Infant Welfare Clinics Research Articles

Lady Muriel Paget’s Mission to Daugavpils (Part I)

In February 1920, Lady Muriel Paget established a children’s hospital in Daugavpils. It was the start of a relief Mission which operated until the autumn of 1922, taking the form eventually of infant welfare clinics and feeding kitchens. From the start of 1921, this Mission was broadened to include Riga and, ultimately, Tallinn and Kaunas; but the core of the operation remained Daugavpils. This article explores the centrality of Daugavpils to the work of the Mission, the evolution of Lady Muriel’s ambitions, and the often fraught relationship with her chief funder, the Save the Children Fund (SCF).The article is published in two parts. Part I discusses the origins of the Mission in Lady Muriel’s concern to gain access to northern Russia, and the debate about the nature of the Mission – whether to concentrate on a single hospital or to broaden the reach of the Mission through a network of welfare clinics and feeding kitchens, issues finally resolved by Lady Muriel’s own dramatic visit to Daugavpils in October 1920. Part Two considers the evolution of the Mission in 1921–22, once the support of the SCF had been obtained for an endeavour focused on the Baltic states rather than Daugavpils alone. It focuses on the difficult relationship between the Mission and its chief supporter, the SCF, and differing understandings of the nature of relief work. The SCF cut funding for the Mission on the grounds that the situation in the Baltic states was no longer an emergency. However, it did agree to some additional funding after the Daugavpils flood of April 1922.

Perception of spousal involvement in breastfeeding among women attending infant welfare clinic in a private Tertiary Health Institution in Ogun State, Nigeria

Perception of spousal involvement in breastfeeding among women attending infant welfare clinic in a private Tertiary Health Institution in Ogun State, Nigeria

‘On this project depends the glory of Palestine’: childhood and modern futures at the Ramallah clinic

ABSTRACT In 1925, one of the first infant welfare clinics to specifically serve Arab children in Palestine opened in the city of Ramallah. This article examines how that institution brought together various political ideologies that used the Palestinian child’s body as a vehicle for a modern future. The clinic targeted poor children and mothers in an attempt to eradicate local knowledge and indigenous practices of infant care in the name of progress and science. Supported and funded by American missionaries, Palestinian philanthropists, local medical practitioners, colonial administrators, and Zionist health organizations, it produced conceptions of modern Palestinian childhood at the intersections of Zionist settler colonialism, interwar global humanitarianism, and indigenous political claims. The Ramallah clinic, along with other infant welfare projects in Palestine, offers a complicated view of the on-the-ground operation of settler colonial projects and the role of children within them. Based on a study of the different constituencies involved in opening the clinic, this article argues that discourses of infant health became means for articulating different – and sometimes opposing – political futures. In doing so, this article illuminates how settler colonialism interacted with, shaped, and was shaped by other local and global forms of coloniality as well as resistance to colonial structures.

The role of nurses in the prevention of cervical cancer: Cervical screening, an unkept promise by the majority of women in Nigeria

ABSTRACT Cervical cancer remains a major public health problem accounting for continuous female death in developing countries. Cervical cancer is the second most common cancer in women globally with an estimated number of 500,000 new cases of cervical cancer and 273,000 mortalities annually. Cervical screening is the best cancer screening test in the history of medicine and most cost-effective of all medical screening tests. The study review aimed to highlight methods of cervical cancer prevention, identify the uptake of cervical screening among women, and explain the role of nurses in uptake of cervical screening. Cervical cancer is preventable and easily treatable if it is detected at early stages, but poor information on prevention and access to screening and treatment contributes to 90% of deaths. In the developing countries such as Nigeria, a large proportion of cervical cancers are diagnosed in advanced stages, with poor rates of survival. The three main methods for preventing cervical cancer are through primary prevention (human papillomavirus vaccination and health education), secondary prevention (cervical screening, early detection of precancerous lesions, and treatment), and tertiary prevention (measures to slow the progression or recurrence, surgical removal, radiotherapy, and chemotherapy). Nurses can help improve the acceptability of this neglected promise by focusing on health education on cervical screening and vaccination in prenatal clinics and infant welfare clinics where there are more women. Inclusion of cyberspace could also serve as a successful and popular platform for this health teaching. All nurses/midwives must preach and fervently work toward the WHO 90–70–90 plan for eradicating cervical cancer.

Perceived Factors Influencing Preventive Practice of Cholera Among Mothers Attending Infant Welfare Clinic in Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria

Perceived Factors Influencing Preventive Practice of Cholera Among Mothers Attending Infant Welfare Clinic in Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria

Assessment of knowledge and belief towards prevention of childhood convulsion among women attending infant welfare clinic in selected primary healthcare centers, Ibadan north local government area

Childhood convulsion is one of the most common neurological disorders contributing to high mortality and morbidity rate among children. This study assessed the level of knowledge and belief towards prevention of childhood convulsion among women attending infant welfare clinics in selected primary health care centers, Ibadan north local government area. This study adopted a descriptive survey design and a multi-stage sampling technique was used to select one hundred and fifty-one mothers and data was collected with a structured questionnaire. Two research questions were raised and two hypotheses were formulated and tested at the level of 0.05 significance. Hypothesis one was tested using student chi-square while the second was tested using PPMC. Data was collated, collected, and analyzed using Statistical Package for The Social Sciences (SPSS) 25. The results from the study revealed that the majority of the participants had above average knowledge of childhood convulsion 102(67.5%) x2 = 82.475a; p=0.001< .05), there is a significant relationship between respondents’ knowledge and their belief on childhood convulsion (r = .334; p=0.000 < .05), that there is a significant relationship between respondents’ knowledge and preventive practices on childhood convulsion among women attending infant welfare clinic at selected PHC (r = .210; p=0.000 < .05). The majority of the participants demonstrated a high level of knowledge on the causes of and preventive practices towards childhood convulsion but misconceptions about orthodox medication persist, it is therefore recommended that health providers educate mothers on alarming signs and symptoms, care, and proper home management of childhood convulsion.

Perception and practice of family planning in the extended postpartum period

Background: During the postpartum period, family planning (FP) can prevent about 30% of maternal mortality and 10% of child mortality if couples space their pregnancies more than 2 years apart. Conversely, closely spaced pregnancies within the first year postpartum increase the risks of preterm birth, low birth weight, and small-for-gestational-age babies. Objective: To determine the perception and practice of family planning in the extended postpartum period. Methodology: A cross-sectional descriptive study was conducted among women in the extended postpartum period, attending the Gynaecology clinic, family planning clinic, and infant welfare clinic of the Lagos State University Teaching Hospital, Ikeja, Lagos. Information obtained includes socio-demographic data, spouse education, and income, knowledge of, attitude towards, and utilization of family planning methods along with the partner’s involvement in decision-making towards arrival at choice methods. The data obtained were processed and analyzed using SPSS version 16.0 Results: The majority of the respondents (92.7%) were aware of family planning but only 33.7% are currently using a modern method. The most known methods were condoms (72.4%) and injectable (60.5%) while the predominant source of information was the electronic media in 78.4% of respondents. About half of the respondents (53.1%) had their male partners using condoms while three-quarters used them to space children. Three-quarters of those women not currently on contraception intended to adopt a method anytime within the extended postpartum period. Only the progressive increase in infant age showed a statistically significant relationship with contraceptive use. Conclusion: Despite the high incidence of awareness of family planning, only one-third of the respondents were currently using a method. It was recommended that repackaged antenatal and postnatal health talks should address various methods of family planning and their safety

JOB INFLUENCE ON PRACTICE OF EXCLUSIVE BREASTFEEDING AMONG WORKING CLASS MOTHERS IN URBAN COMMUNITIES OF EKITI STATE, SOUTHWESTERN, NIGERIA

Breastfeeding is the first fundamental right of the child. Exclusive breastfeeding means giving a baby no other food or drink, not even water, in addition to breastfeeding Piyush (2007). In other to maintain the economic status and boost family income, women started to work in different sectors, which make it difficult for them to practice exclusive breastfeeding.The study descriptive cross sectional study design, the populations studied were the working-class nursing mothers attending the infant welfare clinics of urban communities in Ekiti- state. The study instruments were structured questionnaire. The data collected were analyzed and presented using tables and chart. The results revealed that acceptability of exclusive breastfeeding concepts is high among the population studied. It was discovered that majority of the respondents {99%} agreed and strongly agreed that exclusive breast feeding is desirable, feasible, nutritious and helps in child growth and development. Above half of the respondents {55%} agreed that working hours is a barrier to breastfeeding. The study revealed that majority of the respondents {90%} agreed to the fact that working class nursing mothers need flexible working hours for effective practice of exclusive breastfeeding. The study concluded that breastfeeding is desirable and feasible, and that government should increase maternity leave to six months after delivery for effective practice of exclusive breastfeeding.

Order in the chaos. Nurses’ perceptions of multilingual families in a society marked by a monoglossic ideology

ABSTRACT This paper explores the connection between nurses’ multilingual beliefs and their advice on multilingual parenting to families with young children. Data was gathered through video-stimulated reflection dialogues with 11 nurses employed at infant welfare clinics in Belgium. Our analysis disclosed two salient counter topics regarding participants’ multilingual beliefs: order versus chaos. The latter refers to nurses’ view of multilingualism as a linguistic imbroglio. By ‘order’, we understand the benefits of multilingualism for cognitive and emotional development, provided that the multilingual environment is strictly regulated, particularly through the rigorous adherence to a consistent multilingual parenting strategy. Nurses’ panacea for this linguistic farrago is manifested in their advice to multilingual parents. Their recommendations are consistent: multilingualism can only be advantageous for children through a functional language segregation within spaces (i.e. home versus school) and individuals (i.e. One-Parent-One-Language). Nurses’ positive perspective on multilingualism thus hinges on the condition that home languages are neatly transmitted in which the acquisition of the school language will not be impeded. Our findings illuminate how nurses’ ostensible multilingual orientations are in fact coloured by a monoglossic ideology in which multilingualism is acknowledged from a monolingual vantage point: as the simple sum of separate languages.

Early Identification, Assessment and Interventions in Children with Developmental Disabilities: A Review on Autism

Developmental disabilities are a set of disorders which occur during the child’s developmental stages affecting his or her language, physical and mental abilities or behavior. These include autism and other related disorders which all negatively influence the way the child achieves normal developmental milestones. Nurses are expected to work in collaboration with parents and other health care professionals to monitor each child’s growth and development during each well-child visit or Infant Welfare Clinics (IWC) as well as during illness episodes. Generally, parents’ concerns regarding developmental delays are discussed and the child is followed up accordingly through developmental screening. A brief test is conducted on the child while the parent/caregiver completes a questionnaire or checklist regarding the child’s developmental history. The American Academy of Pediatrics (AAP) recommends that developmental and behavioral screening be conducted for all children during regular IWC or well-child visits at nine, 18 and 30-months. Early diagnosis together with early treatment can make a major difference in a child’s life and also decrease the possibility for costly interventions in future. Several programs have been designed to deal with the variety of social and behavioral difficulties associated with autism, focusing on reducing problem behaviors in children with autism. Once an individual is given a confirmed autism diagnosis by a qualified professional, the parents need to seek further information immediately on how to support their child. Early intervention treatment services have been shown to greatly improve a child’s development. Thus, diagnosing autism early and instituting treatment and support promptly is mandatory for better prognosis.

Challenges of implementing exclusive breast feeding among working-class mothers in Brass Island, Bayelsa State, Nigeria

Background: Baby Friendly Initiative recommended that Breast milk should be solely fed to newborns from 0 to 6 months on demand, with supplemental feeding continuing after 6 months and working class mothers are not exempted from this recommendation. No single study has been conducted on challenges of working class mothers in Brass Island. This study was designed to identify the challenges of implementing exclusive breastfeeding on working class mothers in Brass Local Government Area of Bayelsa State, Nigeria. Materials and methods: A descriptive cross-sectional study was conducted from January to October, 2021 among (n = 251) randomly selected working class mothers who attended infant welfare clinics in two secondary health facilities in Brass Island, Nigeria. Data were collected using a self-structured questionnaire and analyzed using SPSS version20, descriptive and multi-linear regression analyses were carried out. A 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P -value <0.05. Results: Only 90 (36%) of the 251 working-class women exclusively breastfed their children. The majority of the participants (39%) said that job pressure is the most difficult challenge of exclusively breastfeeding practice. Other challenges include a lack of a comfortable environment to breastfeed at work (28%), low breast milk supply (19%), and insufficient time to breastfeed at work (14%). There is also a statistically significant association between the challenges of establishing exclusive breastfeeding and age (p=.000) and educational level (p=.000). However, challenges to implementing exclusive breastfeeding were not associated with marital status (p=.261), religion (p=.161), parity (p=.271), or the age of the nursed child (p=.234). Conclusion: The percentage of working-class mothers who practice exclusively breastfeeding is very low due to identified challenges. There is a need for ongoing education on the importance of exclusive breastfeeding and how to deal with the challenges that come with it

Factors Influencing Weaning Diet Among Nursing Mothers Attending Infant Welfare Clinic at Comprehensive Health Centre Okeyinmi Ado Ekiti, Ekiti State

Factors Influencing Weaning Diet Among Nursing Mothers Attending Infant Welfare Clinic at Comprehensive Health Centre Okeyinmi Ado Ekiti, Ekiti State

Immune response to hepatitis B vaccine following complete immunization of children attending two regional hospitals in the Southwest region of Cameroon: a cross sectional study

BackgroundHepatitis B virus (HBV) infection despite being a vaccine preventable disease remains a global public health problem. In Cameroon, the hepatitis B vaccine was introduced in the expanded program on immunisation in 2005, but there has been limited evaluation of the HBV surface antibody response post vaccination.ObjectiveWe investigated the immune response to hepatitis B vaccine in infants who received the DPT-Hep B-Hib vaccine, and we assessed HBsAg carriage in non-responders. We also investigated factors associated with non-response or poor response.MethodsUsing a hospital based cross sectional design and a structured questionnaire over a four-month period (January to April 2019), we collected data to determine factors associated with hepatitis B surface antibody (anti-HBs) response from infants aged 6 to 9 months attending infant welfare clinics (IWC) at the Buea and Limbe regional hospitals. We collected venous blood and measured anti-HBs titres using a quantitative Foresight® ELISA. We entered and analysed data using EpiData version 3.1 and SPSS version 25 respectively.ResultsOf the 161 infants enrolled, 159 (98.8%) developed anti-HBs antibodies. Of these 159, 157 (97.5%) and 117 (72.7%) developed ≥ 10.0 mIU/ml (seroprotection) and ≥ 100.0 mIU/ml anti-HBs titres respectively. Being younger (6 months old) was associated with seroprotection (Cramer V = 0.322, p = 0.001). Spearman rho’s relational analysis showed that immunity against HBV reduced as the duration since the last dose increased (r = −0.172; P = 0.029). However, a Firth logistic regression showed no significant association of factors with inadequate immunity. All 12 (7.5%) infants exposed to HBV at birth, received the hepatitis B vaccine at birth, including four who received HBIG, and all were protected. Four infants (2.5%) had anti-HBs titres < 10.0 mIU/mL (non-responders) but had no peculiarity.ConclusionThe seroprotective rate following hepatitis B vaccination of infants is high even in exposed infants. Our study suggests that Cameroon’s HBV vaccine in the Expanded Program on Immunisation (EPI) is effective against HBV, although we could not account for the 2.5% non-response rate. Large scale studies are needed to further explore non-response to the vaccine.

Prevalence of Contraceptive Methods among Women of Reproductive Age Attending Family Planning Clinic in Adeoyo Maternity Teaching Hospital, Ibadan, Oyo State

The 2008 Nigeria demographic and health survey showed that maternal mortality in Nigeria is currently estimated at 545 per 100,000 live births. This burden of maternal health can be alleviated through effective modern family planning measures (Singh, 2008). The contraceptive prevalence in Nigeria is still very low, about 15% (NDHS, 2008). This study aimed at examine the prevalence of contraceptive methods among women of reproductive age attending family planning clinic in Adeoyo, Ibadan, Oyo State. A descriptive cross sectional study design was used for this study. The study was carried out in Adeoyo Maternity Hospital, Yemetu located at Ibadan, Oyo State. Oyo State is one of the 36 states of Nigeria and is located in the South Western region of the country. Purposive sampling was used for the distribution of the questionnaires to the women attending Infant Welfare Clinic at General Hospital Adeoyo Maternity, Yemetu, Ibadan Oyo State. Participants were interviewed as they came into the hospital. The process continued until the required number of sample size (100) was obtained. Data was collected using an interviewer administered questionnaire which consists of the following. Section A consist of Socio demographic characteristics. Section B consist of data on Perceived reasons for choice of contraceptive method, perception about contraceptive choice. Section C consist of data on Perceived satisfaction with chosen contraceptive method and explore factors that influence satisfaction. Section D consist of data on Compliance with contraceptive methods and factor that influence compliance. Data was entered, edited, and analyze with SPSS statistical software (version 15). This included the analysis of participants socio-demographics data such as age, marital status, occupation, educational level, ethnicity. Frequency table diagrams and graph for these data was computed. Chi-square test was used for bivariate analyses to test the significance of the association between selected independents and dependents variables. findings from this study show that (96%) women of reproductive age that participated in this study have heard of contraceptive and understand it importance also (58% ) were satisfied with the contraceptive method they choose because of the level of convenience, also (82%) of the respondents also used the contraceptive method of their choice regularly also (60% ) pf the respondents said they have confidence in the use of the method they went for .805) of the respondent their source of information on their currents method on the type of contraceptive to used was through the health worker. Only (19%) pf the respondents experienced side effect from their choice of contraceptive method they choose. Among the selected socio-demographic variable tested, it was discovered in this study that religion is the only factor that influence the use of contraceptive method among and this show statistically significant with P-value of 0.004. It is recommended that Increase effort in modern contraceptive method promotion and education is needed to be intensify to improve knowledge among women so that they can make a proper and informed choice. It is also recommended that health care providers should effectively play their role by making sure that their clients have sufficient knowledge on contraceptives which can help them make a correct choice.

What prompts early childhood professionals to proffer advice to multilingual families? Investigating the association between language policy and perceived self-efficacy

ABSTRACT Early childhood professionals can act as catalysts in encouraging home language maintenance in multilingual families. However, there is a dearth of research on whether these professionals advise parents to speak their home language(s) to their offspring, and furthermore, little is known about what prompts professionals to proffer language advice. To respond to these queries, we relied on two theoretical frameworks: Spolsky’s language policy model and Bandura’s perceived self-efficacy theory. We gathered data from professionals (N = 305) employed at infant welfare clinics in Belgium and examined whether a high sense of multilingual confidence (i.e. a form of perceived self-efficacy), together with positive multilingual beliefs and multilingual practices, would induce professionals to offer multilingual advice (i.e. a form of language management). Our logistic regression results revealed that multilingual practices and multilingual confidence were positively associated with multilingual advice. Additionally, multilingual training was found to be strongly related to advice-giving. Multilingual beliefs, however, were only connected with multilingual advice when they were considered without the inclusion of multilingual confidence, as multilingual beliefs seemed to operate via multilingual confidence. We, therefore, suggest an enrichment of Spolsky’s model by taking into account multilingual confidence when investigating individuals’ language policy dynamics.

An empirical validation study of Spolsky's language policy model

ABSTRACT This study investigates Spolsky's conception of language policy as the amalgam of language beliefs, language practices and language management. To the best of our knowledge, no quantitative evidence has ever been produced for his theoretical model. The current paper addressed this void, albeit specifically in the domain of Early Childhood Care and Education – scarce in terms of language policy research, but vital for children's (multilingual) language development. An Exploratory Factor Analysis yielded three valid and reliable scales that capture language policy from the perspective of early childhood professionals (N = 305) associated with infant welfare clinics in the Flemish Community of Belgium. Furthermore, a Confirmatory Factor Analysis indicated that the three components are ‘independent’ as well as ‘interconnected,’ thereby quantitatively corroborating Spolsky's theory. We conclude that language policy is no unitary concept; therefore, if one intends to study language policy holistically, the three indispensable components are to be identified. As a corollary, one simply cannot investigate management without considering beliefs and practices, and vice versa.

Mothers’ knowledge and utilization of non-routine childhood immunisation in Ibadan North Local Government Area, Oyo state, Nigeria

Background: Vaccinepreventable- diseases are major contributors to child mortality in Africa. In Nigeria, apart from the routine childhood vaccines that are provided free by the government, there are additional lifesaving non-routine vaccines like Rotavirus, Pneumococcal Conjugate (PCV), Varicella, Cerebrospinal meningitis, and Measles, Mumps, Rubella (MMR) vaccines. Until 2015 when PCV was included in the routine childhood immunisation, these five vaccines were optional and parents paid to immunize their children with them.Objective: To assess the level of knowledge and utilization of nonroutine immunisations among mothers.Methodology: A descriptive, cross -sectional study conducted in three infant welfare clinics purposively selected in Ibadan North Local Government Area, Oyo State, Nigeria. Participants were 110 mothers of children aged 6-24 months. A structured questionnaire was used for data collection and analysis done using SPSS version 20.0. Descriptive statistics were computed and Chi-square test was used for investigating association between categorical variables at 0.05 level of significance.Results: The findings revealed that 62 (56.4%) of the 110 mothers were aware of non-routine immunisation of which 23 (20.9%) had good knowledge about it. Only 23 (20.9%) of their children were immunized with all the nonroutine vaccines. High income, higher level of education and good knowledge level about non-routine immunisation of mothers were associated with the utilization of all non-routine immunisation among their children (p&lt;0.01).Conclusion: Knowledge of mothers about non-routine immunisation was poor and uptake of the vaccines among their children low. Health education to improve mothers’ knowledge and utilization of non-routine immunisation by their children is recommended.&#x0D; Keywords: Vaccine-preventablediseases, Children, Optional, Immunisation, Awareness, Uptake, Ibadan, Nigeria

Challenges to Breastfeeding among Women Attending the Infant Welfare Clinic in a Selected Primary Health Care Center In Lagos, Nigeria

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Determinants of unintended pregnancies among nursing mothers in southwest Nigeria

Background/aims Studies have identified risks for unintended pregnancies, globally and in Nigeria, which include ineffective contraception, strong opposition to family planning by partners, number of living children and birth interval. These factors have contributed to the increasing rate of unintended pregnancy and the high rate of induced abortion, with associated consequences such as obstetric haemorrhage, infection and increased maternal morbidity and mortality. However, there is a paucity of information regarding the influence of culture and religion on pregnancy intentions. This study aimed to examine the influence of culture, religion, sociodemographic characteristics, and reproductive characteristics on nursing mothers' perception of unintended pregnancy in southwest Nigeria. Methods This study used a sequential explanatory mixed-method approach, with both quantitative and qualitative elements. A conceptual hierarchical model was used to analyse the influence of three levels of characteristics (sociodemographic, religious and cultural, reproductive) on unintended pregnancy in southwest Nigeria. A total of 400 nursing mothers attending either a postnatal, immunisation, infant welfare or under-five clinic were selected via multistage sampling from primary healthcare centres. Quantitative data were collected from these participants using a semi-structured questionnaire, administered by a researcher. These data were analysed using both bivariate and multivariate analysis. First, they were analysed with either a chi-squared or Fisher exact test, then subjected to a regression model analysis. Qualitative data were collected and subjected to content analysis via focus group discussions with a total of 32 purposively selected participants. Results Approximately 36.5% participants reported their index pregnancy as being unintended. With regression analysis, age (25–34 years: relative risk ratio=0.42, P=0.02; 35–44 years: relative risk ratio=0.21, P=0.003), parity (relative risk ratio=10.38, P&lt;0.00), ethnicity (relative risk ratio=0.13, P=0.002) and religion (relative risk ratio=0.26, P=0.048) were found to be significant risk factors for unintended pregnancy. Conclusions Age, parity, ethnicity and religion were the main determinants of unintended pregnancies. Intervention programmes should therefore be aware of these variables and address myths and misconceptions about pregnancy intentions.

Resumption of Sexual Intercourse and Family Planning use Among Postpartum Women Attending Infant Welfare Clinics in Ibadan, Southwest Nigeria - A Cross-Sectional Study.

Women may resume sexual intercourse anytime during the postpartum period with little consideration for contraceptive. To determine factors associated with resumption of sexual activity, explore FP practices and influence on sexual resumption among postpartum women. A cross-sectional study of postpartum women at the infant-welfare clinic of Adeoyo Maternity Teaching Hospital and University College Hospital, Ibadan between July and October, 2014. Data on socio-demographic characteristics, contraceptive use, and sexual behavior were collected using interviewer-administered semi-structured questionnaires. Associations were tested using Chi-square tests and Logistic regression analysis for crude and adjusted odds ratios. Level of significance was 5%. There were 256 women with mean age of 29.1 years(SD = 5.2). Majority had tertiary education; were currently married in monogamous marriages and had 1-3 children. Ninety-one(38.7%) had started sexual intercourse at the time of interview. Among those who had not started having sex, about a quarter (24.2%) gave no reason and 20% felt it was too early. The fear of pain and child-spacing were reasons given by 5.7% and 5.1% respectively. Current use of contraceptive method was 20.7% among women and 36.4% among women who had resumed sexual activity. On multiple logistic regression, Family-planning users were about five times more-likely than non-users to resume sexual intercourse (Odd Ratio = 5.66, 95% Confidence interval = 2.61 - 12.28). Women commonly resume sexual intercourse during postpartum period without contraceptive use. Interventions during antenatal and early postnatal periods are needed to improve early adoption of Family planning by postpartum women.