Abstract
BackgroundThe 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.MethodsWe 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.ResultsOf 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.ConclusionThe 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.
Highlights
As of 2015, half (50%) of all currently married women (15–49) in Kenya want to stop childbearing, yet only 28% of these women are using a modern contraceptive method [1]
The low uptake of contraceptives, long-acting and permanent method (LAPM), among women who want no more children, highlights the need for addressing family planning (FP) issues, especially the need to advocate for appropriate methods that match their fertility intention
Study setting Data were extracted from a family planning intervention conducted in two predominantly rural counties in Western Kenya, Busia and Siaya
Summary
As of 2015, half (50%) of all currently married women (15–49) in Kenya want to stop childbearing, yet only 28% of these women are using a modern contraceptive method [1] Among those who want to stop childbearing, only 17% are using a long-acting contraception and 11%, a permanent method (LAPM) of contraception that would ideally suit their fertility intention by offering lifetime contraceptive protection. The low uptake of contraceptives, LAPM, among women who want no more children, highlights the need for addressing family planning (FP) issues, especially the need to advocate for appropriate methods that match their fertility intention. LAPM are beneficial to women who want to have longer duration of birth spacing It is useful for young sexually active unmarried. This paper explored the interaction of fertility intentions with LAPM use in rural western Kenya
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