ArticleContraception2018
Uptake and correlates of contraception among postpartum women in Kenya: results from a national cross-sectional survey.
Article in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature.Reproductive health · 2021Pooled it
- A systematic review and meta-analysis of postpartum contraceptive use among women in low- and middle-income countries.Reproductive health · 2019Pooled 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
- Missed opportunity for initiation of modern contraception and associated factors among postpartum women in Kabale municipality, Southwestern Uganda: a cross-sectional study.BMC public health · 2026Article
- Cofactors of earlier uptake of modern postpartum family planning methods in Kenya.PLOS global public health · 2025Article
- Effect of male partners' involvement and support on reproductive, maternal and child health and well-being in East Africa: A scoping review.Health science reports · 2024Article
- Patient Perceived Quality of Virtual Group Contraception Counseling.Open access journal of contraception · 2024Article
- Unmet need for family planning and predictors among women in the extended postpartum period, southeastern Nigeria: a facility-based cross-sectional study.The Pan African medical journal · 2023Article
- Factors associated with utilization of modern postpartum family planing methods during the extended postpartum period among mothers who gave birth in the last 12 months at Injibara town, Northwest, Ethiopia: a cross-sectional study.Contraception and reproductive medicine · 2022Article
- Rural-urban disparities in postpartum contraceptive use among women in Nigeria: a Blinder-Oaxaca decomposition analysis.International journal for equity in health · 2022Article
- Uptake of Immediate Postpartum LARCs and Associated Factors among Mothers Who Gave Birth at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.International journal of reproductive medicine · 2022Article
- The role of family planning counselling during maternal and child health services in postpartum modern contraceptive uptake in Ethiopia: A national longitudinal study.PLOS global public health · 2022Article
- Individual and facility-level factors associated with women's receipt of immediate postpartum family planning counseling in Ethiopia: results from national surveys of women and health facilities.BMC pregnancy and childbirth · 2021Article
- Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania.PloS one · 2021Article
- Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis.International journal of reproductive medicine · 2020Review
- Use of long-acting reversible contraception among adolescents and young women in Kenya.PloS one · 2020Article
- Acceptability, feasibility and utility of a Mobile health family planning decision aid for postpartum women in Kenya.Reproductive health · 2019Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveThe objective was to characterize uptake and correlates of effective contraceptive use postpartum. STUDY
designWe 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).
resultsWe 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=.001 for both].
conclusionsTwo 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.
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Registered trials
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