Predictors of Time-to-Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda

Abstract

Globally, there is extant literature on patterns and dynamics of postpartum contraceptive use with hardly any evidence examining time-to-contraceptive use from resumption of sexual intercourse after birth among women in Uganda. Methods. The analysis was based on data from 2011 Uganda Demographic and Health Survey on a sample of 2983 married women with a birth in the past three years preceding the survey and had resumed sexual intercourse. A time-to-contraceptive use was adopted in the analysis using life tables based on the Kaplan-Meier estimates, while the Log-Rank Chi-square tests assessed the variables to be included in regression analysis. Cox-Proportional Hazard regression was run to identify the predictors of time-to-contraceptive use among postpartum women in Uganda. Sampling weights were applied in the analysis to ensure representativeness. Results. The median time-tocontraceptive use was 19 months (range 0-24). Time to adoption of modern contraceptive use was significantly longer among women with no formal education, residing in northern region, who (HR = 0.56, CI: 0.40-0.78) had delivered at home/traditional birth attendant (HR = 0.75, CI: 0.60-0.93), had 1-3 antenatal care visits (HR = 0.83, CI: 0.70-0.98), and were in poorest wealth quintile. Conclusions. Measures for enhancing modern contraceptive use during and after the postpartum period should focus on (i) addressing hindrances in accessing family planning, particularly among poor and noneducated women; (ii) integration of family planning service delivery into routine ANC through counseling; and (iii) promoting deliveries in health facilities.

<p>Survival Time to Modern Contraceptive Uses from the Resumption of Sexual Intercourse Among Postpartum Women in Ethiopia</p>

“…9 Studies were done in Nairobi, and Uganda showed that the median survival time to first use of a modern contraceptive method from the resumption of sexual intercourse during the postpartum period indicates seventh and nineteen months, respectively. 10,11 Various studies have identified factors which affect timing of modern contraceptive uptake during postpartum period such as age of the women 35 and above, 12 higher educational status, [13][14][15][16][17] residence, [17][18][19] wealth index, [20][21][22] marital status, 12,14,17 religion and source of information. 20,23,24 Besides, the timing of modern contraceptive uptake was significantly longer among women with no formal education, had delivered at home/traditional birth attendant, and had 1-3 antenatal care visits.…”

Knowledge, Attitude, and Contraceptive Preferences Among Postpartum Women in Izzi, Ezza South, and Ikwo Local Government Areas of Ebonyi State, Nigeria

“…Studies have shown a relationship between income and contraceptive use. [10][11][12] A lower income is associated with non-use of contraception. Most of the respondents in this study were employed; another study showed that employment is associated with contraceptive use.…”

Immediate versus delayed postpartum use of levonorgestrel contraceptive implants: a randomized controlled trial in Uganda

“…8-10 The median time to contraceptive use among postpartum women in Uganda is estimated to be 19 months after resumption of sexual intercourse. 11 …”