Predictors of modern contraceptive use during the postpartum period among women in Uganda: a population-based cross sectional study

Abstract

BackgroundThe rationale for promotion of family planning (FP) to delay conception after a recent birth is a best practice that can lead to optimal maternal and child health outcomes. Uptake of postpartum family planning (PPFP) remains low in sub-Saharan Africa. However, little is known about how pregnant women arrive at their decisions to adopt PPFP.MethodsWe used 3298 women of reproductive ages 15–49 from the 2011 UDHS dataset, who had a birth in the 5 years preceding the survey. We then applied both descriptive analyses comprising Pearson’s chi-square test and later a binary logistic regression model to analyze the relative contribution of the various predictors of uptake of modern contraceptives during the postpartum period.ResultsMore than a quarter (28%) of the women used modern family planning during the postpartum period in Uganda. PPFP was significantly associated with primary or higher education (OR=1.96; 95% CI=1.43-2.68; OR=2.73; 95% CI=1.88-3.97 respectively); richest wealth status (OR=2.64; 95% CI=1.81-3.86); protestant religion (OR=1.27; 95% CI=1.05-1.54) and age of woman (OR=0.97, 95% CI=0.95-0.99). In addition, PPFP was associated with number of surviving children (OR=1.09; 95 % CI=1.03-1.16); exposure to media (OR=1.30; 95% CI=1.05-1.61); skilled birth attendance (OR=1.39; 95% CI=1.12-1.17); and 1–2 days timing of post-delivery care (OR=1.68; 95% CI=1.14-2.47).ConclusionsIncreasing reproductive health education and information among postpartum women especially those who are disadvantaged, those with no education and the poor would significantly improve PPFP in Uganda.

Predictors of Time-to-Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda

“…In our study, the longer time-to-contraceptive use observed among women who attended 1-3 ANC visits compared with those who attended the recommended four or more visits supports this finding as noted elsewhere [51]. Thus, strengthening the integration of family planning into ANC services [23,26,52,53] would certainly go a long way in promoting modern contraceptive use, particularly during the postpartum period.…”

Use of contraceptives and uptake of long-acting reversible contraception among postpartum women in rural China

“…Conversely, mothers may become polarised by their beliefs that hormonal contraception has a negative impact on breastfeeding 20. In addition, as found by Rutaremwa et al ,21 desire for another child was significantly associated with not using contraception during the extended postpartum period, which is possibly due to lack of knowledge about safe birth spacing.…”

Sexual Behaviour, Knowledge and Use of Contraceptives Among Undergraduate Students

“…Several factors, methods and programs are already known including but not limited to ideas such as behavioural change motivation 21,59 , getting closer to the people 60 , and family education 61 . Other issues of barriers, generational change and provider behaviour have also been identified 62,63 . Yet, there is still the problem of unmet needs, which seems to be confounded by the mix-up of sexual behaviour vs sexual health.…”