Abstract:
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.