tefera, Vikas Roy
      International Journal of Reproductive Medicine.2021; 2021: 1.     CrossRef
    • Associated Factors of Postpartum Modern Contraceptive Use in Burie District, Amhara Region, Ethiopia
      Wassachew Ashebir, Tilahun Tadesse
      Journal of Pregnancy.2020; 2020: 1.     CrossRef
    • The Intention on Modern Contraceptive Use and Associated Factors among Postpartum Women in Public Health Institutions of Sodo Town, Southern Ethiopia 2019: An Institutional‐Based Cross‐Sectional Study
      Natnael Atnafu Gebeyehu, Eyasu Alem Lake, Kelemu Abebe Gelaw, Gedion Asnake Azeze, Janet Sultana
      BioMed Research International.2020;[Epub]     CrossRef

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    Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issue in this cross-sectional study
    Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issue in this cross-sectional study
    Epidemiol Health : Epidemiology and Health
    © Korean Society of Epidemiology.
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