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Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya

A cross-sectional study

Bibliographic Data

ID19594487
AuthorsZeyu Zheng (0000-0002-7368-797X), Lilian Mutea (0000-0003-2125-2197), Ping Zhang (0000-0003-0663-1850), Immaculate Kathure, Damazo T Kadengye (0000-0001-7586-4928), Sila Kimanzi, Daniel Wacira (0000-0003-3905-5167), Nelson Onyango, Hesborn Wao (0000-0002-6823-0895)
EditorsAjay Bailey (0000-0003-3163-6805)
Year2022
Volume2
Issue6
Pagese0000482
Publication date2022-06-02
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.0000482
OpenAlexW36962433
LanguageEN
Citations received1
References cited20

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

Automaton · Finite-state machine · Language model · Natural language · Natural language processing · Operating system · Probabilistic logic · Programming language · The Internet · World Wide Web · Computer Science · DNA and Biological Computing · Logic, Reasoning, and Knowledge · Mathematics · Semantic Web and Ontologies · Artificial Intelligence · Theoretical Computer Science

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

    Open Access•Nancy Ngumbau, Damaris Kimonge et al.•PLOS Global Public Health•2025

  • Desire for More Children, Contraceptive Use and Unmet Need for Family Planning in a Remote Area of Bali, Indonesia

    Open Access•M Withers, Megumi Kano et al.•Journal of Biosocial Science•2010

  • Family planning

    Open Access•John G F Cleland, John Cleland et al.•The Lancet•2006

  • Effect of HIV status on fertility desire and knowledge of long-acting reversible contraception of postpartum Malawian women

    Michele S O'Shea, Michele O’Shea et al.•AIDS Care•2015

  • Determinants of contraceptive use among postpartum women in a county hospital in rural Kenya

    Open Access•Rose Jalang’o, Faith Thuita et al.•BMC Public Health•2017

  • Barriers to Intrauterine Device Uptake in a Rural Setting in Ghana

    Nuriya Robinson, Mosa Moshabela et al.•Health Care For Women International•2014

  • Postpartum Contraception in Northern Tanzania

    Open Access•Sarah C Keogh, Sarah Keogh et al.•Studies in Family Planning•2015

Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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