Prevalence and Correlates of Disagreement Between Intention to Use Postpartum Contraception and Actual Use: A Longitudinal Examination of Women’s Contraceptive Preferences and Postpartum Use in Kenya

Celia Karp , Johns Hopkins Bloomberg School of Public Health
Daisy Ruto, Jhpiego
Anne Schuster, University of Southampton
Sara Kennedy
Megan Christofield, Jhpiego
Lindsay Breithaupt, Jhpiego
Michael Muthamia, Jhpiego
Elaine Charurat, Jhpiego

Despite evidence linking contraceptive intentions to actual use, there is a dearth of research on women’s demand and preferences for postpartum contraception. This analysis aims to estimate the prevalence and evaluate the correlates of contraceptive discordance immediately postpartum, defined as disagreement between a woman’s antenatal intention to use an immediate postpartum method and her actual use. In-person interviews were conducted in 2017-2018 with 866 women receiving antenatal and delivery care in Kenya. Descriptive statistics were implemented to describe sociodemographic and outcome distributions. Three-quarters of women experienced contraceptive discordance; however, many women received a referral or actual method different than their intended method. Contraceptive discordance immediately postpartum is common. Forthcoming analyses will elucidate distinct types of discordance, and predictors and reasons for discordance immediately postpartum. Specifically, multilevel mixed-effects logistic regression models will estimate the prevalence of contraceptive discordance immediately postpartum, adjusting for covariates at the individual, partner, service-delivery and facility levels.

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 Presented in Session 10. Fertility, Family Planning, Sexual Behavior & Reproductive Health 2