Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study
The risk of unintended pregnancy is high in the postpartum period, especially during the first year of delivery. Yet, short birth intervals are associated with increased risk of adverse maternal and infant outcomes. In Kenya, despite women having multiple contacts with healthcare providers during th...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021444/?tool=EBI |
| _version_ | 1797701039875424256 |
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| author | Lilian Mutea Immaculate Kathure Damazo T. Kadengye Sila Kimanzi Daniel Wacira Nelson Onyango Hesborn Wao |
| author_facet | Lilian Mutea Immaculate Kathure Damazo T. Kadengye Sila Kimanzi Daniel Wacira Nelson Onyango Hesborn Wao |
| author_sort | Lilian Mutea |
| collection | DOAJ |
| description | The risk of unintended pregnancy is high in the postpartum period, especially during the first year of delivery. Yet, short birth intervals are associated with increased risk of adverse maternal and infant outcomes. In Kenya, despite women having multiple contacts with healthcare providers during their pregnancy and postpartum journeys, uptake of contraceptives during the postpartum period remains low. We examine factors that determine contraceptive use among postpartum women in Kitui County, Kenya.A cross-sectional study was conducted in six sub-counties of Kitui County covering a random sample of 768 postpartum women in April 2019. Logistic regression was used to study the association between uptake of contraceptives among women 0–23 months postpartum and several explanatory variables that included socio-demographic characteristics and facility-level factors. Overall, 68% of women in Kitui County reported using contraceptives. The likelihood of contraceptive use increased with the increase in the number of known family planning methods. Women who discussed family planning with a health worker within the last 12 months were 2.58 (95%CI: 1.73, 3.89) times more likely to use contraceptives during the postpartum period compared to those who did not. There was an increased odds of contraceptive uptake among women who received family planning information or service during postnatal care than those who did not (aOR = 2.04, 95%CI: 1.30, 3.24). A positive association was also found between contraceptive use and receipt of family planning information or service during immunization visits or during child well visits. It is evident that facility-level factors such as discussing family planning with women; educating women about different family planning methods; providing family planning information or services during postnatal care, immunization, or well child visits are associated with increased likelihood of contraceptive uptake by women during postpartum period. Programs targeting enhancing women’s attendance of postnatal care clinics should be encouraged. |
| first_indexed | 2024-03-12T04:29:35Z |
| format | Article |
| id | doaj.art-37f39bfecdd948f68dae82f146a63ca7 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T04:29:35Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-37f39bfecdd948f68dae82f146a63ca72023-09-03T10:08:35ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-0126Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional studyLilian MuteaImmaculate KathureDamazo T. KadengyeSila KimanziDaniel WaciraNelson OnyangoHesborn WaoThe risk of unintended pregnancy is high in the postpartum period, especially during the first year of delivery. Yet, short birth intervals are associated with increased risk of adverse maternal and infant outcomes. In Kenya, despite women having multiple contacts with healthcare providers during their pregnancy and postpartum journeys, uptake of contraceptives during the postpartum period remains low. We examine factors that determine contraceptive use among postpartum women in Kitui County, Kenya.A cross-sectional study was conducted in six sub-counties of Kitui County covering a random sample of 768 postpartum women in April 2019. Logistic regression was used to study the association between uptake of contraceptives among women 0–23 months postpartum and several explanatory variables that included socio-demographic characteristics and facility-level factors. Overall, 68% of women in Kitui County reported using contraceptives. The likelihood of contraceptive use increased with the increase in the number of known family planning methods. Women who discussed family planning with a health worker within the last 12 months were 2.58 (95%CI: 1.73, 3.89) times more likely to use contraceptives during the postpartum period compared to those who did not. There was an increased odds of contraceptive uptake among women who received family planning information or service during postnatal care than those who did not (aOR = 2.04, 95%CI: 1.30, 3.24). A positive association was also found between contraceptive use and receipt of family planning information or service during immunization visits or during child well visits. It is evident that facility-level factors such as discussing family planning with women; educating women about different family planning methods; providing family planning information or services during postnatal care, immunization, or well child visits are associated with increased likelihood of contraceptive uptake by women during postpartum period. Programs targeting enhancing women’s attendance of postnatal care clinics should be encouraged.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021444/?tool=EBI |
| spellingShingle | Lilian Mutea Immaculate Kathure Damazo T. Kadengye Sila Kimanzi Daniel Wacira Nelson Onyango Hesborn Wao Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study PLOS Global Public Health |
| title | Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study |
| title_full | Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study |
| title_fullStr | Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study |
| title_full_unstemmed | Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study |
| title_short | Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study |
| title_sort | determinants of contraceptive use among women 0 23 months postpartum in kitui county kenya a cross sectional study |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021444/?tool=EBI |
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