Evidence map›Paper›PMID 41170319›Full record

ArticleOpen access journal of contraception2025

Drivers of Uptake of Immediate Postpartum Modern Contraceptives by Postpartum Women in Lira City, Northern Uganda: A Qualitative Inquiry.

Emmanuel Ekung, Samson Udho, Felister Apili, Emmanuel Madira, Beth Namukwana, Vicky Caroline Achayo, Patricia Akello, Anna Grace Auma, James Okello

Abstract read
In one paragraph

Article in Open access journal of contraception, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Emmanuel EkungDepartment of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda.ORCID 0000-0003-1698-9231
Samson UdhoDepartment of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda.
Felister ApiliDepartment of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda.
Emmanuel MadiraDepartment of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda.
Beth NamukwanaDepartment of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda.
Vicky Caroline AchayoDepartment of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda.
Patricia AkelloInstitute of Allied Health Sciences, Clarke International University, Kampala, Uganda.
Anna Grace AumaDepartment of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira, Uganda.
James OkelloDepartment of Obstetrics and Gynecology, Lira Regional Referral Hospital, Lira, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Immediate postpartum modern contraceptive uptake among postpartum women gives over 95% assurance of contraception and reduced chances of short interval pregnancies resulting in improved maternal and child health outcomes. The drivers of its uptake among women are vital in designing interventions aimed at improving and scaling up its uptake. The study therefore explored the drivers of uptake of immediate postpartum modern contraceptives by postpartum women in Lira City, northern Uganda. Methods: A descriptive qualitative approach was used. A face-to-face key informant interview was used to collect data from 15 key informants (healthcare providers) working in the department of Obstetrics and Gynecology of Lira Regional Referral Hospital. Data were analyzed using Atlas.Ti and thematic analysis was done. The approach enabled an in-depth understanding of the phenomenon from service providers. Results: The barriers to uptake of immediate postpartum modern contraceptives were health system constraints like commodity unavailability, lack of staff training, and inadequate staffing, knowledge and skills gaps of providers. Limited knowledge, religious and cultural beliefs, male partners objection, inadequate access to information, peer influence and fear of side effects were key barriers from recipients of care. The major facilitators include availability of commodities, improved staffing level, staff training, and timely education and counselling. Conclusion: This study highlights that the uptake of immediate postpartum modern contraceptives is hindered by both health system and client-related barriers. Presence of trained staff, availability of contraceptive commodities, improved staffing levels, and timely counselling and education were identified as key facilitators. Addressing both health system and individual barriers through strengthening health systems, targeted provider training, male involvement, and enhanced community education may improve the uptake of immediate postpartum modern contraceptives.

Indexed as

driversimmediate postpartum periodmodern contraceptivespostpartum women

Identifiers

PMID41170319
PMCPMC12570992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.