Uptake of Modern Contraception Among Postpartum Women in Vihiga County, Kenya
Keywords:
Uptake, level of knowledge, Modern contraception, Postpartum womenAbstract
Purpose: Contraception is achieved by use of modern methods such as emergency pills, barriers, oral contraceptive pills, and injectable contraceptives and implants. With devolution of health services in Kenya, it is important to understand the county-specific contraception trends and factors that influence such trends. Vihiga County has previously reported a contraception rate of 53%, lower than the national rate of 61%. Therefore, the main objective of this research was to assess uptake of modern contraception among postpartum women in Vihiga County, Kenya.
Methodology: A cross-sectional study design was implemented. Study participants and wards were selected using simple random sampling whereas purposive sampling was used to select health facilities. Questionnaires, key informant interviews, and focus group discussions were the research instruments for data collection. Qualitative data was organized into themes and presented in accordance with the study objectives. Quantitative data was analyzed using chi-square for pairwise comparison and regression.
Results: The findings revealed that knowledge regarding the nine methods of contraception was low. However, knowledge of individual contraceptive methods including DMPA, implants, pills, and coils was high. The current rate of contraceptive use in Vihiga sub-county is 62.8%, an increase from the previously reported 53%. DMPA and implants were the most used methods. Age, marital status, number of children, and period since the last birth were the most significant demographic influencers of contraceptive use among postpartum women in Vihiga sub-county. Reasons for or against use, duration of use of contraceptives, and future intent to use them were the attitude factors associated with contraceptive use. Social factors influencing contraceptive use were religion, husband agreeing, and community allowing. In terms of contraceptive access, quality of contraceptive services best influenced the uptake of contraceptives.
Conclusion: The study highlighted the need to improve state of contraceptive use in Vihiga County. It also highlighted young and single women as the populations that should be targeted when implementing contraceptive education. An understanding of social factors that influence contraceptive uptake will ensure that healthcare stakeholders make better decisions that are targeted for this population in Vihiga County.
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