PMID- 25885372 OWN - NLM STAT- MEDLINE DCOM- 20151117 LR - 20220331 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 15 DP - 2015 Mar 18 TI - Predictors of modern contraceptive use during the postpartum period among women in Uganda: a population-based cross sectional study. PG - 262 LID - 10.1186/s12889-015-1611-y [doi] LID - 262 AB - BACKGROUND: The rationale for promotion of family planning (FP) to delay conception after a recent birth is a best practice that can lead to optimal maternal and child health outcomes. Uptake of postpartum family planning (PPFP) remains low in sub-Saharan Africa. However, little is known about how pregnant women arrive at their decisions to adopt PPFP. METHODS: We used 3298 women of reproductive ages 15-49 from the 2011 UDHS dataset, who had a birth in the 5 years preceding the survey. We then applied both descriptive analyses comprising Pearson's chi-square test and later a binary logistic regression model to analyze the relative contribution of the various predictors of uptake of modern contraceptives during the postpartum period. RESULTS: More than a quarter (28%) of the women used modern family planning during the postpartum period in Uganda. PPFP was significantly associated with primary or higher education (OR=1.96; 95% CI=1.43-2.68; OR=2.73; 95% CI=1.88-3.97 respectively); richest wealth status (OR=2.64; 95% CI=1.81-3.86); protestant religion (OR=1.27; 95% CI=1.05-1.54) and age of woman (OR=0.97, 95% CI=0.95-0.99). In addition, PPFP was associated with number of surviving children (OR=1.09; 95 % CI=1.03-1.16); exposure to media (OR=1.30; 95% CI=1.05-1.61); skilled birth attendance (OR=1.39; 95% CI=1.12-1.17); and 1-2 days timing of post-delivery care (OR=1.68; 95% CI=1.14-2.47). CONCLUSIONS: Increasing reproductive health education and information among postpartum women especially those who are disadvantaged, those with no education and the poor would significantly improve PPFP in Uganda. FAU - Rutaremwa, Gideon AU - Rutaremwa G AD - Centre for Population and Applied Statistics (CPAS), Makerere University, Kampala, Uganda. grutaremwa@bams.mak.ac.ug. FAU - Kabagenyi, Allen AU - Kabagenyi A AD - Centre for Population and Applied Statistics (CPAS), Makerere University, Kampala, Uganda. akabagenyi@bams.mak.ac.ug. FAU - Wandera, Stephen Ojiambo AU - Wandera SO AD - Centre for Population and Applied Statistics (CPAS), Makerere University, Kampala, Uganda. swandera@gmail.com. FAU - Jhamba, Tapiwa AU - Jhamba T AD - United Nations Population Fund (UNFPA), Uganda Country Office, Kampala, Uganda. jhamba@unfpa.org. FAU - Akiror, Edith AU - Akiror E AD - United Nations Population Fund (UNFPA), Uganda Country Office, Kampala, Uganda. akiror@unfpa.org. FAU - Nviiri, Hellen Laetitia AU - Nviiri HL AD - Uganda Bureau of Statistics (UBOS), Ministry of Finance and Planning, Kampala, Uganda. hnviiri@gmail.com. LA - eng GR - 100891/Wellcome Trust/United Kingdom PT - Journal Article DEP - 20150318 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adolescent MH - Adult MH - Africa South of the Sahara MH - Age Factors MH - Chi-Square Distribution MH - Contraception Behavior/*statistics & numerical data MH - Cross-Sectional Studies MH - Family Planning Services/*statistics & numerical data MH - Female MH - Health Education MH - Humans MH - Logistic Models MH - Middle Aged MH - *Postpartum Period MH - Socioeconomic Factors MH - Uganda MH - Young Adult PMC - PMC4372233 EDAT- 2015/04/18 06:00 MHDA- 2015/11/18 06:00 PMCR- 2015/03/18 CRDT- 2015/04/18 06:00 PHST- 2014/06/27 00:00 [received] PHST- 2015/03/04 00:00 [accepted] PHST- 2015/04/18 06:00 [entrez] PHST- 2015/04/18 06:00 [pubmed] PHST- 2015/11/18 06:00 [medline] PHST- 2015/03/18 00:00 [pmc-release] AID - 10.1186/s12889-015-1611-y [pii] AID - 1611 [pii] AID - 10.1186/s12889-015-1611-y [doi] PST - epublish SO - BMC Public Health. 2015 Mar 18;15:262. doi: 10.1186/s12889-015-1611-y.