PMID- 33740975
OWN - NLM
STAT- MEDLINE
DCOM- 20210531
LR  - 20210531
IS  - 1472-6874 (Electronic)
IS  - 1472-6874 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Mar 19
TI  - Predictors of postpartum family planning in Rwanda: the influence of male 
      involvement and healthcare experience.
PG  - 112
LID - 10.1186/s12905-021-01253-0 [doi]
LID - 112
AB  - BACKGROUND: Strengthened efforts in postpartum family planning (PPFP) is a key 
      priority to accelerate progress in reproductive, maternal, newborn, and child 
      health outcomes. This secondary data analysis explores factors associated with 
      PPFP uptake in Rwanda. The purpose of this study was to explore variables that 
      may influence PPFP use for postpartum women in Rwanda including health facility 
      type, respectful maternity care, locus of control, and mental health status. 
      METHODS: This secondary analysis of data from a cluster randomized control trial 
      used information abstracted from questionnaires administered to women (>/= 15 years 
      of age) at two time points-one during pregnancy (baseline) and one after delivery 
      of the baby (follow-up). The dependent variable, PPFP uptake, was evaluated 
      against the independent variables: respectful care, locus of control, and mental 
      health status. These data were abstracted from linked questionnaires completed 
      from January 2017 to February 2019. The sample size provided 97% power to detect 
      a change at a 95% significance level with a sample size of 640 at a 15% effect 
      size. Chi-square testing was applied for the bivariate analyses. A logistic 
      regression model using the generalized linear model function was performed; odds 
      ratio and adjusted (by age group and education group) odds ratio with 95% 
      confidence interval were reported. RESULTS: Of the 646 respondents, although 92% 
      reported not wanting another pregnancy within the next year, 72% used PPFP. 
      Antenatal care wait time (p =  < 0.01; Adj OR (Adj 95% CI) 21-40 min: 2.35 
      (1.46,3.79); 41-60 min: 1.50 (0.84,2.69); 61-450 min: 5.42 (2.86,10.75) and 
      reporting joint healthcare decision-making between the woman and her partner 
      (male) (p = 0.04; Adj OR (Adj 95% CI) husband/partner: 0.59 (0.35,0.97); mother 
      and partner jointly: 1.06 (0.66,1.72) were associated with PPFP uptake. 
      CONCLUSIONS: These results illustrate that partner (male) involvement and 
      improved quality of maternal health services may improve PPFP utilization in 
      Rwanda.
FAU - Williams, Pamela
AU  - Williams P
AUID- ORCID: 0000-0001-9787-1272
AD  - Institute for Global Health Sciences, University of California San Francisco, San 
      Francisco, CA, USA. williamsgpamela@gmail.com.
FAU - Santos, Nicole
AU  - Santos N
AD  - Institute for Global Health Sciences, University of California San Francisco, San 
      Francisco, CA, USA.
FAU - Azman-Firdaus, Hana
AU  - Azman-Firdaus H
AD  - Global Health Sciences, AIDS Research Institute and Cochrane HIV/AIDS Group, 
      University of California San Francisco, San Francisco, CA, USA.
FAU - Musange, Sabine
AU  - Musange S
AD  - School of Public Health, College of Medicine and Health Sciences, University of 
      Rwanda, Kigali, Rwanda.
FAU - Walker, Dilys
AU  - Walker D
AD  - Institute for Global Health Sciences, University of California San Francisco, San 
      Francisco, CA, USA.
AD  - Department of Obstetrics, Gynecology, and Reproductive Sciences, University of 
      California San Francisco, San Francisco, CA, USA.
FAU - Sayinzoga, Felix
AU  - Sayinzoga F
AD  - Maternal, Child and Community Health Division, Rwanda Ministry of Health, Rwanda 
      Biomedical Center, Kigali, Rwanda.
FAU - Chen, Yea-Hung
AU  - Chen YH
AD  - Center for Public Health Research, San Francisco Department of Public Health, San 
      Francisco, CA, USA.
LA  - eng
GR  - DW OPP1107312/Bill and Melinda Gates Foundation/
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20210319
PL  - England
TA  - BMC Womens Health
JT  - BMC women's health
JID - 101088690
SB  - IM
MH  - Child
MH  - Delivery of Health Care
MH  - *Family Planning Services
MH  - Female
MH  - Health Facilities
MH  - Humans
MH  - Infant, Newborn
MH  - Male
MH  - *Maternal Health Services
MH  - Postpartum Period
MH  - Pregnancy
MH  - Rwanda
PMC - PMC7980651
OTO - NOTNLM
OT  - Birth spacing
OT  - Male involvement
OT  - Maternal health
OT  - Postpartum family planning
OT  - Reproductive health
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/03/21 06:00
MHDA- 2021/06/01 06:00
PMCR- 2021/03/19
CRDT- 2021/03/20 05:37
PHST- 2020/04/23 00:00 [received]
PHST- 2021/03/08 00:00 [accepted]
PHST- 2021/03/20 05:37 [entrez]
PHST- 2021/03/21 06:00 [pubmed]
PHST- 2021/06/01 06:00 [medline]
PHST- 2021/03/19 00:00 [pmc-release]
AID - 10.1186/s12905-021-01253-0 [pii]
AID - 1253 [pii]
AID - 10.1186/s12905-021-01253-0 [doi]
PST - epublish
SO  - BMC Womens Health. 2021 Mar 19;21(1):112. doi: 10.1186/s12905-021-01253-0.