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. 2019 Feb 1;19(1):26.
doi: 10.1186/s12905-019-0716-3.

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

Joshua Amo-Adjei  1 , Michael Mutua  2 , Carol Mukiira  3 , Namuunda Mutombo  4 , Sherine Athero  2 , Alex Ezeh  5 , Chimaraoke Izugbara  6
Affiliations

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

Joshua Amo-Adjei et al. BMC Womens Health. .

Abstract

Background: The 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.

Methods: We draw on monitoring data from 28,515 women aged 15-49 years 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.

Results: Of 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 child within or after some years as well as those uncertain about their future intentions.

Conclusion: The 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.

Keywords: Fertility intentions; Kenya; Long-acting; Permanent contraception.

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Conflict of interest statement

Ethics approval and consent to participate

The project received ethics approval from the Kenya Medical Research Institute (KEMRI). Consent of individual women was waived given that the primary project was implemented in the form of service delivery rather than primary research.

Consent for publication

Not Applicable.

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Kenya National Bureau of Statistics (KNBS), ICF Macro . Kenya National Bureau of Statistics (KNBS) Calverton: ICF Macro; 2015.
    1. National Coordinating Agency for Population and Development (NCAPD), Ministry of Medical Services (MOMS), Ministry of Public Health and Sanitation, Kenya National Bureau of Statistics (KNBS), ICF Macro. Kenya Service Provision Assessment Survey 2010. Nairobi, Kenya 2011.
    1. Fabic MS, Choi Y, Bongaarts J, Darroch JE, Ross JA, Stover J, et al. Meeting demand for family planning within a generation: the post-2015 agenda. Lancet. 2015;385(9981):1928. doi: 10.1016/S0140-6736(14)61055-2. - DOI - PMC - PubMed
    1. Baldwin MK, Edelman AB. The effect of long-acting reversible contraception on rapid repeat pregnancy in adolescents: a review. J Adolesc Health 2013;52(4, Supplement):S47-S53. doi: 10.1016/j.jadohealth.2012.10.278. - PubMed
    1. Mestad R, Secura G, Allsworth JE, Madden T, Zhao Q, Peipert JF. Acceptance of long-acting reversible contraceptive methods by adolescent participants in the contraceptive CHOICE project. Contraception. 2011;84(5):493–498. doi: 10.1016/j.contraception.2011.03.001. - DOI - PMC - PubMed

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