Uptake and correlates of contraception among postpartum women in Kenya: results from a national cross-sectional survey

Details

• Alternative Title:
  Contraception
• Personal Author:
  Achwoka, Dunstan ; Pintye, Jillian ; McGrath, Christine J. ; Kinuthia, John ; Unger, Jennifer A. ; Obudho, Norah ; Langat, Agnes ; John-Stewart, Grace ; Drake, Alison L.
• Corporate Authors:
  For the Collaborative HIV Impact on MCH Evaluation (CHIME) Study Team
• Description:
  Objectives ; To characterize uptake and correlates of effective contraceptive use postpartum. ; Study Design ; We analyzed data from a national, cross-sectional evaluation of prevention of mother-to-child HIV transmission programs that enrolled women attending 6-week or 9-month infant immunization visits at 120 Kenyan maternal and child health clinics. We classified women who resumed sexual activity postpartum and did not desire a child within 2 years as having a need for family planning (FP). ; Results ; We included 955 (94%) of 1012 women 8–10 months postpartum in the analysis. Mean age was 25.8 years and 36% were primigravidas. By 9-months postpartum 62% of all women used contraception and 59% used effective contraception (injectables, implants, intrauterine devices IUDs, oral contraceptives OCs, and tubal ligations). Most contraceptive users (61%) used injectables, followed by implants (10%), OCs (6%), IUDs (4%), and condoms alone (2%). The majority (n=733, 77%) had a need for FP and 67% of 733 women with FP need used effective contraception. Among women with a need for FP, effective contraception use was higher among those who discussed FP in postnatal care (PNC) than who did not discuss FP in PNC (Prevalence Ratio (PR) for PNC alone: 1.35 (95% Confidence Interval CI:1.16-1.58; PR for PNC and antenatal care ANC:1.42, 95% CI: 1.21-1.67; p=0.001 for both). ; Conclusions ; Two-thirds of postpartum women with a need for FP used effective contraception at 9-months postpartum, and use was associated with discussing FP during PNC. ; Implications ; Integrating FP counseling in ANC/PNC could be an effective strategy to increase effective contraception use.
• Subjects:
  • Adult
  • Contraception
  • Contraception Behavior
  • Cross-Sectional Studies
  • Family Planning Services
  • Female
  • HIV
  • HIV Infections
  • Humans
  • Infectious Disease Transmission, Vertical
  More +
• Keywords:
  • postpartum
  • contraception
  • Kenya
  • maternal health
  • child health
• Source:
  Contraception. 97(3):227-235
• Pubmed ID:
  29031815
• Pubmed Central ID:
  PMC5861297
• Document Type:
  Journal Article
• Funding:
  U2G PS002047/PS/NCHHSTP CDC HHSUnited States/ ; T32 AI007140/AI/NIAID NIH HHSUnited States/ ; K01 AI116298/AI/NIAID NIH HHSUnited States/ ; K24 HD054314/HD/NICHD NIH HHSUnited States/ ; PEPFAR/PEPFARUnited States/ ; CC999999/Intramural CDC HHSUnited States/
• Place as Subject:
  Kenya
• Volume:
  97
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/52744/cdc_52744_DS1.pdf
• File Type:
  [PDF - 460.64 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f114ff3984d9fefc72ab70348ad0aec5301753526c131a5bd74e57a32b0213de