title: Predictors of modern contraceptive use during the postpartum period among women in Uganda: a population-based cross sectional study.
abstract: BACKGROUND
  The rationale for promotion of family planning (FP) to delay conception after a recent birth is a best practice that can lead to optimal maternal and child health outcomes. Uptake of postpartum family planning (PPFP) remains low in sub-Saharan Africa. However, little is known about how pregnant women arrive at their decisions to adopt PPFP.
  
  
  METHODS
  We used 3298 women of reproductive ages 15-49 from the 2011 UDHS dataset, who had a birth in the 5 years preceding the survey. We then applied both descriptive analyses comprising Pearson's chi-square test and later a binary logistic regression model to analyze the relative contribution of the various predictors of uptake of modern contraceptives during the postpartum period.
  
  
  RESULTS
  More than a quarter (28%) of the women used modern family planning during the postpartum period in Uganda. PPFP was significantly associated with primary or higher education (OR=1.96; 95% CI=1.43-2.68; OR=2.73; 95% CI=1.88-3.97 respectively); richest wealth status (OR=2.64; 95% CI=1.81-3.86); protestant religion (OR=1.27; 95% CI=1.05-1.54) and age of woman (OR=0.97, 95% CI=0.95-0.99). In addition, PPFP was associated with number of surviving children (OR=1.09; 95 % CI=1.03-1.16); exposure to media (OR=1.30; 95% CI=1.05-1.61); skilled birth attendance (OR=1.39; 95% CI=1.12-1.17); and 1-2 days timing of post-delivery care (OR=1.68; 95% CI=1.14-2.47).
  
  
  CONCLUSIONS
  Increasing reproductive health education and information among postpartum women especially those who are disadvantaged, those with no education and the poor would significantly improve PPFP in Uganda.
authors.affiliation: Centre for Population and Applied Statistics (CPAS), Makerere University, Kampala, Uganda. grutaremwa@bams.mak.ac.ug.
authors.forename: Gideon
authors.initials: G
authors.lastname: Rutaremwa
authors.affiliation: Centre for Population and Applied Statistics (CPAS), Makerere University, Kampala, Uganda. akabagenyi@bams.mak.ac.ug.
authors.forename: Allen
authors.initials: A
authors.lastname: Kabagenyi
authors.affiliation: Centre for Population and Applied Statistics (CPAS), Makerere University, Kampala, Uganda. swandera@gmail.com.
authors.forename: Stephen Ojiambo
authors.initials: SO
authors.lastname: Wandera
authors.affiliation: United Nations Population Fund (UNFPA), Uganda Country Office, Kampala, Uganda. jhamba@unfpa.org.
authors.forename: Tapiwa
authors.initials: T
authors.lastname: Jhamba
authors.affiliation: United Nations Population Fund (UNFPA), Uganda Country Office, Kampala, Uganda. akiror@unfpa.org.
authors.forename: Edith
authors.initials: E
authors.lastname: Akiror
authors.affiliation: Uganda Bureau of Statistics (UBOS), Ministry of Finance and Planning, Kampala, Uganda. hnviiri@gmail.com.
authors.forename: Hellen Laetitia
authors.initials: HL
authors.lastname: Nviiri
mesh_terms: D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara; D000367:Age Factors; D016009:Chi-Square Distribution; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D006266:Health Education; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D049590:Postpartum Period; D012959:Socioeconomic Factors; D014454:Uganda; D055815:Young Adult