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Determinants of contraceptive use among postpartum women in a county hospital in rural KENYA

Overview of attention for article published in BMC Public Health, June 2017
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Title
Determinants of contraceptive use among postpartum women in a county hospital in rural KENYA
Published in
BMC Public Health, June 2017
DOI 10.1186/s12889-017-4510-6
Pubmed ID
Authors

Rose Jalang’o, Faith Thuita, Sammy O. Barasa, Peter Njoroge

Abstract

There is a high unmet need for limiting and spacing child births during the postpartum period. Given the consequences of closely spaced births, and the benefits of longer pregnancy intervals, targeted activities are needed to reach this population of postpartum women. Our objective was to establish the determinants of contraceptive uptake among postpartum women in a county referral hospital in rural Kenya. Sample was taken based on a mixed method approach that included both quantitative and qualitative methods of data collection. Postpartum women who had brought their children for the second dose of measles vaccine between 18 and 24 months were sampled Participants were interviewed using structured questionnaires, data was collected about their socio-demographic characteristics, fertility, knowledge, use, and access to contraceptives. Chi square tests were used to determine the relationship between uptake of postpartum family planning and: socio demographic characteristics, contraceptive knowledge, use access and fertility. Qualitative data collection included focus group discussions (FDGs) with mothers and in-depth interviews with service providers Information was obtained from mothers' regarding their perceptions on family planning methods, use, availability, access and barriers to uptake and key informants' views on family planning counseling practices and barriers to uptake of family planning RESULTS: More than three quarters (86.3%) of women used contraceptives within 1 year of delivery, with government facilities being the most common source. There was a significant association (p ≤ 0.05) between uptake of postpartum family planning and lower age, being married, higher education level, being employed and getting contraceptives at a health facility. One third of women expressing no intention of having additional children were not on contraceptives. In focus group discussions women perceived that the quality of services offered at the public facilities was relatively good because they felt that they were adequately counseled, as opposed to local chemist shops where they perceived the staff was not experienced. Contraceptive uptake was high among postpartum women, who desired to procure contraceptives at health facilities. However, there was unmet need for contraceptives among women who desired no more children. Government health facility stock outs represent a missed opportunity to get family planning methods, especially long acting reversible contraceptives, to postpartum women.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 157 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 157 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 42 27%
Researcher 24 15%
Unspecified 22 14%
Student > Postgraduate 19 12%
Student > Ph. D. Student 13 8%
Other 37 24%
Readers by discipline Count As %
Medicine and Dentistry 50 32%
Nursing and Health Professions 31 20%
Social Sciences 30 19%
Unspecified 29 18%
Agricultural and Biological Sciences 5 3%
Other 12 8%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 August 2017.
All research outputs
#8,914,752
of 11,598,144 outputs
Outputs from BMC Public Health
#6,568
of 7,977 outputs
Outputs of similar age
#177,536
of 265,093 outputs
Outputs of similar age from BMC Public Health
#124
of 149 outputs
Altmetric has tracked 11,598,144 research outputs across all sources so far. This one is in the 20th percentile – i.e., 20% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,977 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one is in the 14th percentile – i.e., 14% of its peers scored the same or lower than it.
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We're also able to compare this research output to 149 others from the same source and published within six weeks on either side of this one. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.