ArticleStudies in family planning2015
Contraceptive Adoption, Discontinuation, and Switching among Postpartum Women in Nairobi's Urban Slums.
Article in Studies in family planning, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review and meta-analysis of postpartum contraceptive use among women in low- and middle-income countries.Reproductive health · 2019Pooled it
- The prevalence of Implanon discontinuation and associated factors among Ethiopian women: A systematic review and meta-analysis.Women's health (London, England)Pooled it
- An mHealth SMS intervention on Postpartum Contraceptive Use Among Women and Couples in Kenya: A Randomized Controlled Trial.American journal of public health · 2019Trial
- Examining fertility preferences and spousal communication on contraceptive uptake among postpartum mothers in selected facilities in Abuja, Nigeria.Contraception and reproductive medicine · 2026Article
- Teenage mothers report poor health and economic functioning in Western Kenya: A call to action.PLOS global public health · 2025Article
- DYnamics of Contraception in Eswatini (DYCE): protocol for a high-frequency, longitudinal cell phone survey.BMJ open · 2024Article
- Article
- Long-acting family planning switching and associated factors among revisit women in Toke Kutaye district of West Shoa Zone, Oromia Region public health facilities, Ethiopia: a mixed methods study.BMC women's health · 2023Article
- Women's beliefs about methods and contraceptive discontinuation: Results from a prospective study from Nairobi and Homa Bay counties in Kenya.Frontiers in global women's health · 2023Article
- Multilevel analysis of factors associated with perinatal intimate partner violence among postpartum population in Southern Ethiopia.Scientific reports · 2022Article
- Time to initiate postpartum modern contraceptive use and predictors among women of reproductive age group in Dilla Town, Southern Ethiopia: a retrospective cohort study.Contraception and reproductive medicine · 2022Article
- Contributions of side effects to contraceptive discontinuation and method switch among Kenyan women: a prospective cohort study.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- Survival time to Implanon discontinuation and its predictors among a cohort of Implanon users who enrolled in public hospitals of southern Ethiopia, 2021: a retrospective cohort study.Archives of public health = Archives belges de sante publique · 2022Article
- Introducing Long-Acting Contraceptive Removal Indicators in a Pilot Study in Mozambique: Dynamics of Discontinuation and Implications for Quality of Care.Global health, science and practice · 2022Article
- Perinatal intimate partner violence and postpartum contraception timing among currently married women in Southern Ethiopia: A multilevel Weibull regression modeling.Frontiers in public health · 2022Article
- Prevalence of contraceptive implant discontinuation among women who used implant in Ethiopia: Systemic review and meta-analysis.SAGE open medicine · 2022Review
- Role of maternal and child health services on the uptake of contraceptive use in India: A reproductive calendar approach.PloS one · 2022Article
- Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation.BMC women's health · 2021Article
- Predictors of contraceptive discontinuation among postpartum women in Arusha region, Tanzania.Contraception and reproductive medicine · 2021Article
- Urban Family Planning in Low- and Middle-Income Countries: A Critical Scoping Review.Frontiers in global women's health · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Unmet need for contraception is highest within 12 months post-delivery, according to research. Using longitudinal data from the Nairobi Urban Health and Demographic Surveillance System, we assess the dynamics of contraceptive use during the postpartum period among women in Nairobi's slums. Results show that by 6 months postpartum, 83 percent of women had resumed sexual activity and 51 percent had resumed menses, yet only 49 percent had adopted a modern contraceptive method. Furthermore, almost half of women discontinued a modern method within 12 months of initiating use, with many likely to switch to another short-term method with high method-related dissatisfaction. Women who adopted a method after resumption of menses had higher discontinuation rates, though the effect was much reduced after adjusting for other variables. To reduce unmet need, effective intervention programs are essential to lower high levels of discontinuation and encourage switching to more effective methods.
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