Pattern and determinants of contraceptive usage among women of reproductive age from the Digo community residing in Kwale, Kenya : results from a cross-sectional household survey
Authors & affiliation
Vernon Mochache, Amyn Lakhani, Hajara El-Busaidy, Marleen Temmerman, Peter Gichangi
Abstract
Background: Contraceptive usage has been associated with improved maternal and child health (MCH) outcomes. Despite significant resources being allocated to programs, there has been sub-optimal uptake of contraception, especially in the developing world. It is important therefore, to granulate factors that determine uptake and utilization of contraceptive services so as to inform effective programming. Methods: Between March and December 2015, we conducted a cross-sectional survey among women of reproductive age (WRA) from the Digo community residing in Kwale County, Kenya. The study aimed to describe the pattern and determinants of contraceptive usage in this population. Respondents were selected using stratified, systematic sampling and completed a household sexual and reproductive health (SRH) questionnaire. Results: We interviewed 745 respondents from 15 villages in 2 out of 4 sub-counties of Kwale. Their median (interquartile range, IQR) age was 29 (23-37) years. 568 (76%) reported being currently in a marital union. Among these, 308 (54%) were using a contraceptive method. The total unmet need, unmet need for spacing and for limiting was 16%, 8% and 8%, respectively. Determinants of contraceptive usage were education [adjusted Odds Ratio, aOR = 2.1, 95% confidence interval, CI: 1.4-3.4, P = 0.001]; having children [aOR = 5.0, 95% CI: 1.7-15.0, P = 0.004]; having attended antenatal care (ANC) at last delivery [aOR = 4.0, 95% CI: 1.1-14.8, P = 0.04] as well as intention to stop or delay future birth [aOR = 6.7, 95% CI: 3.3-13.8, P < 0.0001]. Conclusions: We found high levels of contraceptive usage among WRA from the Digo community residing in Kwale. To further improve uptake and utilization of contraception in this setting, programs should address demand-side factors including ensuring female educational attainment as well as promotion of ANC and skilled birth attendance.
Publication date:
2018
Staff members:
Marleen Temmerman
Peter Gichangi
Link to publication
Attachments
Pattern and determinants of contraceptive usage among women of reproductive age from the Digo community residing in Kwale Kenya results from a cross-sectional household survey.pdf (open)Related publications
Els Duysburgh, Birgit Kerstens, Seni Kouanda, Charles Paulin Kabore, Danielle Belemsaga Yugbare, Peter Gichangi, Gibson Masache, Beatrice Crahay, Gilda Gondola Sitefane, Nafissa Bique Osman, Severiano Foia, Henrique Barros, Sofia Castro Lopes, Susan Mann, Bejoy Nambiar, Tim Colbourn, Marleen Temmerman
2016 Practical lessons for bringing policy-makers on board in sexual and reproductive health researchAurore Guieu, Wei Hong Zhang, Yves Lafort, Peter Decat, Sara De Meyer, Shuchen Wang, Birgit Kerstens, Els Duysburgh
2012 Changes in sexual behaviour among HIV-infected women in west and east Africa in the first 24 months after deliveryEunice Irungu, Matthew Chersich, Clarisse Sanon, Rosemary Chege, Philippe Gaillard, Marleen Temmerman, Jennifer S Read, Stanley Lüchters