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Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties

Long-acting and permanent contraceptive methods (LAPM) are effective and economical methods for delaying or limiting pregnancies, however they are not widely used. The Kenya government is promoting the use of modern methods of family planning through various mechanisms. This study aimed to determine...

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Autores principales: Orwa, James, Gatimu, Samwel Maina, Ngugi, Anthony, Agwanda, Alfred, Temmerman, Marleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536593/
https://www.ncbi.nlm.nih.gov/pubmed/36201509
http://dx.doi.org/10.1371/journal.pone.0275575
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author Orwa, James
Gatimu, Samwel Maina
Ngugi, Anthony
Agwanda, Alfred
Temmerman, Marleen
author_facet Orwa, James
Gatimu, Samwel Maina
Ngugi, Anthony
Agwanda, Alfred
Temmerman, Marleen
author_sort Orwa, James
collection PubMed
description Long-acting and permanent contraceptive methods (LAPM) are effective and economical methods for delaying or limiting pregnancies, however they are not widely used. The Kenya government is promoting the use of modern methods of family planning through various mechanisms. This study aimed to determine the prevalence and factors associated with the use of LAPM among married women of reproductive age in targeted rural sub-counties of Kilifi and Kisii counties, Kenya. Baseline and end line Data from a program implemented on improving Access to Quality Care and Extending and Strengthening Health Systems (AQCESS) in Kilifi and Kisii counties of Kenya were used. Multi-stage sampling was used to sample 1117 and 1873 women for the end line and baseline surveys, respectively. Descriptive analysis was used to explore the respondents’ characteristics and use of LAPM on a self-weighted samples. Univariable and multivariable binary logistic regression models using svy command were used to assess factors associated with the use of LAPM. A total of 762 and 531 women for the baseline and end line survey, respectively were included in this study. The prevalence of use of LAPM for baseline and end line survey were 21.5% (95% CI: 18.7–24.6%) and 23.2% (95% CI: 19.6%-27.0%), p-value = 0.485. The use of LAPM in Kisii and Kilifi counties was higher than the national average in both surveys. The multivariable analysis for the end line survey showed having 3–5 number of children ever born (aOR = 2.04; 95% CI: 1.24–3.36) and future fertility preference to have another child (aOR = 0.50; 95% CI: 0.26–0.96) were significantly associated with odds of LAPM use. The baseline showed that having at least secondary education (aOR = 1.93; 95%CI: 1.04–3.60), joint decision making about woman’s own health (aOR = 2.08; 95%CI: 1.36–3.17), and intention to have another child in future (aOR = 0.59; 95%CI: 0.40–0.89) were significantly associated with the use of LAPM. Future fertility preference to have another child was significantly associated with the use of LAPM in the two surveys. Continued health promotion and targeted media campaigns on the use of LAPM in rural areas with low socioeconomic status is needed in order to improve utilization of these methods. Programs involving men in decision making on partner’s health including family planning in the rural areas should be encouraged.
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spelling pubmed-95365932022-10-07 Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties Orwa, James Gatimu, Samwel Maina Ngugi, Anthony Agwanda, Alfred Temmerman, Marleen PLoS One Research Article Long-acting and permanent contraceptive methods (LAPM) are effective and economical methods for delaying or limiting pregnancies, however they are not widely used. The Kenya government is promoting the use of modern methods of family planning through various mechanisms. This study aimed to determine the prevalence and factors associated with the use of LAPM among married women of reproductive age in targeted rural sub-counties of Kilifi and Kisii counties, Kenya. Baseline and end line Data from a program implemented on improving Access to Quality Care and Extending and Strengthening Health Systems (AQCESS) in Kilifi and Kisii counties of Kenya were used. Multi-stage sampling was used to sample 1117 and 1873 women for the end line and baseline surveys, respectively. Descriptive analysis was used to explore the respondents’ characteristics and use of LAPM on a self-weighted samples. Univariable and multivariable binary logistic regression models using svy command were used to assess factors associated with the use of LAPM. A total of 762 and 531 women for the baseline and end line survey, respectively were included in this study. The prevalence of use of LAPM for baseline and end line survey were 21.5% (95% CI: 18.7–24.6%) and 23.2% (95% CI: 19.6%-27.0%), p-value = 0.485. The use of LAPM in Kisii and Kilifi counties was higher than the national average in both surveys. The multivariable analysis for the end line survey showed having 3–5 number of children ever born (aOR = 2.04; 95% CI: 1.24–3.36) and future fertility preference to have another child (aOR = 0.50; 95% CI: 0.26–0.96) were significantly associated with odds of LAPM use. The baseline showed that having at least secondary education (aOR = 1.93; 95%CI: 1.04–3.60), joint decision making about woman’s own health (aOR = 2.08; 95%CI: 1.36–3.17), and intention to have another child in future (aOR = 0.59; 95%CI: 0.40–0.89) were significantly associated with the use of LAPM. Future fertility preference to have another child was significantly associated with the use of LAPM in the two surveys. Continued health promotion and targeted media campaigns on the use of LAPM in rural areas with low socioeconomic status is needed in order to improve utilization of these methods. Programs involving men in decision making on partner’s health including family planning in the rural areas should be encouraged. Public Library of Science 2022-10-06 /pmc/articles/PMC9536593/ /pubmed/36201509 http://dx.doi.org/10.1371/journal.pone.0275575 Text en © 2022 Orwa et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Orwa, James
Gatimu, Samwel Maina
Ngugi, Anthony
Agwanda, Alfred
Temmerman, Marleen
Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties
title Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties
title_full Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties
title_fullStr Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties
title_full_unstemmed Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties
title_short Factors associated with use of long-acting reversible and permanent contraceptives among married women in rural Kenya: A community-based cross-sectional study in Kisii and Kilifi counties
title_sort factors associated with use of long-acting reversible and permanent contraceptives among married women in rural kenya: a community-based cross-sectional study in kisii and kilifi counties
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536593/
https://www.ncbi.nlm.nih.gov/pubmed/36201509
http://dx.doi.org/10.1371/journal.pone.0275575
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