ArticleWomen's health (London, England)
Postpartum contraceptive initiation and use: Evidence from Accra, Ghana.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Pooled it
- 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
- Unmet need for contraception? Understanding postpartum family planning desires and use in Kumasi, Ghana.Frontiers in reproductive health · 2025Article
- Cofactors of earlier uptake of modern postpartum family planning methods in Kenya.PLOS global public health · 2025Article
- The link between breastfeeding profile and contraceptive use and barriers to breastfeeding: messages from a breastfeeding support center on the need for further strategies to improve breastfeeding.Frontiers in pediatrics · 2025Article
- Postpartum family planning among women attending maternal and child health centers in Assiut Governorate, Upper Egypt.The Journal of the Egyptian Public Health Association · 2024Article
- Use of any contraceptive method among women in rural communities in the eastern region of Ghana: a cross-sectional study.BMC public health · 2023Article
- The effect of contraceptive empowerment during pregnancy on postpartum family planning use in Ethiopia: evidence from a longitudinal panel study.Therapeutic advances in reproductive healthArticle
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostpartum contraceptive use reduces unintended pregnancies and results in better health outcomes for children and women. However, there is a dearth of knowledge on postpartum contraceptive use in Ghana, particularly among women in low-income urban settings. To shed light on strategies that might enhance access to postpartum family planning services in low-income urban settings, we examined contraceptive use among postpartum women in Accra, Ghana, at 1, 3, 6, and 12 months following the birth and the methods used. The predictors of modern contraceptive use in the 12-month postpartum period were also examined.
methodsData come from a cross-sectional survey conducted in 2018 among 624 women aged 16-44 years who reported giving birth in the past 13-31 months prior to the interview. We generated descriptive statistics to examine the prevalence of contraceptive use among postpartum women at 1, 3, 6, and 12 months after birth. We further estimated a binary logistic regression to examine the predictors of modern contraceptive use at 12 months postpartum.
resultsForty percent of postpartum women never used any contraceptive method during 1 year after birth and of those who used a method, 40% relied on traditional methods. Moreover, 29% of women started using a method the immediate 1 month post-birth. Results further show that postpartum modern contraceptive uptake was positively associated with higher education, having more live births, and being currently in a union.
conclusionsFindings highlight that there may be opportunities to improve the quality of counseling during antenatal and postnatal care visits by clients to ensure fully informed choices regarding postpartum contraception. Community outreach by health providers/promoters or similar models should be promoted in low-income population settings to educate postpartum women on modern contraceptive use. Women who plan to use traditional methods should be provided with information on the consistent and correct use of these methods.
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