ArticleContraception and reproductive medicine2024
Factors associated with postpartum family planning use in Rwanda.
Article in Contraception and reproductive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 6 citations in OpenAlex.
- 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
- 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
- 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
- Knowledge, Utilisation and Associated Factors of Family Planning in the Extended Postpartum Period, in Karongi District, Rwanda.Rwanda journal of medicine and health sciences · 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
- Implementing postpartum family planning services in rural Rwanda: A mixed-methods study.PloS one · 2025Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResumption and initiation of contraceptive methods after delivery are of critical importance in ensuring the well-being of the mother and the newborn. However, evidence related with postpartum family planning in Rwanda is scanty. This study employed survival analysis techniques to study the time to resumption or initiation of contraceptive methods after childbirth in Rwandan women and the associated factors.
methodsData were collected from the 2020 Rwanda Demographic and Health Survey (RDHS). Descriptive statistics were obtained after adjusting for study design. Initial analysis was conducted using the Kaplan-Meier method, followed by univariate and multivariable Cox Hazard proportional models to study factors associated with the initiation of contraceptive use after delivery. Cox Model assumptions were tested using scaled Schoenfeld Residuals.
results5682 women who delivered in the five years preceding the survey were included in this research. The percentage of women who used modern contraceptives was 32%, 55%, 67%, and 79% at one month, six months, one year and two years respectively. Delivery by cesarean section, access to health insurance, and an increase in the number of children under five years of age were associated with increased chances of utilizing modern contraceptives after delivery. An increase in women's age and in the ideal number of children and women with a history of terminated pregnancy were associated with reduced chances of using postpartum family planning. The influence of religion was highlighted, with Catholic women associated with high contraceptive use.
conclusionThere is a need to strengthen postpartum family planning in Rwanda. Policy makers and clinicians should provide additional customized interventions for women with factors associated with low use.
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