Fertility intentions and the adoption of long-acting and permanent contraception (LAPM) among women: evidence from Western Kenya.
Adolescent
Adult
Contraception
/ statistics & numerical data
Contraception Behavior
/ statistics & numerical data
Contraceptive Agents
/ therapeutic use
Family Planning Services
/ methods
Female
Humans
Kenya
Long-Acting Reversible Contraception
/ statistics & numerical data
Middle Aged
Parity
Patient Acceptance of Health Care
/ statistics & numerical data
Pregnancy
Rural Population
/ statistics & numerical data
Sex Education
/ organization & administration
Young Adult
Fertility intentions
Kenya
Long-acting
Permanent contraception
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
01 02 2019
01 02 2019
Historique:
received:
06
12
2016
accepted:
15
01
2019
entrez:
3
2
2019
pubmed:
3
2
2019
medline:
10
7
2019
Statut:
epublish
Résumé
The use of long-acting and permanent method (LAPM) for family planning (FP) is of importance to the FP movement. A better understanding of how fertility-related intentions shape the usage of LAPM is important for programming. This paper explored the interaction of fertility intentions with LAPM use in rural western Kenya. We draw on monitoring data from 28,515 women aged 15-49 years who received FP services between 2013 and 2015 as part of a community-based FP project. We assessed the association between the use of LAPM and fertility intentions, adjusting for age, parity, education, service delivery model, FP counseling and year of data collection. Of the 28,515 women who accessed FP services during the period (2013-2015), about two-thirds (57%) reported using LAPM, much higher than the national rates, and around 46% wanted another child within or after two years. In a multivariable regression model, women who desired no more children tended to use LAPM more than those wanting a child within or after some years as well as those uncertain about their future intentions. The significant rates of utilization of LAPM between both women who desired no more children and the fair proportion of use among women spacing births underscore the benefits of sustained community level interventions that address both the demand and supply barriers of contraceptive adoption and use.
Sections du résumé
BACKGROUND
The use of long-acting and permanent method (LAPM) for family planning (FP) is of importance to the FP movement. A better understanding of how fertility-related intentions shape the usage of LAPM is important for programming. This paper explored the interaction of fertility intentions with LAPM use in rural western Kenya.
METHODS
We draw on monitoring data from 28,515 women aged 15-49 years who received FP services between 2013 and 2015 as part of a community-based FP project. We assessed the association between the use of LAPM and fertility intentions, adjusting for age, parity, education, service delivery model, FP counseling and year of data collection.
RESULTS
Of the 28,515 women who accessed FP services during the period (2013-2015), about two-thirds (57%) reported using LAPM, much higher than the national rates, and around 46% wanted another child within or after two years. In a multivariable regression model, women who desired no more children tended to use LAPM more than those wanting a child within or after some years as well as those uncertain about their future intentions.
CONCLUSION
The significant rates of utilization of LAPM between both women who desired no more children and the fair proportion of use among women spacing births underscore the benefits of sustained community level interventions that address both the demand and supply barriers of contraceptive adoption and use.
Identifiants
pubmed: 30709344
doi: 10.1186/s12905-019-0716-3
pii: 10.1186/s12905-019-0716-3
pmc: PMC6359762
doi:
Substances chimiques
Contraceptive Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
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