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International Journal of Population Research - Volume 2017 2017, Article ID 3875452, 12 pages - https:-doi.org-10.1155-2017-3875452

Research Article

Department of Planning and Applied Statistics, College of Business and Management Sciences, Makerere University, P.O. Box 7062, Kampala, Uganda

Department of Population Studies, College of Business and Management Sciences, Makerere University, P.O. Box 7062, Kampala, Uganda

Department Epidemiology and Biostatistics, College of Health Sciences, Makerere University, P.O. Box 7062, Kampala, Uganda

Correspondence should be addressed to Allen Kabagenyi

Received 26 September 2016; Revised 24 December 2016; Accepted 29 January 2017; Published 28 February 2017

Academic Editor: Oliver Duke-Williams

Copyright © 2017 Robert Wamala et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Globally, there is extant literature on patterns and dynamics of postpartum contraceptive use with hardly any evidence examining time-to-contraceptive use from resumption of sexual intercourse after birth among women in Uganda. Methods. The analysis was based on data from 2011 Uganda Demographic and Health Survey on a sample of 2983 married women with a birth in the past three years preceding the survey and had resumed sexual intercourse. A time-to-contraceptive use was adopted in the analysis using life tables based on the Kaplan-Meier estimates, while the Log-Rank Chi-square tests assessed the variables to be included in regression analysis. Cox-Proportional Hazard regression was run to identify the predictors of time-to-contraceptive use among postpartum women in Uganda. Sampling weights were applied in the analysis to ensure representativeness. Results. The median time-to-contraceptive use was 19 months range 0–24. Time to adoption of modern contraceptive use was significantly longer among women with no formal education, residing in northern region, who , CI: 0.40–0.78 had delivered at home-traditional birth attendant , CI: 0.60–0.93, had 1–3 antenatal care visits , CI: 0.70–0.98, and were in poorest wealth quintile. Conclusions. Measures for enhancing modern contraceptive use during and after the postpartum period should focus on i addressing hindrances in accessing family planning, particularly among poor and noneducated women; ii integration of family planning service delivery into routine ANC through counseling; and iii promoting deliveries in health facilities.





Autor: Robert Wamala, Allen Kabagenyi, and Simon Kasasa

Fuente: https://www.hindawi.com/



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