ReviewInternational journal of reproductive medicine2021
Postpartum Family Planning Use and Its Determinants among Women of the Reproductive Age Group in Low-Income Countries of Sub-Saharan Africa: A Systematic Review and Meta-Analysis.
Review in International journal of reproductive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 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
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- A meta-analysis into the mediatory effects of family planning utilization on complications of pregnancy in women of reproductive age.PloS one · 2024Pooled it
- Impact of group antenatal care on lactational amenorrhea method awareness and knowledge: A cluster randomized control trial.PloS one · 2025Trial
- Determinants of family planning use among married women of reproductive age in south Asia: a systematic review and meta-analysis.The Lancet regional health. Southeast Asia · 2026Article
- Rural-Urban Differences in the Association Between Reproductive Coercion and Postpartum Family Planning.Studies in family planning · 2026Article
- Article
- Initiation of immediate postpartum family planning and its determinants among women delivering in health facilities: a cross-sectional study.Reproductive health · 2026Article
- 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
- Research "Factors affecting postpartum intention to use contraceptives in Wadajir, Mogadishu, Somalia".Contraception and reproductive medicine · 2026Article
- Spatial variations and determinants of modern contraceptive use among postpartum women in Sub-Saharan Africa: analysis of recent DHS data (2015-2023).Scientific reports · 2026Article
- Family planning high impact practices in Francophone West Africa: ownership, strategies and use for programming.BMC public health · 2026Article
- Spatial distribution, integration and determinants of family planning service provision in Lubumbashi, DRC: a cross-sectional analysis from a health facility census.Reproductive health · 2026Article
- Women's postpartum family planning use and intention in Ethiopia: Disparities in the agrarian and pastoral contexts from a community-based cross-sectional study.PLOS global public health · 2026Article
- Integrated postpartum family planning utilization with maternal health services and associated factors in governmental hospitals of northeast Ethiopia: institution-based cross-sectional study.The Pan African medical journal · 2026Article
- Effectiveness of Facility-Based Group Postpartum and Postabortion Counselling Among Adolescent Girls and Young Women in Southwestern Uganda: A Quasi-Experimental Study.Open access journal of contraception · 2026Article
- Modern contraceptive use, associated factors and reasons for non-use among young lactating mothers in the context of free family planning services in the Kaya municipality setting, Burkina Faso.Journal of public health in Africa · 2026Article
- Effect of mHealth on Postpartum Family Planning and Its Associated Factors Among Women in South Ethiopia: A Cluster-Randomized Controlled Trial.Journal of clinical medicine · 2025Article
- Effect of pregnancy intention on postpartum contraceptive use in Ethiopia: a national longitudinal study using propensity score methods.Reproductive health · 2025Article
- Determinants and barriers of modern family planning uptake among postpartum mothers at selected regional referral hospitals in Uganda: a cross-sectional study.Reproductive health · 2025Article
- Associations between integrated family planning, maternal and newborn health, and immunization services and adoption of postpartum family planning and immunization services in Ethiopia.BMC public health · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostpartum family planning is the initiation and use of family planning services within the first 12 months following childbirth. Postpartum contraceptives reduce maternal and infant mortality by preventing unplanned and unwanted pregnancies and by spacing pregnancies at least two years after the previous birth. Thus, it is usually designed as an integral part of reproductive and maternal and child health programs. Therefore, the aim of this systematic review and meta-analysis is to estimate the pooled prevalence of postpartum modern contraceptive use and identify its determinants in low-income countries of sub-Saharan Africa.
methodsA systematic review and meta-analysis of published and unpublished studies were used. PubMed, HINARI, ScienceDirect, Cochrane Library, Wiley Library, ETH Library, and Google Scholar were used to search all articles. STATA 14 software was used for data analysis. Funnel plots and Egger's test were used to examine the risk of publication bias. Heterogeneity was checked by using Cochran's
resultsA total of 33 articles were included. The pooled prevalence of postpartum contraceptive use in low-income countries of sub-Saharan Africa was 37.41%, 95% CI: (31.35, 43.48%). Secondary and above level of education (AOR 2.09, 95% CI: (1.52, 2.86)), discussion with husband (AOR 3.68, 95% CI: (1.96, 6.89)), resumption of menses (AOR: 3.98, 95% CI: (2.62, 6.03)), ANC follow-up (AOR; 5.10, 95% CI: (3.57, 7.29)), knowledge of modern family planning (AOR: 5.65, 95% CI: 3.58, 8.93)), and family planning counseling during ANC (AOR =5.92, 95% CI: (2.54, 13.79)) were found to be determinants of postpartum contraceptive utilization.
conclusionIn this systematic review and meta-analysis, the prevalence of postpartum modern contraceptive use was found to be low compared to the existing global recommendations. Therefore, empowering maternal education, delivering adequate counseling, and strengthening existing integrated maternal and child health services are highly recommended to increase postpartum contraceptive use. This trial is registered with CRD42020160612.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.