Online Program

Determinants of contraceptive use and related behaviors among postpartum women in rural Uganda

Monday, November 4, 2013

Katelyn Sileo, Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT
Susan Kiene, Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington
Haruna Lule, Gombe Hospital, Mpigi, Uganda
Uganda is among the countries with the highest rates of an unmet need for family planning, which is associated with negative health outcomes. The present study aimed to identify factors influencing contraceptive use among postpartum women in Uganda. 258 women who attended antenatal care at a rural Ugandan hospital completed an interview 13 weeks post-partum. We used linear- and logistic-regression models in SPSS to test the following as determinants of intentions to use contraceptives, intentions to delay future pregnancy, and use of an effective contraceptive: sociodemographic variables, time to clinic, power in sexual decision making, history of intimate partner violence, post-partum depression, contraceptive knowledge, attitudes, behavioral skills related to contraceptive use, perceived partner's attitudes towards family planning, partner communication about family planning, and prior use of contraceptives. Statistically significant factors were included in stepwise regression analysis with the three outcomes. With all variables accounted for, significant predictors for the three outcomes include: 1) intentions to use contraceptives: time to clinic (t=-2.28, p=.02), partner attitudes (t=2.12, p=.04), prior use of contraceptives (t=3.08, p=.002); 2) intentions to delay future pregnancy: education (t=2.88, p=.004), depression (t=2.49, p=.01); 3) use of any contraceptives: time to clinic (OR .29, 95% CI .10-.87), intentions to use contraceptives (OR 2.37, 95% CI 1.04-5.41), communication with partner (OR 2.09, 95% CI 1.42-3.07), prior use of contraceptives (OR .07, 95% CI .01-.60). These findings, showing both structural and individual-level determinants of contraceptive use, highlight the importance of using a multi-level approach for interventions that aim to increase contraceptive use.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify individual and structural-level determinants of contraceptive use in rural Uganda. Explain the importance of using a multi-level approach to increase contraceptive use among women in rural Uganda or similar settings.

Keyword(s): Contraceptives, International Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked as a graduate assistant and research assistant on multiple federally funded grants focusing on contraceptive use and HIV/AIDS prevention in Uganda and similar settings. I am a Public Health PhD student and am working on the family planning study featured in the abstract for my Masters Thesis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.