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Fertility intentions and the adoption of long-acting and permanent contraception (LAPM) among women: evidence from Western Kenya
Journal article   Open access   Peer reviewed

Fertility intentions and the adoption of long-acting and permanent contraception (LAPM) among women: evidence from Western Kenya

Joshua Amo-Adjei, Michael Mutua, Carol Mukiira, Namuunda Mutombo, Sherine Athero, Alex Ezeh and Chimaraoke Izugbara
BMC women's health, v 19(1), pp 26-26
01 Feb 2019
PMID: 30709344
url
https://doi.org/10.1186/s12905-019-0716-3View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Life Sciences & Biomedicine Obstetrics & Gynecology Public, Environmental & Occupational Health Science & Technology
BackgroundThe 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.MethodsWe draw on monitoring data from 28,515 women aged 15-49years 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.ResultsOf 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 childwithin or after some years as well as those uncertain abouttheir future intentions.ConclusionThe 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.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Obstetrics & Gynecology
Public, Environmental & Occupational Health
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