Predictors of Time-to-Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda
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Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Population Research
Abstract
Globally, there is extant literature on patterns and dynamics of postpartum contraceptive use with hardly any evidence examining
time-to-contraceptive use from resumption of sexual intercourse after birth among women in Uganda. Methods. The analysis was
based on data from2011 UgandaDemographic andHealth Survey on a sample of 2983marriedwomenwith a birth in the past three
years preceding the survey and had resumed sexual intercourse. A time-to-contraceptive use was adopted in the analysis using life
tables based on the Kaplan-Meier estimates, while the Log-Rank Chi-square tests assessed the variables to be included in regression
analysis. Cox-Proportional Hazard regression was run to identify the predictors of time-to-contraceptive use among postpartum
women in Uganda. Sampling weights were applied in the analysis to ensure representativeness. Results. The median time-tocontraceptive
use was 19 months (range 0–24). Time to adoption of modern contraceptive use was significantly longer among
women with no formal education, residing in northern region, who (HR = 0.56, CI: 0.40–0.78) had delivered at home/traditional
birth attendant (HR = 0.75, CI: 0.60–0.93), had 1–3 antenatal care visits (HR = 0.83, CI: 0.70–0.98), and were in poorest wealth
quintile. Conclusions. Measures for enhancing modern contraceptive use during and after the postpartum period should focus on
(i) addressing hindrances in accessing family planning, particularly among poor and noneducated women; (ii) integration of family
planning service delivery into routine ANC through counseling; and (iii) promoting deliveries in health facilities.
Description
Keywords
Contraceptive Use, Sexual Intercourse, Birth, Women, Uganda
Citation
Wamala, R., Kabagenyi, A., & Kasasa, S. (2017). Predictors of time-to-contraceptive use from resumption of sexual intercourse after birth among women in Uganda. International Journal of Population Research, 2017. https://doi.org/10.1155/2017/3875452