Comparison of postpartum family planning uptake between primiparous and multiparous women in Webuye County Hospital, Kenya

South African Family Practice

 
 
Field Value
 
Title Comparison of postpartum family planning uptake between primiparous and multiparous women in Webuye County Hospital, Kenya
 
Creator Owuor, Henry O.
 
Subject primary care; reproductive health; rural medicine Family planning; postpartum family planning; primiparity; multiparity; reproductive health; rural medicine
Description Background: Postpartum family planning (PPFP) is associated with health, social and economic benefits to a woman and her family. Its uptake, particularly of the more effective, long-acting reversible contraceptives (LARCs), is low. The role of parity in PPFP uptake is inconclusive. The aim of this study was to compare the uptake of PPFP and LARCs between primiparous and multiparous women accompanying their children for the first measles vaccine, which is at 9 months after delivery, in Webuye County Hospital, Kenya.Methods: This was a cross-sectional study. Study participants were recruited using a systematic random sampling method and data were collected using a pretested, structured, interviewer-administered questionnaire. The collected data were analysed using an independent t-test to compare PPFP uptake between primiparous and multiparous women, whereas chi-square tests (for categorical data) and independent t-tests (for numerical data) were used to compare the various socio-demographic characteristics and occurrence of various predictors of PPFP uptake between the two groups of postpartum women. Factors that were significantly different between the two groups were controlled for using logistic regression.Results: There was a significant difference on PPFP uptake (22.0%; 95% CI: 11.8–32.3; p 0.001), but none on LARC use (OR = 0.88; 95% CI: 0.46–1.66) between the two groups of women. The unadjusted and adjusted OR for the effect of parity on FP uptake was 3.48 (95% CI: 1.88–6.42) and 2.32 (95% CI: 1.15–4.67), respectively.Conclusion: There is a significant difference in the uptake of PPFP, but not LARCs, between primiparous women and multiparous women accompanying their children for the 9-month measles vaccine in Webuye County Hospital. Primiparous women are less likely to initiate the use of PPFP compared to their multiparous counterparts.
 
Publisher AOSIS
 
Contributor Family Medicine Department, Moi University Webuye County Hospital —
Date 2020-08-13
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article cross-sectional study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v62i1.5093
 
Source South African Family Practice; Vol 62, No 1 (2020): Part 3; 5 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5093/6259 https://safpj.co.za/index.php/safpj/article/view/5093/6257 https://safpj.co.za/index.php/safpj/article/view/5093/6258 https://safpj.co.za/index.php/safpj/article/view/5093/6256
 
Coverage Africa; East Africa; Kenya; Western Region; Bungoma County October 2016 - June 2017 Parity
Rights Copyright (c) 2020 Henry O. Owuor https://creativecommons.org/licenses/by/4.0
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