Cofactors of earlier uptake of modern postpartum family planning methods in Kenya

Bibliographic Data

ID19592379
AuthorsNancy Ngumbau (0000-0003-4176-5950, Kenyatta National Hospital, corresponding author), Damaris Kimonge (0009-0001-7157-2650, Kenyatta National Hospital, corresponding author), Julia C Dettinger (0000-0002-9130-2666, University of Washington, corresponding author), Felix Abuna (Kenyatta National Hospital, corresponding author), Ben Odhiambo (0000-0002-9802-1648, Kenyatta National Hospital, corresponding author), Laurén Gómez (0000-0003-2731-0781, University of Washington, corresponding author), Anjuli D Wagner (0000-0002-5851-1220, University of Washington, corresponding author), Mary M Marwa (0000-0002-8767-1282, Kenyatta National Hospital, corresponding author), Salphine Watoyi (0000-0002-9085-1663, Kenyatta National Hospital, corresponding author), Emmaculate Nzove, Emmaculate M Nzove (0009-0001-1259-4884, Kenyatta National Hospital, corresponding author), Jillian Pintye (0000-0003-1255-7191, Neurobehavioral Systems, corresponding author), Jared M Baeten (0000-0001-8242-8438, University of Washington, corresponding author), John Kinuthia (0000-0001-6571-8927, Kenyatta National Hospital, corresponding author), Grace John‐Stewart (0000-0002-4301-1573, University of Washington, corresponding author), Cyrus Mugo (0000-0001-7516-2168, Kenyatta National Hospital, corresponding author)
EditorsMark C Wheldon Mark C Wheldon
Year2025
Volume5
Issue6
Pagese0004353
Publication date2025-06-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004353
PMID40478852
OpenAlexW4411086729
LanguageEN
References cited34

There are limited data on uptake of postpartum family planning (FP), particularly in high HIV prevalence settings. We assessed the timing of modern postpartum FP initiation and the cofactors of earlier uptake using longitudinal data from a clinical trial conducted in Kenya to assess two models of PrEP delivery among pregnant and postpartum women (NCT#03070600). Time to uptake of modern postpartum FP was estimated using survival analysis methods, and Cox proportional hazard models were used to determine cofactors of earlier uptake of modern postpartum FP. Among 4,191 women, median age was 24 years, 17% were aged 15–19 years, 88% were in a steady relationship, 50% intended to be pregnant and 75% were multigravida. The median time to resumption of sex was 8 weeks postpartum versus 24 weeks for uptake of postpartum FP. At 6 weeks postpartum, 42% of women had resumed sex, versus 12% who took up FP; at 14 weeks, 79% versus 38%; at 6 months, 88% versus 59%; and at 9 months, 91% versus 80%, respectively. Injectables and implants were the most common FP methods. Approximately 3.3% of all women became pregnant during the 9-month postpartum period. Being older and having ≤4children was associated with earlier uptake of modern postpartum FP. Women with lower education, primigravida, low social support, history of miscarriage/stillbirth, without a partner at enrolment, not residing with their partners, not receiving financial support from their partner and whose youngest child at enrolment was

Environmental health · Family planning · Gynecology · Hazard ratio · Miscarriage · Obstetrics · Population · Postpartum period · Pregnancy · Proportional hazards model · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Internal Medicine