ArticleBMC public health2021
Prevalence and factors associated with covert contraceptive use in Kenya: a cross-sectional study.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 31 citations in OpenAlex.
- Acceptability of an intravaginal ring for simultaneously preventing HIV infection and pregnancy: Qualitative findings of the Kisumu Combined Ring Study, 2019.Contemporary clinical trials · 2022Trial
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- Measurement and conceptualization of male involvement in family planning: a bibliometric analysis of Africa-based studies.Contraception and reproductive medicine · 2024Review
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- Demographic, Sociocultural, and Behavioral Predictors of Modern Contraceptive Uptake Among Couples in Northern Ghana.Open access journal of contraception · 2024Article
- Why do most young women not take up contraceptives after post-abortion care? An ethnographic study on the effectiveness and quality of contraceptive counselling after PAC in Kilifi County, Kenya.Sexual and reproductive health matters · 2023Article
- What do outlet's and provider's characteristics mean for family planning consumers? A comparative study of Kenya, Nigeria and Uganda.BMC women's health · 2023Article
- More than Measurement Error: Discrepant Reporting of Contraceptive Use and the Role of Wives' and Husbands' Educational Attainment.Studies in family planning · 2023Article
- Differential discontinuation by covert use status in Kenya.Contraception: X · 2023Article
- Covert Contraceptive Use amongst the urban poor in Accra, Ghana: experiences of health providers.Reproductive health · 2022Article
- Covert use of reversible contraceptive methods and its association with husband's egalitarian gender attitude in India.BMC public health · 2022Article
- Article
- Prevalence and characteristics of covert contraceptive use in the Performance Monitoring for Action multi-country study.Contraception: X · 2022Article
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3 authors at 1 institution in 1 country.
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Abstract
backgroundFamily planning (FP) is a key intervention for preventing unplanned pregnancies, unsafe abortions, and maternal death. Involvement of both women and their partners promotes contraceptive acceptance, uptake and continuation, couple communication and gender-equitable attitude. Partner involvement is a key strategy for addressing about 17.5% of the unmet needs in FP in Kenya. This study assessed the prevalence and factors associated with covert contraceptive use (CCU) in Kenya.
methodsWe used data from the sixth and seventh rounds of the performance monitoring for accountability surveys. We defined CCU as "the use of contraceptives without a partner's knowledge". We used frequencies and percentages to describe the sample characteristics and the prevalence of CCU and assessed the associated factors using bivariate and multivariable logistic regressions.
resultsThe prevalence of CCU was 12.2% (95% CI: 10.4-14.2%); highest among uneducated (22.3%) poorest (18.2%) and 35-49 years-old (12.8%) women. Injectables (53.3%) and implants (34.6%) were the commonest methods among women who practice CCU. In the bivariate analysis, Siaya county, rural residence, education, wealth, and age at sexual debut were associated with CCU. On adjusting for covariates, the odds of CCU were increased among uneducated women (aOR 3.79, 95% CI 1.73-8.31), women with primary education (aOR 1.86, 95% CI 1.06-3.29) and those from the poorest (aOR 2.67, 95% CI 1.61-4.45), poorer (aOR 1.79, 95% CI 1.05-3.04), and middle (aOR 2.40, 95% CI 1.52-3.78) household wealth quintiles and were reduced among those with 2-3 (aOR 0.49, 95% CI 0.33-0.72) and ≥ 4 children (aOR 0.62, 95% CI 0.40-0.96). Age at sexual debut (aOR 0.94, 95% CI 0.89-0.99) reduced the odds of CCU.
conclusionAbout one in 10 married women in Kenya use contraceptives covertly, with injectables and implants being the preferred methods. Our study highlights a gap in partner involvement in FP and calls for efforts to strengthen their involvement to increase contraceptive use in Kenya while acknowledging women's right to make independent choices.
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