Uptake of Modern Contraception among Postpartum Women in Vihiga County, Kenya
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Date
2025-04
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Kenyatta University
Abstract
Contraception is achieved by use of modern contraceptives including emergency pills, barriers, oral pills and injectable contraceptives and implants. Vihiga County reported a contraception rate of 53% in 2018, lower than the national rate of 61%. Therefore, the specific objectives of this study were: To find out the level of knowledge on contraception, to determine the rate of modern contraceptive use and to identify factors influencing the uptake of modern contraception by postpartum women in Vihiga Sub-County. To fulfil these objectives, a cross-sectional study design was conducted. Research was based in Vihiga Sub-County, specifically in Central Maragoli and Lugaga-Wamulama Wards. Study respondents were selected using simple random sampling whereas through purposive sampling health facilities were selected. Dispensation of questionnaires, KII and FGD were developed as research instruments for data collection. Qualitative data was analyzed using CITAVI and then categorized into related themes and represented according to the objectives of this study. Quantitative data was analyzed using SPSS version 22. Multiple regression and chi-square tests were used to compare the results between pairs. Knowledge for individual contraceptive methods including o DMPA, implants, pills and coils was high as each method was known by more than 50% of participants. The current rate of contraceptive use in Vihiga Sub-County is 62.8%, an increase from the previously reported 53%. DMPA in 2022 and implants were the most used methods. Age (p=0.003), marital status (p<0.0001), number of children (p=0.048), and period since the last birth (0.003) were the most significant demographic influencers of contraceptive use. 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 allowing contraceptive (p=0.044), the husband agreeing with the use (p<0.001), quality of contraceptive services (p=0.001).In terms of contraceptive accessibility, quality of contraceptive services best influenced the uptake of contraceptives (p=0.001). This study recommends the following: The Vihiga County Department of Health Services, should launch a comprehensive health education and promotion campaign, The Vihiga County Department of Health Services, should initiate and support community-based family planning programs specifically targeting postpartum women, Community leaders and religious organizations should be engaged in dialogue and partnership to co-create and endorse family planning programs
Description
A Thesis Submitted in Partial Fulfillment of the Requirements for the Award of the Degree if Master of Public Health (Epidemiology and Disease Control) in the School if Health Sciences of Kenyatta University, May 2025.
Supervisor
1. Thomas Ogaro
2. John P. Oyore