title: Determinants of family planning service uptake and use of contraceptives among postpartum women in rural Uganda.
abstract: OBJECTIVE
  Uganda has one of the highest unmet needs for family planning globally, which is associated with negative health outcomes for women and population-level public health implications. The present cross-sectional study identified factors influencing family planning service uptake and contraceptive use among postpartum women in rural Uganda.
  
  
  METHODS
  Participants were 258 women who attended antenatal care at a rural Ugandan hospital. We used logistic regression models in SPSS to identify determinants of family planning service uptake and contraceptive use postpartum.
  
  
  RESULTS
  Statistically significant predictors of uptake of family planning services included: education (AOR = 3.03, 95 % CI 1.57-5.83), prior use of contraceptives (AOR = 7.15, 95 % CI 1.58-32.37), partner communication about contraceptives (AOR = 1.80, 95 % CI 1.36-2.37), and perceived need of contraceptives (AOR = 2.57, 95 % CI 1.09-6.08). Statistically significant predictors of contraceptive use since delivery included: education (AOR = 2.04, 95 % CI 1.05-3.95), prior use of contraceptives (AOR = 10.79, 95 % CI 1.40-83.06), and partner communication about contraceptives (AOR = 1.81, 95 % CI 1.34-2.44).
  
  
  CONCLUSIONS
  Education, partner communication, and perceived need of family planning are key determinants of postpartum family planning service uptake and contraceptive use, and should be considered in antenatal and postnatal family planning counseling.
authors.affiliation: Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT, USA.
authors.forename: Katelyn M
authors.initials: KM
authors.lastname: Sileo
authors.affiliation: Makerere University School of Public Health, Kampala, Uganda.
authors.forename: Rhoda K
authors.initials: RK
authors.lastname: Wanyenze
authors.affiliation: Gombe Hospital, Gombe, Uganda.
authors.forename: Haruna
authors.initials: H
authors.lastname: Lule
authors.affiliation: Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT, USA. skiene@mail.sdsu.edu.|Warren Alpert Medical School of Brown University, Providence, RI, USA. skiene@mail.sdsu.edu.|Division of Epidemiology and Biostatistics, Graduate School of Public Health, San Diego State University, 5500 Campanile Drive (MC-4162), San Diego, CA, 92182, USA. skiene@mail.sdsu.edu.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Kiene
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005193:Family Planning Services / Q000193:education / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D049590:Postpartum Period; D011247:Pregnancy; D011634:Public Health; D012044:Regression Analysis; D014454:Uganda; D055815:Young Adult
keywords: Contraception; Family Planning; Uganda